Retrospective Cohort Study
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jun 6, 2022; 10(16): 5185-5195
Published online Jun 6, 2022. doi: 10.12998/wjcc.v10.i16.5185
Management and outcome of bronchial trauma due to blunt versus penetrating injuries
Jin-Mou Gao, Hui Li, Ding-Yuan Du, Jun Yang, Ling-Wen Kong, Jian-Bai Wang, Ping He, Gong-Bin Wei
Jin-Mou Gao, Hui Li, Ding-Yuan Du, Jun Yang, Jian-Bai Wang, Ping He, Gong-Bin Wei, Department of Traumatology, Chongqing University Central Hospital, Chongqing Emergency Medical Center, Chongqing 400014, China
Ling-Wen Kong, Department of Cardiothoracic Surgery, Chongqing University Central Hospital, Chongqing Emergency Medical Center, Chongqing 400014, China
Author contributions: Gao JM, Li H, Du DY, Yang J, Kong LW, Wang JB, He P, and Wei GB contributed to data collection and analysis; Gao JM contributed to study design, and manuscript writing and editing; Li H, Yang J, and Wei GB reviewed the manuscript.
Institutional review board statement: The study was reviewed and approved for publication by the Institutional Review Board of Chongqing Emergency Medical Center (CEMC), China.
Informed consent statement: Because no human subjects were involved in this manuscript and because only deidentified data were used, the requirement for ethical review and informed consent were waived by the Institutional Review Board of Chongqing Emergency Medical Center (CEMC), China.
Conflict-of-interest statement: The authors have no conflicts of interest to report.
Data sharing statement: All the data are available in the article.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jin-Mou Gao, MD, Chief Doctor, Department of Traumatology, Chongqing University Central Hospital, Chongqing Emergency Medical Center, No. 1 Jiankang Road, Chongqing 400014, China. gaojinmou2002@sina.com
Received: August 14, 2021
Peer-review started: August 14, 2021
First decision: November 17, 2021
Revised: November 21, 2021
Accepted: April 2, 2022
Article in press: April 2, 2022
Published online: June 6, 2022
Processing time: 291 Days and 17.3 Hours
Core Tip

Core Tip: There are significant differences between blunt and penetrating bronchial traumas (BTs), particularly the severity of the injury, the site of the injury, the incidence of shock, the time before surgery, and the surgical procedure. From our experiences, single lumen intubation should be performed immediately after BT injury to reach the contralateral main bronchus to ensure ventilation of the healthy lung. We also summarize the four functions of temporary clamping of the pulmonary hilus during thoracotomy. In addition, pneumonectomy should be avoided, especially in penetrating BT patients, due to the limited lung tissue damage.