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Traumatic Intercostal Lung Hernia Repaired by Video-assisted Thoracoscopic Surgery;Report of a Case Masaomi Eguchi 1 , Takayuki Abe 1 , Yuto Tedokon 1 , Motoshi Miyagi 1 , Hiroaki Kawamoto 1 , Yoshiyuki Nakasone 1 1Department of Surgery, Chubu Tokusyukai Hospital Keyword: intercostal lung hernia , trauma pp.1038-1041
Published Date 2019/11/1
DOI https://doi.org/10.15106/j_kyobu72_1038
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The 40-year-old male patient was raced to our hospital complaining respiratory difficulty after hitting his left chest at a handle when falling down from a bicycle. Fracture of 5th left rib and partial lung prolapsed intercostally out of the thorax was observed by computed tomography (CT). Due to exacerbated pneumothorax and pneumoderma recognized 12 hours later by CT with the lung remained incarcerated, a surgery was conducted. Camera port was placed from 8th intercostal part at left midaxillary line. The left lung was partially incarcerated from ruptured intercostal part of fractured 5th rib. Adding a working port from 7th intercostal part at the posterior axillary line, the incarcerated lung was thoracoscopically reduced. The thoracoscopic surgery was completed by fixing the rib outside the thoracic wall with 2-0 nylon suture without partial resection of the lung. The patient was discharged on day 7 with satisfactory progress. Thoracoscopic approach is effective for traumatic intercostal lung hernia.


© Nankodo Co., Ltd., 2019

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電子版ISSN 2432-9436 印刷版ISSN 0021-5252 南江堂

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