A CASE OF PENETRATING DIAPHRAGMATIC INJURY REPAIRED BY VIDEO- ASSISTED THORACIC SURGERY

• Published in: Journal of the Japanese Association for the Surgery of Trauma Vol. 35; no. 1; pp. 8 - 11
• Main Authors: SAWADA, Yusuke, NUMAJIRI, Kazuki, YAJIMA, Toshiki, SHIRABE, Ken, MURATA, Masato, AOKI, Makoto, TOKUE, Hiroyuki, YAJIMA, Hisao, NAKAZAWA, Seshiru, OSHIMA, Kiyohiro
• Format: Journal Article
• Language: Japanese
• Published: The Japanese Association for the Surgery of Trauma 20.01.2021; 一般社団法人 日本外傷学会
• Subjects: diaphragmatic injury; penetrating trauma; thoracoscopy; 横隔膜損傷; 穿通性外傷; 胸腔鏡
• ISSN: 1340-6264; 2188-0190
• DOI: 10.11382/jjast.35.1_02

We report the successful repair of a diaphragmatic injury caused by a chest stab employing a transthoracic surgical approach with thoracoscopy. A 60-year-old man was stabbed in the left neck and left chest while sleeping. He was taken to a nearby hospital, and diagnosed with left diaphragmatic injury by CT and transferred to our hospital for further examination and treatment. We repaired the diaphragm via a transthoracic approach because physical findings and CT demonstrated no abdominal organ injury. He recovered smoothly and was discharged on the 14th hospital day. Diaphragmatic injuries due to chest-penetrating trauma can be repaired by a transthoracic approach if abdominal organ injury is absent. A chest approach should be considered from the viewpoint of ease of operation and reduction of postoperative complications.