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Kyobu geka. The Japanese journal of thoracic surgery最新文献

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[Lung Volume Reduction Surgery for Severe Emphysema]. [肺减容术治疗严重肺气肿]。
Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2025-07-01
Katsuma Yoshimatsu, Masaru Takenaka, Yasuhiro Fujita, Teppei Hashimoto, Kanji Tanaka, Yukiko Nemoto, Hiroki Matsumiya, Fumihiro Tanaka
{"title":"[Lung Volume Reduction Surgery for Severe Emphysema].","authors":"Katsuma Yoshimatsu, Masaru Takenaka, Yasuhiro Fujita, Teppei Hashimoto, Kanji Tanaka, Yukiko Nemoto, Hiroki Matsumiya, Fumihiro Tanaka","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Lung volume reduction surgery( LVRS) is performed in patients with severe emphysema who do not respond to medical therapy. We report two cases of LVRS that resulted in favorable outcomes. We used a method in which the cyst wall is incised, the cyst base is covered with fibrin glue and polyglycolic acid (PGA) sheets, and the cyst wall is resected using an automatic suturing device. In the first case, respiratory failure was observed preoperatively, and home oxygen therapy was introduced. However, minimally invasive LVRS was performed using a thoracoscopic approach, resulting in a good outcome for the patient. In the second case, a giant cyst and pneumothorax coexisted, suggesting the difficulty of preoperative differentiation.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"78 7","pages":"536-540"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144659553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Bronchoscopic Lung Volume Reduction for Severe Chronic Obstructive Lung Disease]. [支气管镜下肺减容治疗严重慢性阻塞性肺疾病]。
Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2025-07-01
Takahiro Nakajima, Takashi Inoue, Hiroaki Okutomi, Akihiro Takemasa, Yasuo Shimizu, Sumiko Maeda, Seiji Niho, Masayuki Chida
{"title":"[Bronchoscopic Lung Volume Reduction for Severe Chronic Obstructive Lung Disease].","authors":"Takahiro Nakajima, Takashi Inoue, Hiroaki Okutomi, Akihiro Takemasa, Yasuo Shimizu, Sumiko Maeda, Seiji Niho, Masayuki Chida","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Bronchoscopic lung volume reduction( BLVR) has a history of over 10 years and has been performed in more than 25,000 cases worldwide. It is recommended with an evidence A rating in the Global Initiative for Chronic Obstructive Lung Disease( GOLD) guidelines. However, in Japan, it was only approved for insurance coverage in December 2023, and treatment has just begun at designated facilities. BLVR serves as a treatment option that bridges the gap between medical and surgical treatments for severe chronic obstructive pulmonary disease (COPD) cases. In Japan, where homogeneous emphysema is more prevalent, BLVR offers a promising new treatment option for severe COPD patients who continue to experience dyspnea despite receiving maximal medical therapy. The success of BLVR depends on proper patient selection based on appropriate evaluation, including the assessment of collateral ventilation using the Chartis system. Patients undergoing BLVR can expect improvements in FEV1.0 and the six-minute walk distance, ultimately leading to better survival rates. It is hoped that BLVR will help severe COPD patients break free from the negative spiral of COPD, maintain their quality of life, and ultimately contribute to reducing COPD-related mortality.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"78 7","pages":"497-502"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144659548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Pulmonary Enteric Adenocarcinoma Congenital Pericardial Defect Incidentally Discovered During Lung Cancer Surgery]. 肺癌手术中偶然发现的肺肠腺癌先天性心包缺损。
Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2025-06-01
Kyo Hirayama, Masahiro Matsuno, Katsuyuki Suzuki
{"title":"[Pulmonary Enteric Adenocarcinoma Congenital Pericardial Defect Incidentally Discovered During Lung Cancer Surgery].","authors":"Kyo Hirayama, Masahiro Matsuno, Katsuyuki Suzuki","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pulmonary enteric adenocarcinoma is a rare subtype of adenocarcinoma that was introduced in the 2015 World Health Organization( WHO) Histological Classification and Lung Cancer Treatment Protocol (8th Edition). Distinguishing it from lung metastases of colorectal cancer poses a significant clinical challenge. We report three cases of pulmonary enteric adenocarcinoma with distinct computed tomography(CT) findings. Pulmonary enteric adenocarcinoma typically presents as a large mass, often characterized as substantial and lacking a significant ground glass shadow. However, in the first case, a partially filled nodular shadow was observed;in the second case, a well-difined cystic-like mass shadow was identified;and in the third case, a nodular shadow with an internal cavity was noted.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"78 6","pages":"444-447"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144528615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Giant Left Atrium Thrombus after Left Atrial Appendectomy:Report of a Case]. 【左心房阑尾切除术后巨大左心房血栓1例】。
Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2025-06-01
