A 73-year-old man was diagnosed with left lung cancer (cT3N0M0, stageā ”B). Left lower lobectomy and lymph node dissection by complete video-assisted thoracic surgery (VATS) was planned. At surgery, removal of the left lower lobe thorough intercostal space was difficult, and the dissection of the left 5th rib was required. After surgery, air leak appeared and reoperation was performed. At second surgery, lung injuries caused by a cut edge of the left 5th rib were found. Both lung injuries and the dissected rib were repaired, and the postoperative course was uneventful.
Hiroshi Tanaka, Akira Okada, Tadashi Aoki. Lung Injuries Caused by a Cut Edge of a Rib after Thoracoscpic Lobectomy]. Kyobu geka. The Japanese journal of thoracic surgery. 2023 May;76(5):366-369
PMID: 37150916
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