General Thoracic and Cardiovascular Surgery最新文献

A critique on the methodological aspects of surgical outcomes and prognoses of patients with clinical stage I lung cancer and interstitial lung disease. 对临床I期肺癌和间质性肺疾病患者手术结果和预后的方法学方面的批评。

IF 1.3 4区医学

General Thoracic and Cardiovascular Surgery Pub Date : 2026-05-02 DOI: 10.1007/s11748-026-02307-6

Suhail Ahmed

引用次数: 0

Prognosis for clinical early-stage lung cancer patients with subclinical malignant pleural effusion: Is anatomical resection a reasonable option? 临床早期肺癌合并亚临床恶性胸腔积液的预后：解剖切除是一个合理的选择吗？

IF 1.3 4区医学

General Thoracic and Cardiovascular Surgery Pub Date : 2026-05-01 Epub Date: 2025-12-05 DOI: 10.1007/s11748-025-02235-x

Yoshitake Murata, Satoshi Iwasawa, Akihiro Matsuura, Yosuke Kumaya, Masakazu Yoshida, Ayuko Takahashi, Masashi Kobayashi

{"title":"Prognosis for clinical early-stage lung cancer patients with subclinical malignant pleural effusion: Is anatomical resection a reasonable option?","authors":"Yoshitake Murata, Satoshi Iwasawa, Akihiro Matsuura, Yosuke Kumaya, Masakazu Yoshida, Ayuko Takahashi, Masashi Kobayashi","doi":"10.1007/s11748-025-02235-x","DOIUrl":"10.1007/s11748-025-02235-x","url":null,"abstract":"Objective: Non-small cell lung cancer with malignant pleural effusion is generally considered inoperable. The aim of this study was to investigate the prognosis and outcomes of patients with subclinical malignant pleural effusion who underwent surgical resection for lung cancer.Methods: Between 2013 and 2022, 2261 patients underwent lung resections for non-small cell lung cancer. We retrospectively reviewed the records of 29 patients with cT1-2N0 lung cancer and subclinical malignant pleural effusion < 10 mL.Results: The surgical procedures included wedge resection (n = 8) and anatomical resection (segmentectomy or lobectomy, n = 21). Fifteen patients underwent surgery + postoperative chemotherapy. During the follow-up period, 21 patients relapsed and 18 patients died. The median overall survival was 49 months, with a 3-year overall survival rate of 65.0%. The median progression-free survival was 14 months, with a 3-year progression-free survival rate of 20.1%. The 3-year overall survival rate was significantly higher for anatomical resection than for wedge resection (85.4% vs. 12.5%; P < 0.001). The 3-year progression-free survival rate was also significantly higher in the surgery + postoperative chemotherapy group than in the surgery-alone group (33.3% vs. 0%; P < 0.002).Conclusion: Although the findings do not support surgery over conservative therapy, anatomical resection may be a reasonable option for patients with subclinical malignant pleural effusion.","PeriodicalId":12585,"journal":{"name":"General Thoracic and Cardiovascular Surgery","volume":" ","pages":"534-539"},"PeriodicalIF":1.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145677309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prognostic impact of lung diffusion capacity in patients with early-stage lung cancer achieving 5-year postoperative recurrence-free survival: propensity score matching analysis. 肺弥散能力对实现5年术后无复发生存的早期肺癌患者的预后影响：倾向评分匹配分析

IF 1.3 4区医学

General Thoracic and Cardiovascular Surgery Pub Date : 2026-05-01 Epub Date: 2025-12-16 DOI: 10.1007/s11748-025-02237-9

Yoshito Imamura, Shota Nakamura, Fumie Kinoshita, Keita Nakanishi, Yuka Kadomatsu, Harushi Ueno, Taketo Kato, Tetsuya Mizuno, Toyofumi Fengshi Chen-Yoshikawa

引用次数: 0

Surgical outcomes of lung cancer associated with autoimmune disease-related interstitial pneumonia. 肺癌合并自身免疫性疾病相关性间质性肺炎的手术结果

