{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T14:57:24Z","timestamp":1774623444057,"version":"3.50.1"},"reference-count":5,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T00:00:00Z","timestamp":1622505600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T00:00:00Z","timestamp":1622505600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["surg case rep"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Pulmonary tractotomy effectively treats deep pulmonary penetrating injuries; however, it requires the accurate insertion of forceps or a stapler into the wound tract. This report describes a case of tractotomy using the Penrose drain guide for a deep lung injury caused by chest drainage.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>A 75-year-old man suffered multiple rib fractures and hemothorax. After admission, chest tube drainage was performed because the patient\u2019s respiratory condition deteriorated due to increased right pleural effusion. However, as the chest tube was stabbing into the right upper lobe, a pulmonary tractotomy was performed to treat the injury. Cutting the visceral pleura just over the tip of the chest tube caused the tube to completely penetrate the lung. A Penrose drain tube was fixed to the chest tube, which was then removed. The Penrose drain tube completely penetrated the lung and was coupled to the anvil side of the stapler to guide it smoothly into the wound tract. After stapling left the wound tract open, selective suture ligation of the damaged vessel and bronchioles was performed.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Although the indications for tractotomy using the Penrose drain guide are limited, we believe that this technique can be useful in patients with deep stabbing or penetrating lung injuries with rod- or tube-shaped foreign body remnants.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40792-021-01215-6","type":"journal-article","created":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T09:17:35Z","timestamp":1622539055000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Tractotomy using the Penrose drain guide for deep lung injury caused by chest drainage: a case report"],"prefix":"10.1186","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2449-4415","authenticated-orcid":false,"given":"Hironori","family":"Oyamatsu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hideki","family":"Tsubouchi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kunio","family":"Narita","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,6,1]]},"reference":[{"key":"1215_CR1","doi-asserted-by":"publisher","first-page":"665","DOI":"10.1016\/S0002-9610(05)80141-2","volume":"168","author":"MJ Wall Jr","year":"1994","unstructured":"Wall MJ Jr, Hirshberg A, Mattox KL. Pulmonary tractotomy with selective vascular ligation for penetrating injuries to the lung. Am J Surg. 1994;168:665\u20139.","journal-title":"Am J Surg"},{"key":"1215_CR2","doi-asserted-by":"publisher","first-page":"486","DOI":"10.1016\/S1072-7515(97)00070-7","volume":"185","author":"JA Asensio","year":"1997","unstructured":"Asensio JA, Demetriades D, Berne JD, Velmahos G, Cornwell EE 3rd, Murray J, et al. Stapled pulmonary tractotomy: a rapid way to control hemorrhage in penetrating pulmonary injuries. J Am Coll Surg. 1997;185:486\u20137.","journal-title":"J Am Coll Surg"},{"key":"1215_CR3","doi-asserted-by":"publisher","first-page":"55","DOI":"10.1007\/s00068-017-0802-x","volume":"44","author":"JA Asensio","year":"2018","unstructured":"Asensio JA, Ogun OA, Mazzini FN, Perez-Alonso AJ, Garcia-N\u00fa\u00f1ez LM, Petrone P. Predictors of outcome in 101 patients requiring emergent thoracotomy for penetrating pulmonary injuries. Eur J Trauma Emerg Surg. 2018;44:55\u201361.","journal-title":"Eur J Trauma Emerg Surg"},{"key":"1215_CR4","doi-asserted-by":"publisher","first-page":"184","DOI":"10.1055\/s-0029-1185882","volume":"58","author":"MW Lin","year":"2010","unstructured":"Lin MW, Lee JM, Lee YC. Penrose drain tube as a guide for endostaplers during lobectomy via video-assisted thoracoscopic surgery. Thorac Cardiovasc Surg. 2010;58:184\u20135.","journal-title":"Thorac Cardiovasc Surg"},{"key":"1215_CR5","doi-asserted-by":"publisher","first-page":"972","DOI":"10.1007\/s00595-005-3054-z","volume":"35","author":"M Muraoka","year":"2005","unstructured":"Muraoka M, Akamine S, Tagawa T, Sasaki N, Ikuta Y, Inoue M, et al. Pulmonary tractotomy for a patient with traumatic penetrating lung injury: report of a case. Surg Today. 2005;35:972\u20135.","journal-title":"Surg Today"}],"container-title":["Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-021-01215-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40792-021-01215-6\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-021-01215-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T09:21:00Z","timestamp":1622539260000},"score":1,"resource":{"primary":{"URL":"https:\/\/surgicalcasereports.springeropen.com\/articles\/10.1186\/s40792-021-01215-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,1]]},"references-count":5,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["1215"],"URL":"https:\/\/doi.org\/10.1186\/s40792-021-01215-6","relation":{},"ISSN":["2198-7793"],"issn-type":[{"value":"2198-7793","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,6,1]]},"assertion":[{"value":"6 April 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 May 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 June 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Informed consent was obtained from the patients for this publication.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"134"}}