Abstract
BackgroundOur goal was to discuss the treatment for rupture of contralateral mainstem bronchus during uniportal video-assisted thoracoscopy surgery (uniportal VATS) lobectomy.Case presentationWe analyzed clinical data of 3 cases of rupture of contralateral mainstem bronchus during uniportal VATS. Surgical repair was performed immediately under an uniportal VATS during operation, as a result, 3 cases of bronchial rupture all were repaired successfully, and we continued to complete lobectomy and systemic lymph node dissection. Reexamination was performed after 1 week, and no fistula was found in trachea and bronchi through a fiberoptic bronchoscopy. The time range for indwelling the chest tube is 6–9 days, and the hospital stay is 8–10 days. No abnormality was observed on chest radiography when the 3 patients returned to the hospital 1 month after the operation for the second reexamination.ConclusionsInstant surgical repair is recommended to the treatment of bronchial rupture in thoracic surgery. It is safe and feasible to repair bronchial tear with uniportal VATS.
Highlights
Our goal was to discuss the treatment for rupture of contralateral mainstem bronchus during uniportal video-assisted thoracoscopy surgery lobectomy.Case presentation: We analyzed clinical data of 3 cases of rupture of contralateral mainstem bronchus during uniportal Video-assisted thoracoscopy surgery (VATS)
Instant surgical repair is recommended to the treatment of bronchial rupture in thoracic surgery
With completing the intubation of a double lumen endotracheal tube, there are many causes for a tracheobronchial rupture, including iatrogenic factors such as accidental injuries from anesthesiologists, surgeons, and anatomical malformations of tracheal bronchi in themselves, which should be avoided during clinical treatment
Summary
Our goal was to discuss the treatment for rupture of contralateral mainstem bronchus during uniportal video-assisted thoracoscopy surgery (uniportal VATS) lobectomy. Case presentation: We analyzed clinical data of 3 cases of rupture of contralateral mainstem bronchus during uniportal VATS. Surgical repair was performed immediately under an uniportal VATS during operation, as a result, 3 cases of bronchial rupture all were repaired successfully, and we continued to complete lobectomy and systemic lymph node dissection. The occurrence of tracheobronchial injuries (TBI) is quite difficult to treat, and sometimes even lifethreatening. It has been reported previously in the literature that the incidence of airway injury caused by double-lumen endotracheal intubation was very low, about 0.2% [1]. Case presentation In this paper, the authors counted the occurrence and treatment of all 3 cases of bronchial rupture in 1075 cases of pulmonary surgery from June 2016 to July 2019 in our hospital (The Third Affiliated Hospital of Chongqing Medical University, Chongqing, China).
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