IF 1.3 4区医学

General Thoracic and Cardiovascular Surgery Pub Date : 2026-05-01 Epub Date: 2025-11-21 DOI: 10.1007/s11748-025-02229-9

Gouji Toyokawa, Haruaki Hino, Takaki Akamine, Mototsugu Shimokawa, Masaaki Sato

{"title":"Surgical outcomes of lung cancer associated with autoimmune disease-related interstitial pneumonia.","authors":"Gouji Toyokawa, Haruaki Hino, Takaki Akamine, Mototsugu Shimokawa, Masaaki Sato","doi":"10.1007/s11748-025-02229-9","DOIUrl":"10.1007/s11748-025-02229-9","url":null,"abstract":"Objective: Generally, lung cancer originating from interstitial pneumonia (IP) is considered more aggressive; however, lung cancer in patients with autoimmune disease (AD)-related IP (AD-IP) is not well documented. This study aimed to clarify surgical outcomes and the risk of postoperative acute exacerbation (AE) in patients with lung cancer associated with AD-IP.Methods: We retrospectively reviewed patients with lung cancer who underwent surgery between January 2011 and March 2021. Clinicopathological characteristics, recurrence-free survival (RFS), overall survival (OS), and perioperative outcomes were compared according to the presence of IP with or without AD.Results: Among 1281 patients with lung cancer, 61 (4.8%) had idiopathic interstitial pneumonia (IIP), 87 (6.8%) had AD without IP, and 26 (2.0%) had AD-IP. The 5-year RFS rates were 80.9% for patients without IIP or AD, compared with 48.0% for IIP, 76.1% for AD without IP, and 29.8% for AD-IP. The corresponding 5-year OS rates were 84.1%, 53.9%, 77.0%, and 34.5%. Patients with AD-IP were significantly younger (P = 0.001), were more often female (P < 0.001), had a lower % vital capacity (P = 0.002), and more frequently received preoperative steroids (P < 0.001). The overall incidence of AE among the 87 patients with IP was 10.3% (9/87): 9.8% (6/61) with IIP and 11.5% (3/26) with AD-IP, with no significant difference.Conclusions: Lung cancer with AD-IP had a poor prognosis, as did lung cancer with IIP, and the frequency of postoperative AE of patients with AD-IP was as high as that in those with IIP.","PeriodicalId":12585,"journal":{"name":"General Thoracic and Cardiovascular Surgery","volume":" ","pages":"518-526"},"PeriodicalIF":1.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13139268/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145563576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comment on "postoperative outcomes of cardiovascular surgery managed by nurse practitioners". 关于“由执业护士管理的心血管手术的术后结果”的评论。

IF 1.3 4区医学

General Thoracic and Cardiovascular Surgery Pub Date : 2026-05-01 Epub Date: 2026-02-25 DOI: 10.1007/s11748-026-02271-1

Ajitha Thankarajan Rajennal

引用次数: 0

Celebrating Professor Yasunaru Kawashima's Award of the Order of Culture: First Recipient as Cardiac Surgeon. 庆祝川岛康丸教授获得文化勋章：第一位心脏外科医生。

IF 1.3 4区医学

General Thoracic and Cardiovascular Surgery Pub Date : 2026-05-01 Epub Date: 2026-04-16 DOI: 10.1007/s11748-026-02288-6

Hikaru Matsuda

引用次数: 0

Chylothorax after adult cardiac surgery: a comprehensive narrative review. 成人心脏手术后乳糜胸：一个全面的叙述回顾。

IF 1.3 4区医学

General Thoracic and Cardiovascular Surgery Pub Date : 2026-05-01 Epub Date: 2026-04-01 DOI: 10.1007/s11748-025-02255-7

Mattia Vinciguerra, Joshua Halyckyj-Smith, Gianluca Lucchese, Ernesto Greco, David Rose

引用次数: 0

Characteristic computed tomography findings in patients with left upper limb edema after innominate vein resection. 无名静脉切除后左上肢水肿的特征性ct表现。

