PDF herunterladen
Thorac Cardiovasc Surg 2012; 60(02): 167-169
DOI: 10.1055/s-0030-1271182
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Lobar Torsion after Video-Assisted Thoracoscopic Lobectomy: 2 Case Reports

L. Duan
1   Tongji University Affiliated Shanghai Pulmonary Hospital, Shanghai, China
,
X. Chen
1   Tongji University Affiliated Shanghai Pulmonary Hospital, Shanghai, China
,
G. Jiang
1   Tongji University Affiliated Shanghai Pulmonary Hospital, Shanghai, China
› Institutsangaben
Weitere Informationen

Publikationsverlauf

06. März 2011
18. April 2011

26. April 2011

Publikationsdatum:
21. Juni 2011 (online)

    Lizenzen und Reprints Alle Artikel dieser Rubrik

Abstract

Lung torsion is a rare but potentially lethal complication after pulmonary resection. We report two cases of right middle lobar torsion after video-assisted thoracoscopic (VATS) right upper lobectomy in our unit. The two cases were diagnosed definitely 7 and 14 days after VATS surgery by computed tomography (CT) scan and bronchoscopy, respectively. Rethoracotomy and right middle lobectomy were performed in both patients. VATS lobectomy contributes to the development of lobar torsion so this complication should be considered. Carefully checking anatomical structures before thoracotomic closure and correctly suturing the middle lobe to the consecutive lobe are effective ways to prevent this complication.

Keywords

thoracoscopy/VATS - surgery - complications - lung - benign or congenital lesions
 

  • References

  • 1 Cable DG, Deschamps C, Allen MS, Miller DL, Nichols FC, Trastek VF , et al. Lobar torsion after pulmonary resection: presentation and outcome. J Thorac Cardiovasc Surg 2001; 122: 1091-1093
    CrossrefPubMedSuche in Google Scholar
  • 2 Larsson S, Lepore V, Dernevik L, Nilsson F, Selin K. Torsion of a lung lobe: diagnosis and treatment. Thorac Cardiovasc Surg 1988; 36: 281-283
    Thieme ConnectPubMedSuche in Google Scholar
  • 3 Keagy BA, Lores ME, Starek PJ, Murray GF, Lucas CL, Wilcox BR. Elective pulmonary lobectomy: factors associated with morbidity and operative mortality. Ann Thorac Surg 1985; 40: 349-352
    CrossrefPubMedSuche in Google Scholar
  • 4 Schamaun M. Postoperative pulmonary torsion: report of a case and survey of the literature including spontaneous and posttraumatic torsion. Thorac Cardiovasc Surg 1994; 42: 116-121
    Thieme ConnectPubMedSuche in Google Scholar
  • 5 Felson B. Lung torsion: radiographic findings in nine cases. Radiology 1987; 162: 631-638
    CrossrefPubMedSuche in Google Scholar
  • 6 Velmachos GC, Franhouse J, Ciccolo M. Pulmonary torsion of the right upper lobe after middle lobectomy for a stab wound to the chest. J Trauma 1998; 44: 920-922
    CrossrefPubMedSuche in Google Scholar
  • 7 Apostolakis E, Koletsis EN, Panagopoulos N, Prokakis C, Dougenis D. Fatal stroke after completion pneumonectomy for torsion of left upper lobe following left lower lobectomy. J Cardiothorac Surg 2006; 12: 25
    PubMedSuche in Google Scholar
  • 8 Charles C, Sticco DO, Shahriyour A. Middle lobar torsion after right upper lobectomy: a report of video-assisted thoracoscopic management. J Thorac Cardiovasc Surg 2007; 134: 1090-1091
    CrossrefPubMedSuche in Google Scholar