Uniportal VATS treatment of penetrating stab wound of the chest

Authors

  • I. A. Ivanov Thoracic Surgery Department, Heart and Brain Hospital – Burgas Author
  • S. Chakarov Department of Diagnostic Imaging, Heart and Brain Hospital – Burgas; Department of Physics, Biophysics, Radiography and Radiology – Burgas, State University – Burgas Author
  • R. Dimova Thoracic Surgery Department, Heart and Brain Hospital – Burgas Author
  • D. Mitev Thoracic Surgery Department, Heart and Brain Hospital – Burgas Author

Keywords:

uniportal VATS, penetrating chest trauma

Abstract

Uniportal video-assisted thoracic surgery (UVATS) is a widely used method for minimally-invasive interventions in oncological and non-oncological thoracic diseases. The use of this method in the setting of thoracic trauma is not routinely performed and there are insufficient cases reported in the literature. The presented report describes the case of a 20-year-old male patient who presented with a stab wound in the left chest area and parenchymal tear of the lung with active bleeding and hemopneumothorax. UVATS was performed with hemostasis and primary repair of the lung parenchyma. After the intervention the patient recovered uneventfully in a short period of time and no complications were observed in the perioperative period.

References

Ng CS, Gonzalez-Rivas D, D‘Amico TA, Rocco G. Uniportal VATS-a new era in lung cancer surgery. J Thorac Dis. 2015 Aug;7(8):1489-91.

Gonzalez D, Paradela M, Garcia J, Dela Torre M. Single-port video-assisted thoracoscopic lobectomy. Interact Cardiovasc Thorac Surg. 2011 Mar;12(3):514-5.

Del Campo JM, Maroto S, Sebastian L, et al. Uniportal VATS for Diagnosis and Staging in Non-Small Cell Lung Cancer (NSCLC). Diagnostics (Basel). 2023 Feb 21;13(5):826.

Vasilev, B. Clinical aspects of wound ballistics. 2009, (16), 179-189.

Ochsner MG, Rozycki GS, Lucente F, et al. Prospective evaluation of thoracoscopy for diagnosing diaphragmatic injury in thoracoabdominal trauma: a preliminary report. J Trauma. 1993 May;34(5):704-709.

Mandal AK, Sanusi M. Penetrating chest wounds: 24 years experience. World J Surg. 2001 Sep;25(9):1145-9. doi: 10.1007/BF03215862.

Wang L, Liu D, Lu J, et al. The feasibility and advantage of uniportal video-assisted thoracoscopic surgery (VATS) in pulmonary lobectomy. BMC Cancer 17, 75 (2017).

Yan Y, Huang Q, Han H, et al. Uniportal versus multiportal video-assisted thoracoscopic anatomical resection for NSCLC: a meta-analysis. J Cardiothorac Surg. 2020 Sep 9;15(1):238.

Dogrul BN, Kiliccalan I, Asci ES, Peker SC. Blunt trauma related chest wall and pulmonary injuries: An overview. Chin J Traumatol. 2020 Jun;23(3):125-138.

Bertoglio P, Guerrera F, Viti A, et al. Chest drain and thoracotomy for chest trauma. J Thorac Dis. 2019 Feb;11(Suppl 2):S186-S191.

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Published

03.09.2026

Issue

Section

Case reports

How to Cite

Ivanov, I. A., Chakarov, S., Dimova, R. ., & Mitev, D. . (2026). Uniportal VATS treatment of penetrating stab wound of the chest. Medical Review, 62(5). https://journals.mu-sofia.bg/index.php/mr/article/view/1141