IF 1.3 4区医学

General Thoracic and Cardiovascular Surgery Pub Date : 2026-05-01 Epub Date: 2025-12-16 DOI: 10.1007/s11748-025-02231-1

Ryusuke Sumiya, Takeshi Matsunaga, Yukio Watanabe, Hisashi Tomita, Mariko Fukui, Aritoshi Hattori, Kazuya Takamochi, Kenji Suzuki

{"title":"Characteristic computed tomography findings in patients with left upper limb edema after innominate vein resection.","authors":"Ryusuke Sumiya, Takeshi Matsunaga, Yukio Watanabe, Hisashi Tomita, Mariko Fukui, Aritoshi Hattori, Kazuya Takamochi, Kenji Suzuki","doi":"10.1007/s11748-025-02231-1","DOIUrl":"10.1007/s11748-025-02231-1","url":null,"abstract":"Objective: Thrombus in the subclavian and internal jugular veins can occur after resection of the left innominate vein in patients with mediastinal tumors, for whom anticoagulants are generally administered. However, no evidence exists that anticoagulants should be discontinued in such patients.Methods: Between 2009 and 2024, 913 patients underwent surgical interventions for mediastinal tumors. Among them, 19 patients who underwent left innominate vein resection were included, excluding 14 who had superior vena cava reconstruction. The clinical features and computed tomography (CT) findings of the preoperative, acute (within 30 days), and chronic (after 30 days) phases were evaluated.Results: Eleven male patients, with a mean age of 57 years, underwent surgery via hemi-clamshell (11), median sternotomy (5), and robotic approaches (3). Twelve patients had left-arm edema, while nine underwent enhanced CT in the acute phase. Six patients developed thrombosis of the left innominate vein stump and were managed using anticoagulants. The characteristic findings in the acute phase included skin thickness, fluid collection, and subcutaneous and axillary high-fat content (7/9). These findings resolved in the chronic phase, regardless of thrombus presence (0/19). All patients exhibited peripheral vascular dilation (1.3-3.3 folds). Among those with thrombus, two had residual thrombus after 1 year, but no exacerbation was observed after discontinuing antithrombotic therapy.Conclusions: CT findings post-left innominate vein resection demonstrated disappearance in the acute phase and confirmed peripheral vascular dilation, suggesting minimal thrombus worsening factors. These findings should be confirmed when considering the discontinuation of anticoagulant therapy.","PeriodicalId":12585,"journal":{"name":"General Thoracic and Cardiovascular Surgery","volume":" ","pages":"527-533"},"PeriodicalIF":1.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145761583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of fibrinogen concentrate for hemostasis during thoracic aortic surgery (complete republication). 胸主动脉手术中纤维蛋白原浓缩物止血作用的评价（完全再版）。

IF 1.3 4区医学

General Thoracic and Cardiovascular Surgery Pub Date : 2026-05-01 Epub Date: 2026-01-13 DOI: 10.1007/s11748-025-02238-8

Akihiko Usui, Kenji Minatoya, Kenji Okada, Hiroaki Osada, Katsuhiro Yamanaka, Hideki Ito, Shigeyuki Matsui, Takahiro Tamura, Masato Mutsuga

