The Internet Journal of Thoracic and Cardiovascular Surgery最新文献_第2页

Skeletal Metastases In Apparently Operable Lung Cancer Evaluated With Whole Body Bone Scan – A Pilot Study In South India. 用全身骨扫描评估明显可手术肺癌的骨骼转移-印度南部的一项试点研究。

The Internet Journal of Thoracic and Cardiovascular Surgery Pub Date : 2009-12-31 DOI: 10.5580/b96

A. Shinto, L. Pachen, K. SreekanthT, C. Joseph

{"title":"Skeletal Metastases In Apparently Operable Lung Cancer Evaluated With Whole Body Bone Scan – A Pilot Study In South India.","authors":"A. Shinto, L. Pachen, K. SreekanthT, C. Joseph","doi":"10.5580/b96","DOIUrl":"https://doi.org/10.5580/b96","url":null,"abstract":"Study objectives: The management of patients diagnosed with non-small cell lung cancer is dependant on the stage of disease, which is also crucial for prognosis and selection of an appropriate treatment regimen. Historically a whole body bone scan has been used to identify skeletal metastases. The aim of this study was to investigate the usefulness of whole-body bone scanning (BS) in detecting bone metastases in newly diagnosed and apparently operable cases of lung cancer. Design and patients: Ninety two patients with a diagnosis made between 2008 and 2010 were recruited (squamous cell carcinoma, n =29; adenocarcinoma, n=36 ; non-small cell carcinoma, n= 22; others n=5). None of these patients had clinical factors suggesting bone metastasis (skeletal pain, elevated alkaline phosphatase, hypercalcemia). BS was performed in all patients, and additional imaging or biopsy was ordered in patients where there were doubtful lesions. Measurements and results: Bone metastases were detected in 14.13 % (n =13 ) of 92 clinical factor-negative patients. Of the eighteen abnormal bone scan results (eleven positive and seven probable), thirteen were true-positive and the five remaining were false-positive. In our study, PPV of the BS was 72.2%. Skeletal metastases was found more commonly in adenocarcinoma (46.15%, n=6 ) than other cell types. In 13 patients diagnosed with metastases, 53.8 % (n=7) were patients with non-small cell lung cancer and 38.4% (n=5) with small cell lung cancer. 4 of the 18 patients (22.2%) in T2N0M0 clinical stage had bone metastases. The routine bone scanning prevented thirteen futile thoracotomies (14%) in 92 patients with apparently operable lung cancer. Conclusions: Though clinical factors have a high NPV and the bone scans have less than desired specificity in diagnosing metastases, BS could be considered in those asymptomatic patients as a part of their work up and staging, in whom operative intervention is contemplated.","PeriodicalId":330833,"journal":{"name":"The Internet Journal of Thoracic and Cardiovascular Surgery","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115311772","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: 3

Successful removal of a very large left atrial organized infected thrombus (weight 200 gram) and Mitral valve replacement: A case report. 成功移除一个很大的左房有组织感染血栓(重200克)和二尖瓣置换术:1例报告。

The Internet Journal of Thoracic and Cardiovascular Surgery Pub Date : 2009-12-31 DOI: 10.5580/99

M. Yunus, M. K. Saikia, Nari M. Lyndoh, Rajani Thabah, J. Bardoloi, S. Day, C. Selvam

引用次数: 1

Management of the persistent sciatic artery with coexistent aortoiliac aneurysms; endovascular and open techniques. 持续性坐骨动脉并发主髂动脉瘤的治疗血管内和开放技术。

The Internet Journal of Thoracic and Cardiovascular Surgery Pub Date : 2009-12-31 DOI: 10.5580/630

A. Rodriguez-Rivera, L. Sandberg, A. Ahmadinejad, C. Tzarnas, Steve Thuahnai

引用次数: 2

Aortic Insufficiency By Blunt Chest Trauma. 钝性胸外伤引起的主动脉功能不全。

The Internet Journal of Thoracic and Cardiovascular Surgery Pub Date : 2009-12-31 DOI: 10.5580/139a

