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Journal of the Korean Society of Traumatology 2008;21(2):136-139.
Emergency Repair Using Cervico-median Sternotomy for Cervicothoracic Penetrating Injury
Hyun Joo Lee, Hyun Koo Kim, Young Ho Choi
Department of Thoracic and Cardiovascular Surgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea. kimhyunkoo@korea.ac.kr
경흉부 관통상에 대한 경부와 정중흉골절개술을 이용한 치험 1례
고려대학교 의과대학 구로병원 흉부외과학교실
A great variety of penetrating injuries is happening due to the increasing population and violence today. An optimal surgical approach is the key factor for successful repair of a complicated penetrating injury. A 23-yearold woman fell down the stairs from the second floor and received cervico-thoracic penetration injury due to a metalic bar. The metalic bar ruptured the right jugular vein and penetrated the left upper and lower lung. Under cervico-median sternotomy, neck vessels were repaired and the left thorax was successfully entered to repair the damaged lung through the mediastinal pleura. With this approach, the patient's position did not need to be changed during operation, while reduced the operation time compared to the conventional approach (cervical incision and standard thoracotomy).
Key Words: Neck injuries; Thoracic injuries; Penetrating wounds; Thoracotomy
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