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Updated: Mar 1, 2026
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A Model of Self-limited Acute Lung Injury by Unilateral Intra-bronchial Acid Instillation
Published on: August 30, 2019
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[Traumatic Lung Injury].
Koichi Yoshida1, Shuji Ichinose, Norihiko Ikeda
1Department of Thoracic Surgery, Tokyo Medical University, Tokyo, Japan.
Kyobu Geka. the Japanese Journal of Thoracic Surgery
|July 23, 2015
Summary
Pulmonary injuries requiring thoracotomy are rare, with most lung injuries managed via tube thoracostomy. Resectional procedures like lobectomy and pneumonectomy are reserved for severe cases, while VATS offers a reliable alternative for lung injury treatment.
Area of Science:
- Thoracic Surgery
- Trauma Surgery
- Pulmonary Medicine
Background:
- Pulmonary injuries necessitating thoracotomy are infrequent.
- Tube thoracostomy is the primary treatment for most lung injuries.
- Surgical interventions for lung trauma include non-anatomic resection, lobectomy, and pneumonectomy.
Observation:
- Non-anatomic lung resection is employed for hemorrhage control, air leaks, and lung tissue destruction.
- Lobectomy and pneumonectomy are indicated for major air leaks and life-threatening hemorrhage.
- Pneumonectomy after traumatic lung injury is associated with high mortality rates.
Findings:
- Video-assisted thoracoscopic surgery (VATS) is a proven operative therapy for lung injuries.
- Effective surgical management of traumatic pulmonary injuries demands diverse approaches and interventions.
Implications:
- Understanding various surgical techniques is crucial for managing traumatic lung injuries.
- Minimally invasive approaches like VATS may offer advantages in specific cases.
- Careful patient selection and procedural choice are vital to mitigate risks associated with extensive resections.
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