Journal of visualized surgery最新文献

{"title":"Robot-assisted <i>en bloc</i> anterior mediastinal mass excision with pericardium and adjacent lung for locally advanced thymic carcinoma.","authors":"Hee Chul Yang, Garrett Coyan, Matthew Vercauteren, Neha Reddy, James D Luketich, Inderpal S Sarkaria","doi":"10.21037/jovs.2018.05.20","DOIUrl":"10.21037/jovs.2018.05.20","url":null,"abstract":"<p><p>Robot-assisted surgery for anterior mediastinal mass resection has been increasingly adopted as an alternative method to open sternotomy and conventional video-assisted thoracic surgery. However, more evidence is needed to expand the indication of this technique to more complicated cases. We present a case of robot-assisted <i>en bloc</i> resection of a 7-cm anterior mediastinal mass with pericardium and adjacent lung for thymic squamous cell carcinoma, accompanied by reconstruction of pericardium with polytetrafluoroethylene patch. In conclusion, complex anterior mediastinal mass excision is feasible with robotic thoracic surgery.</p>","PeriodicalId":17587,"journal":{"name":"Journal of visualized surgery","volume":"4 ","pages":"115"},"PeriodicalIF":0.0,"publicationDate":"2018-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5994450/pdf/jovs-04-2018.05.20.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36275088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Thoracoscopic management of early stages of empyema: is this the golden standard?","authors":"Hany Hasan Elsayed,&nbsp;Ahmed Mostafa,&nbsp;Essam Fathy,&nbsp;Haytham S Diab,&nbsp;Ibrahim Mostafa Nofal,&nbsp;Osama Abbas AbdelHamid,&nbsp;Hatem Yazeed El-Bawab,&nbsp;Ahmed A ElNori","doi":"10.21037/jovs.2018.05.18","DOIUrl":"https://doi.org/10.21037/jovs.2018.05.18","url":null,"abstract":"<p><strong>Background: </strong>Empyema is a well-known disease that significantly increases the morbidity and mortality associated with pneumonia. There are a number of treatment modalities available but recently video assisted thoracoscopic surgery (VATS) has been suggested as a reliable tool in management of empyema; particularly in early stages. The aim of this study is to assess the safety and effectiveness of using initial VATS for all surgically fit patients with early stages of empyema.</p><p><strong>Methods: </strong>Sixty-six patients with early stage empyema were prospectively studied between December 2013 and March 2016. Patients were divided into two groups: group A (28 patients) were managed conservatively without surgery for stage I (exudative) phase empyema by the chest physicians; and group B (38 patients) were managed by the thoracic surgeons by VATS for stage I (exudative) and stage II (fibrino-purulent) empyema. Comparison was made between both groups.</p><p><strong>Results: </strong>There was no statistically significant difference between the groups from the point of view of age, sex or pre-intervention comorbidities (P>0.05). Average hospital stay in group A was 22 days (7-131 days), it was 4.1 days (2-14 days) in group B (P=0.004; 95% CI: 10.3-25.5) with a resultant lower cost. Three patients (10.7%) in group A suffered from major morbidity during treatment while none in group B suffered a major postoperative morbidity (P=0.039). There were 2 mortalities (7.1%) in group A and no deaths in group B (P=0.094). During a mean follow up period of 8 months [6-14] in group A 14.3% of the patients underwent open decortication, whereas in group B, 5.3% of the patients underwent the same procedure (P=0.047).</p><p><strong>Conclusions: </strong>Thoracoscopic management of early stages of empyema should be the golden standard of management in surgically fit patients; particularly in the fibro-exudative phase of empyema. It is an effective and safe technique that reduces hospital stay, cost, complications and avoids the need for a decortication via a thoracotomy in most cases.</p>","PeriodicalId":17587,"journal":{"name":"Journal of visualized surgery","volume":"4 ","pages":"114"},"PeriodicalIF":0.0,"publicationDate":"2018-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.21037/jovs.2018.05.18","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36275087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Robotic resection of a middle mediastinal mass.","authors":"Marco Nardini,&nbsp;Joel Dunning,&nbsp;Marcello Migliore,&nbsp;Robert J Cerfolio","doi":"10.21037/jovs.2018.05.13","DOIUrl":"https://doi.org/10.21037/jovs.2018.05.13","url":null,"abstract":"<p><p>Aorto-pulmonary paraganglioma is an exceptionally rare condition, and its diagnosis and treatment are a challenge for the general thoracic surgeon. We describe the case of a 35 years old man who was incidentally diagnosed with a visceral mediastinal mass, deeply encased in the aorto-pulmonary window. To our knowledge this is the first case of its kind to be successfully treated with the adoption of a minimally invasive technique. We conclude that the dissection was made easier by the robotic instrumentation and by the camera system, and a minimally invasive approach would have been more difficult by traditional thoracoscopy.</p>","PeriodicalId":17587,"journal":{"name":"Journal of visualized surgery","volume":"4 ","pages":"113"},"PeriodicalIF":0.0,"publicationDate":"2018-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.21037/jovs.2018.05.13","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36276148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erratum to a glance at the history of uniportal video-assisted thoracic surgery.","authors":"","doi":"10.21037/jovs.2018.05.21","DOIUrl":"https://doi.org/10.21037/jovs.2018.05.21","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.21037/jovs.2017.10.11.].