{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T22:38:58Z","timestamp":1772750338148,"version":"3.50.1"},"reference-count":18,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,5,26]],"date-time":"2025-05-26T00:00:00Z","timestamp":1748217600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,5,26]],"date-time":"2025-05-26T00:00:00Z","timestamp":1748217600000},"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":["Gen Thorac Cardiovasc Surg Cases"],"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>Penetrating lung injuries are rare but potentially life-threatening. Pulmonary tractotomy (PT) allows for repair while preserving lung parenchyma. This case demonstrates the effectiveness of thoracoscopic PT.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Case report<\/jats:title>\n            <jats:p>An 81-year-old woman sustained a right chest stab wound with a gardening stake. Imaging revealed a right pneumothorax without cardiac or major vascular injury. A chest tube was inserted, draining blood-stained fluid and revealing a persistent air leak. Progressive anemia necessitated transfusion, and surgery was planned due to suspected contamination. Thoracoscopy identified a 1.5\u00a0cm fistula in the S3 segment of the right upper lobe extending toward S2. A stapler was inserted to perform tractotomy, revealing a bronchial injury, which was sutured. The air leak resolved completely. The postoperative course was uneventful. Empirical antibiotics were administered for 5\u00a0days. The chest tube was removed on day 5, and the patient was discharged on day 13.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>Thoracoscopic PT is considered a safe and effective option for selected penetrating lung injuries, preserving lung function and reducing surgical trauma. Careful preoperative imaging and intraoperative bronchial evaluation are essential for safe and effective thoracoscopic PT.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1186\/s44215-025-00209-2","type":"journal-article","created":{"date-parts":[[2025,5,26]],"date-time":"2025-05-26T14:26:32Z","timestamp":1748269592000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Thoracoscopic repair of penetrating lung trauma with pulmonary tractotomy: a case report"],"prefix":"10.1186","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-4880-4467","authenticated-orcid":false,"given":"Hiroyasu","family":"Koga","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katsuya","family":"Watanabe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aya","family":"Saito","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,5,26]]},"reference":[{"issue":"10","key":"209_CR1","doi-asserted-by":"publisher","first-page":"e071873","DOI":"10.1136\/bmjopen-2023-071873","volume":"13","author":"T Nagao","year":"2023","unstructured":"Nagao T, Toida C, Morimura N. Incidence, demographics and outcomes of patients with penetrating injury: a Japanese nationwide 10-year retrospective study. BMJ Open. 2023;13(10):e071873. https:\/\/doi.org\/10.1136\/bmjopen-2023-071873.","journal-title":"BMJ Open"},{"key":"209_CR2","unstructured":"Japan Trauma Care and Research. Japan Trauma Data Bank Report 2013. Available from: https:\/\/www.jtcr-jatec.org\/traumabank\/dataroom\/data\/JTDB2013.pdf. Accessed 20 Jan 2025."},{"key":"209_CR3","doi-asserted-by":"publisher","first-page":"155","DOI":"10.11604\/pamj.2022.42.155.32877","volume":"42","author":"SI Ukwuani","year":"2022","unstructured":"Ukwuani SI, Umar A, Ismail S, Aitek AA, Galadima I, Abdullahi I, Ayuba SK, Bayo R. Thoracic impalement injury by the barrel of a locally fabricated gun in 2 patients: case report. 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