S. Tatebe, Yoshiro Chiba

引用次数: 1

One-Stage Mitral Valve Replacement And Splenectomy In Splenic Infarcts And Infective Endocarditis 一期二尖瓣置换术和脾切除术治疗脾梗死和感染性心内膜炎

The Internet Journal of Thoracic and Cardiovascular Surgery Pub Date : 2009-12-31 DOI: 10.5580/228f

V. Gegouskov, P. Petrov, D. Simov, V. Danov, J. Blagov, S. Petrov

引用次数: 2

Acute Popliteal Artery Embolism Due To Ruptured Mediastinal Hydatid Cyst Into Thoracic Aorta – A Case Report . 纵隔包虫囊肿破裂致胸主动脉急性腘动脉栓塞1例。

The Internet Journal of Thoracic and Cardiovascular Surgery Pub Date : 2009-12-31 DOI: 10.5580/2370

M. Mushtaque, P. Khan, M. F. Mir, S. Khanday

引用次数: 0

A Delayed Diaphragmatic Hernia A延迟性膈疝

The Internet Journal of Thoracic and Cardiovascular Surgery Pub Date : 2009-12-31 DOI: 10.5580/2612

N. DeepakA, V. Rathee, Nityasha, V. Malik, R. Dahiya

引用次数: 0

Does Coronary Artery Bypass Grafting Without Cardiopulmonary Bypass Reduce Costs in Cardiac Surgery 不进行体外循环的冠状动脉旁路移植术能降低心脏手术的成本吗

The Internet Journal of Thoracic and Cardiovascular Surgery Pub Date : 2009-12-31 DOI: 10.5580/1de6

E. Hijazi

引用次数: 0

Modification Of The Extracardiac Total Cavopulmonary Connection - Placement Of A Graft Antero-Medially Rather Than Laterally 心外全腔肺连接的改良——将移植物置于前内侧而非外侧

The Internet Journal of Thoracic and Cardiovascular Surgery Pub Date : 2009-12-31 DOI: 10.5580/1b5e

M. Nagashima, F. Shikata, T. Okamura, K. Kawachi, T. Higaki, F. Suetsugu

{"title":"Modification Of The Extracardiac Total Cavopulmonary Connection - Placement Of A Graft Antero-Medially Rather Than Laterally","authors":"M. Nagashima, F. Shikata, T. Okamura, K. Kawachi, T. Higaki, F. Suetsugu","doi":"10.5580/1b5e","DOIUrl":"https://doi.org/10.5580/1b5e","url":null,"abstract":"In the conventional extracardiac total cavopulmonary connection (TCPC), a graft is placed lateral to the atrium. To prevent pulmonary venous obstruction, a thorough dissection around the pulmonary veins is required. The cause of sinus node dysfunction after extracardiac TCPC is still unknown. One possibility may be a compression of the sinus node from the outside by the graft. In this report, we proposed to modify TCPC by implanting a graft antero-medially rather than laterally to prevent the aforementioned complications. Six patients underwent this modified technique of TCPC. There was no death. The average pulmonary arterial pressure was 11 mmHg. The average follow-up was 24 months. No pulmonary venous stenosis or sinus node dysfunction was observed. In the conventional TCPC, the flow from the superior vena cava directly collides with the flow from the inferior vena cava at the central pulmonary artery (PA) resulting in energy loss. The central PA slightly curves anteriorly to posteriorly. In this modified technique, the flow from the graft enters the central PA from the front and may smoothly advance backwards into the distal PA along its naturally curved line. Thus, this modified technique may produce less energy loss compared to the conventional extracardiac TCPC.","PeriodicalId":330833,"journal":{"name":"The Internet Journal of Thoracic and Cardiovascular Surgery","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123711244","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

Manubriosternal Joint Dislocation- A Treatment Dilemma 胸骨关节脱位-治疗困境

The Internet Journal of Thoracic and Cardiovascular Surgery Pub Date : 2009-12-31 DOI: 10.5580/1c3c

W. Salloum, N. Nikolaidis, D. Weeden

引用次数: 3