Journal of Chest Surgery最新文献

{"title":"A Giant Traumatic Pneumatocele Manifesting as Hemoptysis in an Adolescent: A Case Report.","authors":"Chansop Hwang, Beatrice Chia-Hui Shih, Duk Hwan Moon, Sungsoo Lee","doi":"10.5090/jcs.25.034","DOIUrl":"https://doi.org/10.5090/jcs.25.034","url":null,"abstract":"<p><p>Traumatic pneumatocele (TP) is a rare, benign pulmonary lesion that primarily affects children and young adults following blunt chest trauma. We present the case of a 16-year-old male judo athlete who developed persistent hemoptysis. Imaging identified a large hydropneumothorax. During video-assisted thoracoscopic surgery, a cystic lesion was discovered in the left lower lobe, and intraoperative bronchofibroscopy revealed a minor bronchopleural fistula. A wedge resection was performed, resulting in an uncomplicated recovery; the patient was discharged on postoperative day 2. This case underscores the rarity of complicated TP necessitating surgical intervention and highlights the importance of considering TP in young patients with blunt chest trauma.</p>","PeriodicalId":34499,"journal":{"name":"Journal of Chest Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145138744","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}

{"title":"Surgical Resection after Chemoradiotherapy with a Higher Radiation Dose in Locally Advanced Esophageal Cancer: A Retrospective Study from Taiwan.","authors":"Chia Liu, Ling-I Chien, Yi-Ping Hung, Tzu-Yu Lai, Chien-Sheng Huang, Han-Shui Hsu, Ming-Huang Chen, Pin-I Huang, Po-Kuei Hsu","doi":"10.5090/jcs.25.040","DOIUrl":"10.5090/jcs.25.040","url":null,"abstract":"<p><strong>Background: </strong>Chemoradiotherapy is the standard treatment for esophageal cancer, but the optimal radiation dose remains undetermined. A dose of 50.4 Gy is commonly used in both neoadjuvant and definitive settings. This study evaluates the outcomes of using 50.4 Gy in neoadjuvant chemoradiotherapy (nCRT).</p><p><strong>Methods: </strong>Patients with esophageal cancer who underwent nCRT with 50.4 Gy radiation followed by surgery between 2010 and 2023 were retrospectively analyzed. They were categorized as achieving pathological complete response (pCR patients) or not (non-pCR patients). Oncological outcomes, including overall survival (OS) and recurrence-free survival (RFS), were assessed.</p><p><strong>Results: </strong>Among 258 patients treated with nCRT, 96.5% completed the treatment protocol, and 74.4% (n=192) proceeded to surgery. These 192 patients formed the analysis cohort. The overall complication rate was 70.3%, with 19.3% classified as major complications. The 30-day and 90-day postoperative mortality rates were both 0.5%. The pCR rate was 45%. Patients with pCR had a 3-year OS rate of 72.7% and a median survival of 125 months, whereas non-pCR patients had a 3-year OS rate of 49.6% and a median survival of 35 months (p=0.002). Additionally, pCR patients had a 3-year RFS rate of 62.0% and a median RFS of 68 months, compared to 33.6% and 20 months, respectively, for non-pCR patients (p<0.001).</p><p><strong>Conclusion: </strong>This study reports the outcomes of using 50.4 Gy in nCRT for locally advanced esophageal cancer. The findings affirm the efficacy of 50.4 Gy neoadjuvant chemoradiotherapy in achieving favorable long-term outcomes, particularly among patients with complete pathological response.</p>","PeriodicalId":34499,"journal":{"name":"Journal of Chest Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145125797","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}

{"title":"Minimally Invasive versus Complete Sternotomy for Reimplantation Valve-Sparing Aortic Root Replacement: A Systematic Review and Meta-Analysis.","authors":"Kristine Santos, Mislav Planinc","doi":"10.5090/jcs.25.029","DOIUrl":"https://doi.org/10.5090/jcs.25.029","url":null,"abstract":"<p><p>Despite growing interest, comparative data on the minimally invasive David procedure (MI-DP) versus the traditional complete sternotomy approach (CS-DP) remain scarce, largely due to the inherent complexity of the operation. The present meta-analysis compared the perioperative outcomes of MI-DP and CS-DP. We systematically searched MEDLINE, Scopus, and the Cochrane Library for studies comparing MI-DP and CS-DP. Pooled odds ratios and mean differences (MDs) with 95% confidence intervals (CIs) were calculated using RevMan ver. 8.13.0 (The Cochrane Collaboration). A subgroup analysis of exclusively propensity-matched data was also performed. Seven studies comprising 1,124 patients were included, with 394 (35%) in the MI-DP group. MI-DP was associated with reduced blood loss (MD, -123.1 mL; 95% CI, -150.1 to -96.1 mL; p<0.0001), intensive care unit (ICU) stay (MD, -0.5 days; 95% CI, -0.6 to -0.4 days; p<0.00001), and hospital stay (MD, -2.8 days; 95% CI, -4.9 to -0.7 days; p=0.01), albeit with a longer cross-clamp time (MD, 13.3 minutes; 95% CI, 2.8 to 23.9 minutes; p=0.01). Thirty-day mortality and complications, including neurological deficits and reoperation for bleeding, were similar between groups. The subgroup analysis restricted to propensity-matched data confirmed these benefits and revealed additional reductions in mechanical ventilation time (MD, -6.3 hours; 95% CI, -7.2 to -5.4 hours; p<0.00001) and red blood cell transfusion requirements (MD, -85.6 mL; 95% CI, -114.6 to -56.5 mL; p<0.00001). MI-DP offers reduced ventilation time, blood loss, and ICU and hospital stays without compromising safety. However, our findings should be interpreted cautiously pending validation by future prospective studies (PROSPERO CRD42025631006).</p>","PeriodicalId":34499,"journal":{"name":"Journal of Chest Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145125812","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}

