JOURNAL OF JAPAN SOCIETY FOR ENDOSCOPIC SURGERY Volume 24, Issue 5 (September 2019)
Japanese

Thoraco-laparoscopic surgery for multiple stab wounds to the chest and abdomen Shinichiro ARAKAWA 1 , Hiroyasu KOMURO 1 , Masaki KIMURA 1 , Shigeru KIYAMA 1 , Koyo SHIRAHASHI 1 , Hisashi IWATA 1 1Department of General and Cardiothoracic Surgery, Graduate School of Medicine, Gifu University Keyword: 刺創 , 胸腔鏡 , 腹腔鏡 pp.433-439
Published Date 2019/9/15
DOI https://doi.org/10.11477/mf.4426200738
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 The patient was a 43-year-old woman with a history of insomnia and depression. She was found on the floor covered in blood, and she was transported to our hospital. She had stabbed herself multiple times with a kitchen knife. Computed tomography showed subcutaneous emphysema of the neck, a superior mediastinal hematoma, left hemopneumothorax, and an intra-abdominal hematoma. Extravasation into the left side of the thoracic cavity was also present, and emergency surgery was performed. Voluminous hematomas, damage to the mediastinum and lingula of the left lung, and pulsatile bleeding from the left internal thoracic artery were noted. Once hemostasis was achieved, the damaged portion of the lingula was resected with a stapler. Multiple stab wounds to the liver were noted; some had perforated the liver. Bleeding from all of these wounds was stopped, and no bile leakage was noted. The patient's postoperative course was satisfactory, and on day 4 postoperatively, she was transferred to the Department of Psychiatry. Thoracoscopy and laparoscopy allow detailed observation of the thoracic and abdominal cavities. Thoracoscopic and laparoscopic surgery is useful and minimally invasive.


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基本情報

13446703.24.5.jpg
日本内視鏡外科学会雑誌
24巻5号 (2019年9月)
電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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