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Case Report
- Contralateral pulmonary resection with drug-induced thrombocytopenia after previous lobectomy in chest trauma: a case report
- Do Wan Kim, Kyo Seon Lee, Sang Yun Song, In-Seok Jeong
- J Trauma Inj. 2026;39(2):186-190. Published online March 30, 2026
- DOI: https://doi.org/10.20408/jti.2025.0157
- 1,635 View
- 26 Download
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Abstract
PDF - Secondary pulmonary resection remains challenging because of the risk of serious complications. A second thoracic surgical procedure in elective settings should prioritize the patient’s recovery potential and functional status. In thoracic oncology, clinical outcomes can be acceptable in selected patients. However, when vital signs are unstable due to traumatic lung injury, selection is not the primary consideration and emergency surgery is required. Thrombocytopenia is a condition in which a patient’s platelet count is abnormally low, diagnosed by complete blood count. In humans, the normal platelet count generally ranges from 150,000 to 450,000 platelets/μL of blood. In posttraumatic patients, thrombocytopenia is often difficult to manage because its causes are diverse. To our knowledge, survival after secondary contralateral lung resection in a patient with thrombocytopenia who previously underwent lobectomy for lung cancer is extremely rare.
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SummaryOriginal Articles
- Experiences of Video-assisted Thoracic Surgery in Trauma
- Dongsub Noh, Chan kyu Lee, Jung Joo Hwang, Hyun Min Cho
- J Trauma Inj. 2017;30(3):87-90. Published online October 30, 2017
- DOI: https://doi.org/10.20408/jti.2017.30.3.87
- 3,171 View
- 16 Download
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Abstract
PDF
- PURPOSE
Nowadays, Video-Assisted Thoracic Surgery (VATS) is widely used for its benefits, low post-operative pain, excellent anesthetic result and complete visualization of intrathoracic organs. Despite of these advantages, VATS has not yet been widely used in trauma patients. In this study, we aimed to investigate the usefulness of VATS in the chest trauma area.
METHODS
From January 2016 to December 2016, 203 patients underwent surgical treatment for chest trauma. Their medical records were analyzed retrospectively.
RESULTS
Eleven patients underwent thoracic surgery by VATS. Six patients were unstable vital sign in the emergency room. Two patients underwent emergency surgery and the rest patients underwent planned surgery. The common surgeries were VATS hematoma evacuation and wedge resection. There was no conversion to thoracotomy. The surgery proceeded without any problems for all patients.
CONCLUSIONS
VATS would be an effective diagnostic and therapeutic modality in chest trauma patients. It can be applied to retained hemothorax, persistent pneumothorax, suspicious diaphragm injury and even coagulation of bleeder. -
Summary
- Clinical Feasibility of Video-assisted Thoracic Surgery for Thoracic Trauma
- Do Kyun Kang, Hyeong Ryul Kim, Yong Hee Kim, Dong Kwan Kim, Seung Il Park
- J Korean Soc Traumatol. 2010;23(2):170-174.
- 2,005 View
- 13 Download
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Abstract
PDF
- PURPOSE
As techniques and instruments for video-assisted thoracic surgery (VATS) have been evolving, attempts to perform VATS for chest trauma have been increasing. Several studies have demonstrated the feasibility and safety of VATS for thoracic trauma. We reviewed our experience to evaluate the clinical feasibility and safety of VATS for thoracic trauma.
METHODS
Fifty-two patients underwent thoracic surgery for chest trauma in Asan Medical Center from January 1990 to December 2009. VATS was performed in 21 patients who showed stable vital signs. We reviewed retrospectively the medical records of those patients to investigate the results of VATS for thoracic trauma.
RESULTS
Thoracic exploration for chest trauma was performed in 52 patients. There were 46 males (88.5%) and 6 females (11.5%). The median age was 46.0 years (range: 11~81 years). There were 39 blunt and 13 penetrating traumas. A standard posterolateral thoracotomy was performed in 31 patients, and VATS was tried in 21 patients. We performed successful VATS in 13 patients; 11 males (84.5%) and 2 females (15.5%) with a median age of 46.0 years (range: 24~75 years). The indication of VATS was persistent intrathoracic hemorrhage in 10 patients and clotted hemothorax in 3 patients. There were no complications, but there were two mortalities due to multiple organ failure after massive transfusion. In 8 patients, VATS was converted to a standard posterolateral thoracotomy for several reasons. The reason was inadequate visualization for bleeding control or evacuation of the hematoma in 5 patients. In 3 patients, VATS was performed to evaluate diaphragmatic injury. After the diaphragmatic injury had been confirmed, a standard posterolateral thoracotomy was performed to repair the diaphragm.
CONCLUSION
VATS should be safe and efficient method for diagnostic evaluation and surgical management of stable patients with thoracic trauma. -
Summary
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