Video assisted thoracic surgery (VATS) for traumatic clotted hemothorax after chest trauma. A case report.

DOI 20 References
  • Shimatani Shinji
    Department of Thoracic and Cardiovascular Surgery, Toho University School of Medicine
  • Yamazaki Shiro
    Department of Thoracic and Cardiovascular Surgery, Toho University School of Medicine
  • Sasamoto Shuichi
    Department of Thoracic and Cardiovascular Surgery, Toho University School of Medicine
  • Kudo Osamu
    Department of Thoracic and Cardiovascular Surgery, Toho University School of Medicine
  • Hirohashi Tsutomu
    Department of Thoracic and Cardiovascular Surgery, Toho University School of Medicine
  • Kato Nobuhide
    Department of Thoracic and Cardiovascular Surgery, Toho University School of Medicine
  • Takagi Keigo
    Department of Thoracic and Cardiovascular Surgery, Toho University School of Medicine
  • Okuyama Nobuo
    Department of Thoracic and Cardiovascular Surgery, Toho University School of Medicine

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Other Title
  • 胸腔鏡補助小開胸下に血腫除去及び胸膜剥皮術を施行した外傷性凝血性血胸の１例

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Abstract

A 45 year-old man, whose left lateral chest had been injured about 2 weeks earlier, was admitted to our hospital. His clinical diagnosis was left clotted hemothorax and multiple rib fracture. Drainage of the thoracic space with the thoracic catheter was performed, but reexpansion of the lung was inadequate due to the presence of residual clot. So we performed video-assisted thoracic surgery (VATS) to remove the clot. We could examine the contents of the thoracic space by Video assisted thoracoscopy and performed drainage, irrigation and decortication through the minimal thoracotomy window. The post operative course was uneventful. The lung was re-expanded on the chest X-ray films, and respiratory function improved. We concluded that the clotted hemothorax after chest trauma may be a good indication for VATS.

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