Primary repair of an iatrogenic bronchial rupture under video mediastinoscopy.

Kim, Young-Du; Park, Chan-Beom; Kim, Jae-Jun; Kim, Chi-Kyung; Moon, Seok-Whan · Ann Thorac Surg · 2009

case_report · Level V

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Abstract

Complications after performing mediastinoscopy are uncommon, but they may occur even for an experienced surgeon. The major complications have the potential to be life-threatening injuries, such as major vascular or airway injury. A 51-year-old man presented to our hospital due to mediastinal node enlargement on follow-up after he had undergone gastric cancer surgery 2 years previously. An iatrogenic bronchial rupture occurred while performing mediastinoscopic biopsy, and this injury was primarily repaired with multiple direct interrupted sutures, along with the aid of a homemade knot pusher under video mediastinoscopy, and we did not have to convert to an open thoracotomy.

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