{"title":"Simultaneous Detection of Primary Pulmonary Paraganglioma and a Mediastinal Mass: A Case Report.","authors":"Argün Kış, Eren Zenci, Emel Kılıçarslan","doi":"10.5090/jcs.25.046","DOIUrl":"https://doi.org/10.5090/jcs.25.046","url":null,"abstract":"<p><p>Primary pulmonary paraganglioma (PPP) is an extremely rare neuroendocrine tumor. We present the case of a 71-year-old woman referred for dyspnea who was incidentally diagnosed with both a mediastinal mass and a pulmonary nodule. Chest computed tomography revealed an anterior mediastinal mass and a right-sided paracardiac pulmonary nodule. The mediastinal mass was excised via median sternotomy, and the pulmonary lesion was removed by wedge resection. Histopathological analysis identified the pulmonary lesion as a moderately differentiated paraganglioma, while the mediastinal mass consisted of ectopic thyroid tissue. Although the lesions were discovered simultaneously, their histopathological features were entirely unrelated, indicating a coincidental coexistence. Nevertheless, thorough histopathological examination is essential to exclude syndromic or metastatic associations. PPP should be considered in the differential diagnosis of pulmonary tumors, and surgical resection remains the mainstay of diagnosis and treatment.</p>","PeriodicalId":34499,"journal":{"name":"Journal of Chest Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145081884","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}

{"title":"The Impact of Chemoradiotherapy on Nutritional Status and Quality of Life in Esophageal Cancer Patients during the COVID-19 Pandemic: A Retrospective Study in Taiwan.","authors":"Chien-Hung Chiu, Ming-Ru Yu, Shu-Chun Huang, Pin-Li Chou, Ya-Tzu Tsao, Ching-Tzu Huang, Hsin-Hsin Lin, Yin-Kai Chao, Yu-Ling Chang","doi":"10.5090/jcs.25.048","DOIUrl":"https://doi.org/10.5090/jcs.25.048","url":null,"abstract":"<p><strong>Background: </strong>The coronavirus disease 2019 (COVID-19) pandemic disrupted healthcare and worsened quality of life (QOL). Advanced esophageal cancer is often accompanied by malnutrition and poor QOL; chemoradiotherapy (CRT) remains the mainstay of treatment. We evaluated nutrition and QOL pre- and post-CRT immediately before and during the pandemic.</p><p><strong>Methods: </strong>Patients with esophageal cancer who underwent neoadjuvant or definitive CRT between April 2019 and December 2020 were enrolled. Disease severity, treatment timing, and outcomes were compared for cohorts treated pre-COVID-19 and during COVID-19. Nutritional status was measured with the Patient-Generated Subjective Global Assessment (PG-SGA). QOL was measured with the Mandarin Chinese version of the European Organization for Research and Treatment of Cancer core questionnaire (EORTC QLQ-C30) and the esophageal site-specific module (QLQ-OES18). In the pandemic cohort, pre-/post-CRT paired analyses were performed.</p><p><strong>Results: </strong>Eighty-four patients were enrolled. The median diagnosis to treatment interval lengthened during COVID-19 (17.8 days vs. 24.2 days, p=0.04). Among the patients treated during the COVID-19 pandemic, nutritional status improved significantly following CRT (p=0.003). In the EORTC QLQ-C30, post-CRT scores for global health status (p<0.01) and emotional functioning (p<0.01) showed significant improvement. Additionally, symptom scores, including fatigue (p=0.02) and nausea and vomiting (p=0.02), decreased. However, financial difficulties worsened after CRT (p=0.02). In the EORTC QLQ-OES18, post-CRT symptom scores for eating (p<0.01), reflux (p=0.03), and pain (p<0.01) showed significant improvement.</p><p><strong>Conclusion: </strong>Despite COVID-19-related delays, CRT enhanced nutrition, global health, and symptom control in esophageal cancer, although financial burdens increased. Integrating socioeconomic support with oncologic care is vital during health crises.</p>","PeriodicalId":34499,"journal":{"name":"Journal of Chest Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145081865","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}