</p>","PeriodicalId":17587,"journal":{"name":"Journal of visualized surgery","volume":"4 ","pages":"112"},"PeriodicalIF":0.0,"publicationDate":"2018-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.21037/jovs.2018.05.21","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36276147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treatment of malignant pleural effusion.","authors":"Ricardo Mingarini Terra,&nbsp;Alberto Jorge Monteiro Dela Vega","doi":"10.21037/jovs.2018.05.02","DOIUrl":"https://doi.org/10.21037/jovs.2018.05.02","url":null,"abstract":"<p><p>Malignant pleural effusion (MPE) is a very disabling condition that often affects patients with advanced neoplasm. Conservative approach, repeated thoracentesis, pleurodesis and use of indwelling pleural catheters (IPC) are the main methods to deal with this condition. The ideal treatment must focus on symptom relief and has to take into account patient underlying diseases, performance status and necessity of adequate tissue sample for diagnosis. In a video we show techniques to perform video assisted thoracic surgery (VATS) pleural biopsy and talc poudrage pleurodesis.</p>","PeriodicalId":17587,"journal":{"name":"Journal of visualized surgery","volume":"4 ","pages":"110"},"PeriodicalIF":0.0,"publicationDate":"2018-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.21037/jovs.2018.05.02","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36276145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aberrant subclavian: new face of an old disease.","authors":"Saleem Jahangeer,&nbsp;Mohamad Bashir,&nbsp;Amer Harky,&nbsp;John Yap","doi":"10.21037/jovs.2018.05.11","DOIUrl":"https://doi.org/10.21037/jovs.2018.05.11","url":null,"abstract":"<p><p>An aneurysm of an aberrant subclavian artery is un usual prevalence of anomalies of aortic arch, with a literature reported prevalence of 2%. Timely elective intervention is of paramount. The advancement in stenting techniques has promoted this practice to be an alternative to conventional open surgical repair which is associated with high rates of perioperative complications including mortality outcomes. However, new faces of this old disease are emerging as we move to novelty and innovation era. We discuss in this review the advancements in this disease entity highlighting and collecting the world experiences.</p>","PeriodicalId":17587,"journal":{"name":"Journal of visualized surgery","volume":"4 ","pages":"108"},"PeriodicalIF":0.0,"publicationDate":"2018-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.21037/jovs.2018.05.11","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36276143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Four arms robotic-assisted pulmonary resection-left upper lobectomy: how to do it.","authors":"Alessandro Pardolesi,&nbsp;Luca Bertolaccini,&nbsp;Jury Brandolini,&nbsp;Piergiorgio Solli,&nbsp;Pierluigi Novellis,&nbsp;Giulia Veronesi","doi":"10.21037/jovs.2018.05.04","DOIUrl":"https://doi.org/10.21037/jovs.2018.05.04","url":null,"abstract":"<p><p>Numerous published articles have shown the safety and efficacy of robotic anatomic pulmonary resection, including lobectomy for non-small cell lung cancer. Several techniques have been described to perform a lung lobectomy robotically. Since the beginning of our experience, we adopted a four-arm robotic approach with the da Vinci Si System. More recently we have used the newer Xi model, that offers a simplified and \"quicker\" set-up and docking time. This article emphases specifically on the technical aspects of how to complete the hilar dissection during four-arm robotic lobectomy.</p>","PeriodicalId":17587,"journal":{"name":"Journal of visualized surgery","volume":"4 ","pages":"109"},"PeriodicalIF":0.0,"publicationDate":"2018-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.21037/jovs.2018.05.04","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36276144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From \"open\" to robotic assisted thoracic surgery: why RATS and not VATS?","authors":"Sara Ricciardi,&nbsp;Federico Davini,&nbsp;Carmelina Cristina Zirafa,&nbsp;Franca Melfi","doi":"10.21037/jovs.2018.05.07","DOIUrl":"https://doi.org/10.21037/jovs.2018.05.07","url":null,"abstract":"Since 1990’s, when the first video-assisted thoracoscopic surgery (VATS) lobectomy was performed, the interest in minimally invasive surgery (MIS) to treat lung cancer has grown widely (1).","PeriodicalId":17587,"journal":{"name":"Journal of visualized surgery","volume":"4 ","pages":"107"},"PeriodicalIF":0.0,"publicationDate":"2018-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.21037/jovs.2018.05.07","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36276142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unilateral pulmonary vein atresia without anomalous connection in adult patient with recurrent severe hemoptysis.","authors":"Andrea Dell'Amore,&nbsp;Alessio Campisi,&nbsp;Stefano Congiu,&nbsp;Domenica Giunta,&nbsp;Giampiero Dolci,&nbsp;Fabio Niro","doi":"10.21037/jovs.2018.05.03","DOIUrl":"https://doi.org/10.21037/jovs.2018.05.03","url":null,"abstract":"<p><p>Isolated unilateral pulmonary vein atresia (UPVA) is a rare congenital malformation and the management remains controversial. In adults, pneumonectomy is the treatment of choice when significant hemoptysis becomes life-threatening. We report a case of a 28-year-old male with isolated unilateral right atresia of the pulmonary vein who had life-threatening hemoptysis treated with bronchial arteries embolization followed by successful right pneumonectomy.</p>","PeriodicalId":17587,"journal":{"name":"Journal of visualized surgery","volume":"4 ","pages":"111"},"PeriodicalIF":0.0,"publicationDate":"2018-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.21037/jovs.2018.05.03","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36276146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pattern, timing, and predictors of recurrence following pancreatectomy for pancreatic ductal adenocarcinoma: how do they matter?","authors":"Charing C N Chong","doi":"10.21037/jovs.2018.05.14","DOIUrl":"https://doi.org/10.21037/jovs.2018.05.14","url":null,"abstract":"Pancreatic ductal adenocarcinoma (PDAC) remains one of the deadliest malignancies, not only in the United States, but also worldwide. And its incidence is rising. The prognosis is usually grave even after curative resection.","PeriodicalId":17587,"journal":{"name":"Journal of visualized surgery","volume":"4 ","pages":"106"},"PeriodicalIF":0.0,"publicationDate":"2018-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.21037/jovs.2018.05.14","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36276141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}