E-ISSN 2367-699X | ISSN 2367-7414
 
2023, Vol: 9, Issue: 5
9 / 5Current Issue Online FirstArchiveAims and ScopeAbstracting & IndexingMost Accessed ArticlesMost Downloaded ArticlesMost Cited Articles
Required files to be uploaded

Copyright Transfer Form

Case Report
Online Published: 09 Jun 2015
 


LOBAR TORSION FOLLOWING LEFT UPPER LOBECTOMY WITH VATS APPROACH: A CASE REPORT

George Kesov, Deyan Yordanov, Ivan Inkov, Vasil Yordanov, Teodor Badarov, Rumen Asenov, Aleksandra Dimitrova, Nikola Kyuchukov, Yuri Stoianov.


Abstract
Background: Torsion or twisting of the left lower lobe following left upper lobe lobectomy is a rare, but severe complication. According to the literature, the outcome of this complication is necrotic pneumonitis, most often followed by pneumonectomy. According to different authors its frequency ranges between 0,1% and 0,4% from all operated patients. We treated a patient with pulmonary torsion with a favorable outcome.
Case report: A 56 years-old patient with peripheral carcinoma of the upper left lobe of the lung underwent a typical upper left lobectomy. On the third postoperative day, there was a sudden deterioration in patientÂ’s condition, which led to the diagnosis of torsion of the lower pulmonary lobe. Using the video-thoracoscopic approach we were able to restore the proper position of the remaining lobe without any ischemic parenchymal alterations. The condition of the patient was stabilized, and she was discharged without any further complications.
Discussion: The described clinical case is significant in several aspects. Firstly the emergency invasive diagnosis is essential when similar complications are suspected and is crucial for preserving the vitality of the lung parenchyma. Secondly the minimally invasive video-thoracoscopic approach is a safer procedure and it should, therefore, precede the thoracotomy.
Conclusion: The rarity of this complication is the most likely reason for the lack of reports in the literature. In our case, we were able to avoid pneumonectomy and the patient recovered well. When there are more such cases described, then we will have a functional standard algorithm to follow.

Key words: lobar torsion, pulmonary resection, VATS


 
ARTICLE TOOLS
Abstract
PDF Fulltext
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by George Kesov
Articles by Deyan Yordanov
Articles by Ivan Inkov
Articles by Vasil Yordanov
Articles by Teodor Badarov
Articles by Rumen Asenov
Articles by Aleksandra Dimitrova
Articles by Nikola Kyuchukov
Articles by Yuri Stoianov
on Google
on Google Scholar


How to Cite this Article
Pubmed Style

George Kesov, Deyan Yordanov, Ivan Inkov, Vasil Yordanov, Teodor Badarov, Rumen Asenov, Aleksandra Dimitrova, Nikola Kyuchukov, Yuri Stoianov. LOBAR TORSION FOLLOWING LEFT UPPER LOBECTOMY WITH VATS APPROACH: A CASE REPORT. Int J Surg Med. 2015; 1(1): 33-37. doi:10.5455/ijsm.20150531050438

Web Style

George Kesov, Deyan Yordanov, Ivan Inkov, Vasil Yordanov, Teodor Badarov, Rumen Asenov, Aleksandra Dimitrova, Nikola Kyuchukov, Yuri Stoianov. LOBAR TORSION FOLLOWING LEFT UPPER LOBECTOMY WITH VATS APPROACH: A CASE REPORT. https://www.ejos.org/?mno=189039 [Access: September 12, 2024]. doi:10.5455/ijsm.20150531050438

AMA (American Medical Association) Style

George Kesov, Deyan Yordanov, Ivan Inkov, Vasil Yordanov, Teodor Badarov, Rumen Asenov, Aleksandra Dimitrova, Nikola Kyuchukov, Yuri Stoianov. LOBAR TORSION FOLLOWING LEFT UPPER LOBECTOMY WITH VATS APPROACH: A CASE REPORT. Int J Surg Med. 2015; 1(1): 33-37. doi:10.5455/ijsm.20150531050438