Yohsuke Yanase, Satoshi Sumino, Kaoru Komuro
{"title":"[Giant Left Atrium Thrombus after Left Atrial Appendectomy:Report of a Case].","authors":"Yohsuke Yanase, Satoshi Sumino, Kaoru Komuro","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A 78-years-old woman was admitted to our hospital due to recurrence of cerebral infarction. She had history of chronic atrial fibrillation, so we performed left atrium appendectomy for prevention of cardiogenic brain embolism. But a giant left atrium thrombus appeared in spite of left atrial appendage closure and anticoagulant therapy. Echo cardiogram showed severe spontaneous echo contrast in the large left atrium. The criteria of mitral valve stenosis were not met, but restriction of the mitral valve opening was suspected. So, we performed removal of left atrium thrombus and mitral valve replacement. The left atrium thrombus did not attach at the stump of the left atrial appendage, but at the junction of left pulmonary vein and left atrium. She was transferred without recurrence of left atrium thrombus. Severe left atrial blood stasis may cause thrombus in spite of left atrium appendectomy.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"78 6","pages":"458-461"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144528610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Severe Subcutaneous Emphysema Extending up to the Face with Only Minor Traumatic Pneumothorax]. [严重的皮下肺气肿向上延伸至面部，只有轻微的外伤性气胸]。
Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2025-06-01
Ayaka Makita, Yukio Seki, Tomofumi Ichihara, Ayuko Yasuda
{"title":"[Severe Subcutaneous Emphysema Extending up to the Face with Only Minor Traumatic Pneumothorax].","authors":"Ayaka Makita, Yukio Seki, Tomofumi Ichihara, Ayuko Yasuda","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>An 81-year-old man with chest trauma presented with facial swelling and eyes shut due to subcutaneous emphysema. Computed tomography (CT) scans revealed extensive emphysema from the face to the pelvis, including mediastinal emphysema, fractures of the left 6th and 7th ribs, minor left pneumothorax, and slight hemothorax. Emphysema was likely caused by lung adhesions or fractured bone fragments penetrating the lung. Surgery was performed under epidural anesthesia in the right lateral decubitus position. The 6-cm incision above the fracture site allowed access to the extrapleural cavity. The lung penetration was relieved, and the fractured bones were realigned. Thoracoscopy revealed no adhesions, and two drains were placed. The patient was discharged on postoperative day nine. Although transfer to general anesthesia was considered, the surgery was successfully completed under epidural anesthesia. Epidural anesthesia may be a viable option for patients with severe subcutaneous emphysema, thereby avoiding the risks associated with positive pressure ventilation.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"78 6","pages":"436-440"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144528616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Broncholithiasis Who Underwent Lung Resection:Report of a Case]. 支气管结石患者行肺切除术1例。
Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2025-06-01
Kento Suzuki, Yuichiro Machida, Yuuya Tomioka, Tatsuya Inoue, Norihito Kawasaki, Yasuhiro Terasaki, Jitsuo Usuda
{"title":"[Broncholithiasis Who Underwent Lung Resection:Report of a Case].","authors":"Kento Suzuki, Yuichiro Machida, Yuuya Tomioka, Tatsuya Inoue, Norihito Kawasaki, Yasuhiro Terasaki, Jitsuo Usuda","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A 42-year-old woman presented with bloody sputum. Her chest computed tomography (CT) scan revealed a 21 mm nodular shadow with 5 mm of calcification in the right S8 area. She was referred to our department for further examination and treatment, and underwent thoracoscopic partial resection of the right lower lobe. Pathological examination identified a 5 mm stone surrounded by lymphoid follicle formation and plasma cell infiltration. The diagnosis was broncholithiasis associated with an Aspergillus infection. Broncholithiasis is a relatively rare disease, and a review of the literature is provided.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"78 6","pages":"483-486"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144528607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Commando Procedure for Redo Aortic Valve Replacement in a Young Woman after Double Valve Replacement]. 【年轻女性双瓣置换术后重做主动脉瓣置换术的突击程序】。
Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2025-06-01
Anri Kano, Takashi Igarashi, Tomoki Ushijima, Shinya Takase, Hiroki Wakamatsu, Keiichi Ishida, Masami Konnai, Emi Nagata, Ryo Kawamata, Kenichi Imasaka