{"title":"Correction: Mechanical versus Bioprosthetic Aortic Valve Replacement in Patients Aged 50 to 70 Years.","authors":"Youngkwan Song, Ki Tae Kim, Soo Jin Park, Hong Rae Kim, Jae Suk Yoo, Pil Je Kang, Sung-Ho Jung, Cheol Hyun Chung, Joon Bum Kim, Ho Jin Kim","doi":"10.5090/jcs.23.143e","DOIUrl":"10.5090/jcs.23.143e","url":null,"abstract":"","PeriodicalId":34499,"journal":{"name":"Journal of Chest Surgery","volume":"58 5","pages":"214-215"},"PeriodicalIF":1.0,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12415425/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972077","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":"Low-Dose Computed Tomography Lung Cancer Screening for Individuals Who Have Never Smoked: A Review of Recent Updates in Taiwan and the United States.","authors":"Sun Nou Chung, Riley Hurr, Hao-Wen Chen, Tzu-Ning Kao, Mong-Wei Lin, Chi-Fu Jeffrey Yang","doi":"10.5090/jcs.25.017","DOIUrl":"10.5090/jcs.25.017","url":null,"abstract":"<p><p>Low-dose computed tomography (LDCT) screening is widely recognized as an effective tool for the early detection of lung cancer. However, its efficacy among individuals without a history of smoking continues to attract interest. Currently, nearly all lung cancer screening guidelines provide recommendations exclusively for individuals who currently smoke or have a history of smoking. Emerging research indicates that LDCT screening may also benefit individuals who have never smoked but are genetically predisposed to lung cancer or have been exposed to certain environmental risk factors. This underscores the need to consider expanding LDCT screening eligibility criteria to include carefully selected never-smokers at high risk, potentially preventing lung cancer-related deaths.</p>","PeriodicalId":34499,"journal":{"name":"Journal of Chest Surgery","volume":" ","pages":"175-184"},"PeriodicalIF":1.0,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12415432/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795708","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 Thymectomy Using the Single-Port Robotic System via the Subxiphoid Approach.","authors":"Jun Hee Lee, Byung Mo Gu, Hyun Koo Kim","doi":"10.5090/jcs.25.041","DOIUrl":"10.5090/jcs.25.041","url":null,"abstract":"<p><p>Technological advances have led to significant progress in minimally invasive surgery in the field of general thoracic surgery. Thymectomy, which has traditionally been performed via an open approach through a median sternotomy, is now entering a new era because of the advantages offered by robot-assisted thoracic surgery. Robotic thymectomy using the single-port robotic system via the subxiphoid approach has recently been introduced. This innovative technique offers several potential benefits, including reduced postoperative pain, faster recovery, and improved cosmetic outcomes. However, it can be technically challenging during the early phase, especially for less experienced robotic surgeons. In this study, we present our surgical technique in detail, providing tips and highlighting potential pitfalls to aid in overcoming these technical challenges.</p>","PeriodicalId":34499,"journal":{"name":"Journal of Chest Surgery","volume":" ","pages":"167-174"},"PeriodicalIF":1.0,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12415429/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795709","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":"Bilateral Elastofibroma Dorsi in a Symptomatic Male Patient: Is Surgical Resection Justified? A Case Report.","authors":"Ahmed Gamal Elkhouly, Faisal Hamad, Al Anoud Al Saud, Mohammed Saleh Ishaq","doi":"10.5090/jcs.25.005","DOIUrl":"10.5090/jcs.25.005","url":null,"abstract":"<p><p>Elastofibroma dorsi (ED) is a rare, benign, slowly growing soft tissue neoplasm characterized by abnormal elastic fiber proliferation. There is a marked female predominance; bilateral presentation occurs in only 10% of cases. ED is usually located in the infra-scapular area, adherent to the posterior chest wall and ribs. Although many theories have been proposed regarding its pathogenesis, the exact cause remains uncertain. Preoperative diagnosis is established based on clinical picture and radiological imaging. We present a case of a 49-year-old man with bilateral ED who complained of back pain and limited shoulder movement, and who underwent simultaneous bilateral surgical removal; histopathological examination confirmed the diagnosis.</p>","PeriodicalId":34499,"journal":{"name":"Journal of Chest Surgery","volume":" ","pages":"205-208"},"PeriodicalIF":1.0,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12415427/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056801","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":"Commentary: Why Open Surgical Repair Still Matters-The Importance of Protocol-Driven Management for Ruptured Abdominal Aortic Aneurysm.","authors":"Myeong Su Kim, Suk-Won Song","doi":"10.5090/jcs.25.072","DOIUrl":"10.5090/jcs.25.072","url":null,"abstract":"","PeriodicalId":34499,"journal":{"name":"Journal of Chest Surgery","volume":" ","pages":"193-195"},"PeriodicalIF":1.0,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12415431/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795707","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}