{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,22]],"date-time":"2026-03-22T17:51:54Z","timestamp":1774201914345,"version":"3.50.1"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2026,3,22]],"date-time":"2026-03-22T00:00:00Z","timestamp":1774137600000},"content-version":"vor","delay-in-days":21,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,3,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Anterior thoracotomy is an established approach in thoracic surgery, but life-threatening emergencies often occur under limited resources. We report a man in his 70s who developed cardiopulmonary arrest from massive postoperative hemothorax after right lower lobectomy. Resuscitative thoracotomy was required at the bedside before transfer to the operating room. With only a scalpel and scissors available, an anterolateral thoracotomy through the fifth intercostal space was extended cephalad by transecting costal cartilages, creating a hemiclamshell exposure within 1\u00a0minute. Manual hilar compression and gauze packing allowed temporary control, followed by definitive hemostasis in the operating room. The patient recovered without neurological sequelae or other complications following the resuscitative operation. This case highlights that bedside resuscitative thoracotomy can be performed successfully using only basic instruments.<\/jats:p>","DOI":"10.1093\/jscr\/rjag187","type":"journal-article","created":{"date-parts":[[2026,3,22]],"date-time":"2026-03-22T17:10:12Z","timestamp":1774199412000},"source":"Crossref","is-referenced-by-count":0,"title":["Bedside resuscitative thoracotomy in response to cardiopulmonary arrest due to fatal hemothorax: a case report"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2401-4357","authenticated-orcid":false,"given":"Hitoshi","family":"Dejima","sequence":"first","affiliation":[{"name":"Department of General Thoracic Surgery, Shin-Kuki General Hospital , 418-1 Kamihayami, Kuki-city, Saitama 346-8530 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masamichi","family":"Shinohara","sequence":"additional","affiliation":[{"name":"Department of General Thoracic Surgery, Shin-Kuki General Hospital , 418-1 Kamihayami, Kuki-city, Saitama 346-8530 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kanta","family":"Yamamoto","sequence":"additional","affiliation":[{"name":"Department of General Thoracic Surgery, Shin-Kuki General Hospital , 418-1 Kamihayami, Kuki-city, Saitama 346-8530 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kai","family":"Kubota","sequence":"additional","affiliation":[{"name":"Department of General Thoracic Surgery, Shin-Kuki General Hospital , 418-1 Kamihayami, Kuki-city, Saitama 346-8530 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinya","family":"Kohmaru","sequence":"additional","affiliation":[{"name":"Department of General Thoracic Surgery, Shin-Kuki General Hospital , 418-1 Kamihayami, Kuki-city, Saitama 346-8530 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takuya","family":"Kato","sequence":"additional","affiliation":[{"name":"Department of Surgery, Shin-Kuki General Hospital , 418-1 Kamihayami, Kuki-city, Saitama 346-8530 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hirobumi","family":"Okawa","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Medicine, Shin-Kuki General Hospital , 418-1 Kamihayami, Kuki-city, Saitama 346-8530 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,3,22]]},"reference":[{"key":"2026032213100611900_ref1","doi-asserted-by":"publisher","first-page":"234","DOI":"10.1016\/S0003-4975(98)00350-6","article-title":"Surgery for invasive primary mediastinal tumors","volume":"66","author":"Bacha","year":"1998","journal-title":"Ann Thorac Surg"},{"key":"2026032213100611900_ref2","doi-asserted-by":"publisher","first-page":"30","DOI":"10.1016\/0003-4975(94)91067-7","article-title":"The clamshell incision: an improved approach to bilateral pulmonary and mediastinal tumor","volume":"58","author":"Bains","year":"1994","journal-title":"Ann Thorac Surg"},{"key":"2026032213100611900_ref3","doi-asserted-by":"publisher","first-page":"194","DOI":"10.1016\/S1010-7940(99)00156-6","article-title":"Morbidity and validity of the hemiclamshell approach for thoracic surgery","volume":"16","author":"Lardinois","year":"1999","journal-title":"Eur J Cardiothorac Surg"},{"key":"2026032213100611900_ref4","doi-asserted-by":"publisher","first-page":"1946","DOI":"10.1016\/j.athoracsur.2014.02.031","article-title":"Twenty-five years' experience with a trap-door thoracotomy modified with disconnection of the first rib for tumors invading the anterior superior sulcus","volume":"97","author":"Nomori","year":"2014","journal-title":"Ann Thorac Surg"},{"key":"2026032213100611900_ref5","doi-asserted-by":"publisher","first-page":"1025","DOI":"10.1016\/S0022-5223(19)33774-2","article-title":"Anterior transcervical-thoracic approach for radical resection of lung tumors invading the thoracic inlet","volume":"105","author":"Dartevelle","year":"1993","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2026032213100611900_ref6","doi-asserted-by":"publisher","first-page":"1168","DOI":"10.3390\/jpm13071168","article-title":"Surgical approaches to pancoast tumors","volume":"13","author":"Petrella","year":"2023","journal-title":"J Pers Med"},{"key":"2026032213100611900_ref7","doi-asserted-by":"publisher","first-page":"713","DOI":"10.1016\/j.jamcollsurg.2020.09.002","article-title":"Does clamshell thoracotomy better facilitate thoracic life-saving procedures without increased complication compared with an anterolateral approach to resuscitative thoracotomy? Results from the American Association for the Surgery of Trauma aortic occlusion for resuscitation in trauma and acute care surgery registry","volume":"231","author":"DuBose","year":"2020","journal-title":"J Am Coll Surg"},{"key":"2026032213100611900_ref8","doi-asserted-by":"publisher","first-page":"317","DOI":"10.1016\/j.annemergmed.2020.05.042","article-title":"Prospective randomized trial of standard left anterolateral thoracotomy versus modified bilateral clamshell thoracotomy performed by emergency physicians","volume":"77","author":"Newberry","year":"2021","journal-title":"Ann Emerg Med"},{"key":"2026032213100611900_ref9","doi-asserted-by":"publisher","first-page":"1306","DOI":"10.1007\/s00268-014-2924-1","article-title":"Clamshell incision versus left anterolateral thoracotomy. Which one is faster when performing a resuscitative thoracotomy? The tortoise and the hare revisited","volume":"39","author":"Flaris","year":"2015","journal-title":"World J Surg"},{"key":"2026032213100611900_ref10","doi-asserted-by":"publisher","first-page":"1277","DOI":"10.1007\/s00268-013-1961-5","article-title":"Bilateral anterior thoracotomy (clamshell incision) is the ideal emergency thoracotomy incision: an anatomic study","volume":"37","author":"Simms","year":"2013","journal-title":"World J Surg"},{"key":"2026032213100611900_ref11","first-page":"494","article-title":"Resuscitative thoracotomy","volume":"42","author":"Foster","year":"2024","journal-title":"Surgery."},{"key":"2026032213100611900_ref12","first-page":"722","article-title":"Emergency thoracotomy: how to do it","volume":"22","author":"Coats","year":"2005","journal-title":"Emerg Med J"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/3\/rjag187\/67471476\/rjag187.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/3\/rjag187\/67471476\/rjag187.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,22]],"date-time":"2026-03-22T17:10:15Z","timestamp":1774199415000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag187\/8537039"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":12,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,3,6]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag187","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,3]]},"published":{"date-parts":[[2026,3]]},"article-number":"rjag187"}}