{"title":"[Commando Procedure for Redo Aortic Valve Replacement in a Young Woman after Double Valve Replacement].","authors":"Anri Kano, Takashi Igarashi, Tomoki Ushijima, Shinya Takase, Hiroki Wakamatsu, Keiichi Ishida, Masami Konnai, Emi Nagata, Ryo Kawamata, Kenichi Imasaka","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A 29-year-old woman after double valve replacement. She underwent a Commando procedure for aortic valve replacement with annular enlargement due to structural valve deterioration of the bioprosthetic aortic valve and a narrow valve annulus. In the Commando procedure with annular enlargement, the balance between mitral and aortic valve size is important. If the mitral valve is too small, the aortic valve cannot be enlarged sufficiently, and if the mitral valve is too large, left ventricular deformation and left ventricular outflow tract stenosis may occur. Valve sizing should be performed with this in mind.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"78 6","pages":"431-435"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144528609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Perigraft Seroma after Ascending Aorta Replacement with Symptom of Chest Oppression:Report of a Case]. 升主动脉置换术后周围血肿伴胸闷症状1例报告。
Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2025-06-01
Yasuhisa Ozu, Koji Hirano, Kentarou Inoue
{"title":"[Perigraft Seroma after Ascending Aorta Replacement with Symptom of Chest Oppression:Report of a Case].","authors":"Yasuhisa Ozu, Koji Hirano, Kentarou Inoue","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A 75-year-old man underwent redo sternotomy for the management of a perigraft seroma four years after ascending aorta replacement. Three months postoperatively, a subcutaneous effusion at the median sternotomy site necessitated serous fluid drainage. The patient exhibited no significant inflammatory changes. He was referred to our hospital for evaluation of chest oppression. Follow-up computed tomography (CT) revealed a low-density fluid collection surrounding the prosthetic graft. Surgical intervention was performed to evacuate the fluid, with no evidence of active bleeding. The prosthetic graft was subsequently covered with fibrin glue to mitigate serum leakage and reinforced with a bovine xenopericardial sheet. To facilitate effusion drainage, the adjacent right pleura was widely opened. The postoperative course was uneventful. Bacterial culture, laboratory analysis, and histological examination confirmed the diagnosis of perigraft seroma. No recurrence or symptoms were observed during the two-year follow-up period.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"78 6","pages":"454-457"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144528613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Surgery for Right Coronary Artery Ostium Thrombus Occlusion:Report of a Case]. 右冠状动脉口血栓闭塞的手术治疗1例。
Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2025-06-01
Kazuhisa Sakamoto, Nobuhisa Ohno, Atsushi Nagasawa, Yuki Wada, Akira Marui
{"title":"[Surgery for Right Coronary Artery Ostium Thrombus Occlusion:Report of a Case].","authors":"Kazuhisa Sakamoto, Nobuhisa Ohno, Atsushi Nagasawa, Yuki Wada, Akira Marui","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We experienced a rare thrombus occlusion at the orifice of the right coronary artery in a patient with chronic atrial fibrillation and a history of cancer treatment. The thrombus plugged the right coronary artery, orifice accompanying protrusion into the aorta. There was a risk of a systemic embolism if it scattered. By utilizing computed tomography (CT) scan, we were able to avoid subsequent systemic embolism and make the diagnosis. We selected thrombectomy by open heart surgery to avoid subsequent embolism. We report this case with a review of the literature.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"78 6","pages":"462-465"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144528619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Successful Emergent Open Stent Grafting for a Ruptured Aortic Arch Aneurysm:Report of a Case]. [紧急开腹支架植入术治疗主动脉弓破裂1例]。
Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2025-06-01
Iwao Hioki, Yasuhisa Urata, Tomoaki Sato, Uhito Yuasa
{"title":"[Successful Emergent Open Stent Grafting for a Ruptured Aortic Arch Aneurysm:Report of a Case].","authors":"Iwao Hioki, Yasuhisa Urata, Tomoaki Sato, Uhito Yuasa","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The classical surgical procedure ruptured thoracic aortic aneurysm is associated with mortality rates of up to 50% and prolonged intensive care hospitalization. We present an emergent case of procedure of open stent grafting. A 80-year-old man was brought to the emergency department in our hospital with loss of consciousness. Chest computed tomography( CT) revealed a saccular-shaped aortic aneurysm in the aortic arch with diameter of 56 mm. The chest was opened via midsternotomy. After a circulatory arrest was induced at 30 ℃ with cerebral perfusion, the anterior surface of the arch was incised in a hemi-circumferencial mannar at the level of left subclavian artery. The stent graft was inserted into the aortic arch and was deployed. The proximal side of the graft was then trimmed, and the posterior aortic wall and the graft were continuously anastomosis, the aortic incision and anterior side of the graft were continuously closed. The patient's postoperative course was uneventful and he was discharged on postoperative day 14. An open stent grafting via an aortotomy was useful in the surgery for a ruptured aortic arch aneurysm.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"78 6","pages":"470-473"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144528618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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