{"title":"Evaluation of fibrinogen concentrate for hemostasis during thoracic aortic surgery (complete republication).","authors":"Akihiko Usui, Kenji Minatoya, Kenji Okada, Hiroaki Osada, Katsuhiro Yamanaka, Hideki Ito, Shigeyuki Matsui, Takahiro Tamura, Masato Mutsuga","doi":"10.1007/s11748-025-02238-8","DOIUrl":"10.1007/s11748-025-02238-8","url":null,"abstract":"Objective: We investigated whether the coagulation function was improved and bleeding tendency was controlled by fibrinogen concentrate.Methods: In 32 patients with hypofibrinogenemia < 150 mg/dL during either thoracic or thoracoabdominal aortic surgery, blood coagulation ability was observed using ROTEM Sigma® and the 3 min bleeding amount was measured during surgery.Results: The mean blood fibrinogen levels decreased to 109 ± 26 mg/dl at the end of cardiopulmonary bypass, but significantly increased to 231 ± 38 mg/dl after the administration of fibrinogen concentrate (p < 0.0001). The 3 min bleeding amount was 144 ± 88 ml after heparin neutralization, but it significantly decreased to 85 ± 74 ml with fibrinogen concentrate (p = 0.0001). FIBTEM A10 was extremely low at 4.8 ± 2.7 mm after heparin neutralization, but the value increased to 14.1 ± 4.1 mm with fibrinogen concentrate (p < 0.0001). EXTEM A10 (the extrinsic coagulation ability) and INTEM A10 (the intrinsic coagulation ability) were both low at 31.3 ± 11.0 mm and 30.9 ± 10.7 mm, after heparin neutralization, but they both significantly increased to 42.2 ± 8.9 mm and 39.1 ± 8.7 mm (p < 0.0001) with fibrinogen concentrate. There were no operative deaths, but there were three cases in which thromboembolism could not be ruled out. Two patients had myocardial infarction due to occlusion of the reconstructed right coronary artery and the other had newly developed cerebral infarction, but the causes could not be clarified.Conclusion: The administration of fibrinogen concentrate rapidly increased blood fibrinogen levels and significantly reduced the 3 min bleeding amount. In addition, significant improvements in extrinsic and intrinsic coagulation abilities were observed with the administration of fibrinogen concentrate.","PeriodicalId":12585,"journal":{"name":"General Thoracic and Cardiovascular Surgery","volume":" ","pages":"498-509"},"PeriodicalIF":1.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145959202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Efficacy of total arch replacement with frozen elephant trunk for type B aortic dissection involving left subclavian artery-adjacent entry: a strategy for anatomically challenging cases. 冷冻象鼻全弓置换治疗左锁骨下动脉邻近入口B型主动脉夹层的疗效：一种解剖学上具有挑战性的病例策略。

IF 1.3 4区医学

General Thoracic and Cardiovascular Surgery Pub Date : 2026-05-01 Epub Date: 2025-11-03 DOI: 10.1007/s11748-025-02219-x

Norimasa Haijima, Mikihiko Kudo, Satoru Murata, Takuya Ono, Hideyuki Shimizu

{"title":"Efficacy of total arch replacement with frozen elephant trunk for type B aortic dissection involving left subclavian artery-adjacent entry: a strategy for anatomically challenging cases.","authors":"Norimasa Haijima, Mikihiko Kudo, Satoru Murata, Takuya Ono, Hideyuki Shimizu","doi":"10.1007/s11748-025-02219-x","DOIUrl":"10.1007/s11748-025-02219-x","url":null,"abstract":"Objective: To evaluate the feasibility and safety of total arch replacement with a frozen elephant trunk in patients with Stanford type B aortic dissection and an entry ≤ 10 mm distal to the left subclavian artery.Methods: We retrospectively reviewed 40 consecutive patients who underwent either total arch replacement with a frozen elephant trunk (n = 30) or thoracic endovascular aortic repair (n = 10). The primary outcome was late all-cause mortality. Secondary outcomes included major complications, planned additional endovascular repair after total arch replacement with a frozen elephant trunk, false lumen thrombosis, and aortic remodeling.Results: In the thoracic endovascular aortic repair group, procedure-related complications occurred, including retrograde type A dissection and one death from aortic rupture. In the total arch replacement with a frozen elephant trunk group, all deaths were unrelated to the index procedure. Planned additional endovascular repair was more frequently performed after total arch replacement with a frozen elephant trunk.Conclusions: Total arch replacement with a frozen elephant trunk is safe for anatomically challenging type B aortic dissection with an entry near the left subclavian artery and represents a viable treatment option in this setting.","PeriodicalId":12585,"journal":{"name":"General Thoracic and Cardiovascular Surgery","volume":" ","pages":"476-482"},"PeriodicalIF":1.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145437802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0