Video-assisted thoracoscopic conservative repair of postoperative lobar torsion.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 25441831.
- Also identified by DOI 10.1016/j.athoracsur.2014.07.080.
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Abstract
Postoperative lobar torsion is a rare and life-threatening complication. Several previous cases have been treated with completion lobectomy. We report successful surgical repair of middle lobar torsion after upper lobectomy. On postoperative day 4, the middle lobe was rotated approximately 150 degrees counterclockwise. The surface of the middle lobe appeared congestive, but its surface color, elasticity, and compliance improved 1 h after detorsion. We preserved the middle lobar function and prescribed warfarin for pulmonary vein thrombosis. When preserving a twisted lobe, it is important to consider the damage to the twisted lung, risk of thrombosis, and residual pulmonary function.
Medical subject headings
- Lung Diseases
- Pneumonectomy
- Postoperative Complications
- Thoracic Surgery, Video-Assisted
- Torsion Abnormality