机器人辅助胸腔镜修复气管枪伤

Q4 Medicine Trauma Case Reports Pub Date : 2024-04-08 DOI:10.1016/j.tcr.2024.101023

Antoine Nehme, Salman Zaheer, Alexander Leung

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引用次数: 0

摘要

一名 23 岁的男子身受两处枪伤，送到急诊室后经造影检查发现他有一个巨大的气胸，并伴有大量皮下气肿。插管和放置双侧胸管并未改善患者的氧合情况；支气管镜检查发现，在距心尖近端 4 厘米处的膜壁上有一个 1 厘米长的气管缺损。患者接受了机器人辅助下的气管损伤初级修复术，使用 3-0 号 PDS Stratafix 倒钩缝合线，并用肋间肌瓣进行支撑。术后第 17 天，患者康复出院，随访支气管镜检查显示气管完全愈合。

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Robot-assisted thoracoscopic repair of tracheal gunshot wound

A 23-year-old man suffered two gunshot wounds and upon arrival to the emergency room was found on imaging to have a large pneumothorax with considerable subcutaneous emphysema. Intubation and placement of bilateral chest tubes did not improve the patient's oxygenation; bronchoscopy revealed a 1 cm tracheal defect in the membranous wall 4 cm proximal to the carina. The patient underwent robot-assisted primary repair of the tracheal injury with a #3-0 PDS Stratafix barbed suture buttressed with an intercostal muscle flap. The patient was discharged in good condition on post-operative day 17, with follow-up bronchoscopy showing complete healing of the trachea.

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来源期刊

Trauma Case Reports Medicine-Emergency Medicine

CiteScore

0.60

自引率

0.00%

发文量

131

审稿时长

26 weeks

期刊介绍： Trauma Case Reports is the only open access, online journal dedicated to the publication of case reports in all aspects of trauma care and accident surgery. Case reports on all aspects of trauma management, surgical procedures for all tissues, resuscitation, anaesthesia and trauma and tissue healing will be considered for publication by the international editorial team and will be subject to peer review. Bringing together these cases from an international authorship will shed light on surgical problems and help in their effective resolution.