Vancouver/ICMJE Style

George Kesov, Deyan Yordanov, Ivan Inkov, Vasil Yordanov, Teodor Badarov, Rumen Asenov, Aleksandra Dimitrova, Nikola Kyuchukov, Yuri Stoianov. LOBAR TORSION FOLLOWING LEFT UPPER LOBECTOMY WITH VATS APPROACH: A CASE REPORT. Int J Surg Med. (2015), [cited September 12, 2024]; 1(1): 33-37. doi:10.5455/ijsm.20150531050438


Harvard Style

George Kesov, Deyan Yordanov, Ivan Inkov, Vasil Yordanov, Teodor Badarov, Rumen Asenov, Aleksandra Dimitrova, Nikola Kyuchukov, Yuri Stoianov (2015) LOBAR TORSION FOLLOWING LEFT UPPER LOBECTOMY WITH VATS APPROACH: A CASE REPORT. Int J Surg Med, 1 (1), 33-37. doi:10.5455/ijsm.20150531050438


Turabian Style

George Kesov, Deyan Yordanov, Ivan Inkov, Vasil Yordanov, Teodor Badarov, Rumen Asenov, Aleksandra Dimitrova, Nikola Kyuchukov, Yuri Stoianov. 2015. LOBAR TORSION FOLLOWING LEFT UPPER LOBECTOMY WITH VATS APPROACH: A CASE REPORT. International Journal of Surgery and Medicine, 1 (1), 33-37. doi:10.5455/ijsm.20150531050438


Chicago Style

George Kesov, Deyan Yordanov, Ivan Inkov, Vasil Yordanov, Teodor Badarov, Rumen Asenov, Aleksandra Dimitrova, Nikola Kyuchukov, Yuri Stoianov. "LOBAR TORSION FOLLOWING LEFT UPPER LOBECTOMY WITH VATS APPROACH: A CASE REPORT." International Journal of Surgery and Medicine 1 (2015), 33-37. doi:10.5455/ijsm.20150531050438


MLA (The Modern Language Association) Style

George Kesov, Deyan Yordanov, Ivan Inkov, Vasil Yordanov, Teodor Badarov, Rumen Asenov, Aleksandra Dimitrova, Nikola Kyuchukov, Yuri Stoianov. "LOBAR TORSION FOLLOWING LEFT UPPER LOBECTOMY WITH VATS APPROACH: A CASE REPORT." International Journal of Surgery and Medicine 1.1 (2015), 33-37. Print. doi:10.5455/ijsm.20150531050438


APA (American Psychological Association) Style

George Kesov, Deyan Yordanov, Ivan Inkov, Vasil Yordanov, Teodor Badarov, Rumen Asenov, Aleksandra Dimitrova, Nikola Kyuchukov, Yuri Stoianov (2015) LOBAR TORSION FOLLOWING LEFT UPPER LOBECTOMY WITH VATS APPROACH: A CASE REPORT. International Journal of Surgery and Medicine, 1 (1), 33-37. doi:10.5455/ijsm.20150531050438


Author LoginReviewer LoginAbout PublisherEditorial PoliciesEditorial Review PolicyPeer Review PolicyEditorial & Peer Review ProcessAuthor's Rights and ObligationsPublication Ethics and Publication Malpractice StatementConflict of Interest PolicyPlagiarism PolicyProtection of Research Participants (Statement On Human And Animal Rights)Privacy PolicyCorrections, Retractions & Expressions of ConcernSelf-Archiving PoliciesStatement of Informed ConsentAdvertising PolicyTerms of UseLicense InformationCopyright Information

About International Journal of Surgery and Medicine

International Journal of Surgery and Medicine E-ISSN: 2367-699X | P-ISSN: 2367-7414 International Journal of Surgery and Medicine (IJSM) is an inter ... Read more.



For best results, please use Internet Explorer or Google Chrome.

Contact Information


 

Any correspondence, queries or additional requests for information on the manuscript submission process should be sent to the International Journal of Surgery and Medicine editorial office as follows:

Bulgarian Association of Young Surgeons (BAYS)

inkov@journalmedica.com

Financial department is managed by International Sci Ink Press. 

It is a company registered in Bulgaria with registered no. 205414288 and registered address at 57 Antim I str., Vazrazhdane, Sofia, 1303, Bulgaria.

Tel: +359883427500