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The Annals of Thoracic Surgery
Year: 2009  |  Volume: 87  |  Issue: 6  |  Page No.: 51 - 53

Primary Repair of an Iatrogenic Bronchial Rupture Under Video Mediastinoscopy

Y. D Kim, C. B Park, J. J Kim, C. K Kim and S. W. Moon    

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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