Journal of Chest Surgery最新文献

Recommendation for Clinical T Staging in Patients with Non-Small Cell Lung Cancer: Volumetric Measurement: A Retrospective Study from Turkey. 非小细胞肺癌患者临床 T 分期建议：体积测量：土耳其的一项回顾性研究

Journal of Chest Surgery Pub Date : 2025-03-05 Epub Date: 2024-10-22 DOI: 10.5090/jcs.24.052

Muhammet Sayan, Aykut Kankoc, Muhammet Tarik Aslan, Irmak Akarsu, İsmail Cuneyt Kurul, Ali Celik

{"title":"Recommendation for Clinical T Staging in Patients with Non-Small Cell Lung Cancer: Volumetric Measurement: A Retrospective Study from Turkey.","authors":"Muhammet Sayan, Aykut Kankoc, Muhammet Tarik Aslan, Irmak Akarsu, İsmail Cuneyt Kurul, Ali Celik","doi":"10.5090/jcs.24.052","DOIUrl":"10.5090/jcs.24.052","url":null,"abstract":"Background: Currently, clinical T staging in non-small cell lung cancer (NSCLC) is based on the largest radiological diameter observed on computed tomography (CT). Under this system, tumors with varying shapes-such as spherical, amorphous, or spiculated tumors- can be assigned the same T stage even with different volumes. We aimed to propose a 3-dimensional (3D) volumetric staging system for NSCLC as an alternative to diameter- based T staging and to conduct comparative survival analyses between these methods.Methods: We retrospectively analyzed data from patients who underwent surgery for pT1-4N0M0 primary NSCLC between January 2018 and May 2022. Digital Imaging and Communications in Medicine data from patient CT scans were uploaded to 3D Slicer software for volumetric tumor measurement. Using the paired samples t-test or the Wilcoxon test, we compared the expected tumor volumes, calculated by tumor diameter, with the actual volumes measured by 3D Slicer. Receiver operating characteristic analysis was employed to determine the cut-off value for tumor volume. Kaplan-Meier analysis was utilized to assess overall survival, while the log-rank method was applied to compare survival differences between groups. The significance of changes in T stage was evaluated using the marginal homogeneity test.Results: The study included 136 patients. Significant differences were observed between expected and actual tumor volumes (p=0.01), and associated changes in T stage were also significant (p=0.04). The survival analysis performed using tumor volume (p=0.009) yielded superior results compared to that based on diameter (p=0.04) in paients with early tumor stage.Conclusion: T-factor staging based on tumor volume could represent an alternative staging method for NSCLC.","PeriodicalId":34499,"journal":{"name":"Journal of Chest Surgery","volume":" ","pages":"51-57"},"PeriodicalIF":0.0,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476507","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

Historical Perspectives of the Korean Society for Thoracic and Cardiovascular Surgery: Sung Nok Hong (1927-2017) Who Performed the First Coronary Artery Bypass Graft in Korea. 韩国胸心血管外科学会的历史展望：Sung Nok Hong（1927-2017 年）在韩国实施了首例冠状动脉旁路移植手术。

Journal of Chest Surgery Pub Date : 2025-03-05 Epub Date: 2024-11-18 DOI: 10.5090/jcs.24.100

Doo Yun Lee, Hyo Chae Paik, Byung Chul Chang, Meyun-Shick Kang, Kook-Yang Park

引用次数: 0

Sternal Reconstruction with Titanium Prosthesis for Complicated Sternal Dehiscence with Right Ventricle Herniation after Cardiac Surgery: A Case Report.

Journal of Chest Surgery Pub Date : 2025-03-05 Epub Date: 2025-02-20 DOI: 10.5090/jcs.24.087

Luís Alexandre Lourenço Graça, Rita Lopes, Carlos Branco, Rita Pancas

引用次数: 0

Balloon and Glue Technique: A Modification of Distal Reinforcement to Prevent Anastomotic New Entry, Reducing Replacement Range in Acute Type A Aortic Dissection.

Journal of Chest Surgery Pub Date : 2025-03-05 Epub Date: 2025-02-20 DOI: 10.5090/jcs.24.098

Masato Furui, Go Kuwahara, Yuta Sukehiro, Hideichi Wada

引用次数: 0

Double Lung Transplantation Using Bilateral Anterior Thoracotomies with Video-Assistance: Techniques, Advantages, and Considerations.

Journal of Chest Surgery Pub Date : 2025-03-04 DOI: 10.5090/jcs.24.115

Samina Park

引用次数: 0

Management of Concurrent Left Ventricular Pseudoaneurysm and Mitral Annular Calcification: A Case Report.

Journal of Chest Surgery Pub Date : 2025-02-20 DOI: 10.5090/jcs.24.105

Douglas Tran, Kevin Ho, David Zapata

引用次数: 0

Prognostic Value of Cardiac Biomarkers in Patients Undergoing On-Pump Coronary Artery Bypass Grafting: A Cohort Study in An Iranian Population.

Journal of Chest Surgery Pub Date : 2025-02-20 DOI: 10.5090/jcs.24.073

Reza Ebadi, Younes Nozari, Mina Pashang, Vanoushe Azimi Pirsaraei, Hamid Khederlou

{"title":"Prognostic Value of Cardiac Biomarkers in Patients Undergoing On-Pump Coronary Artery Bypass Grafting: A Cohort Study in An Iranian Population.","authors":"Reza Ebadi, Younes Nozari, Mina Pashang, Vanoushe Azimi Pirsaraei, Hamid Khederlou","doi":"10.5090/jcs.24.073","DOIUrl":"https://doi.org/10.5090/jcs.24.073","url":null,"abstract":"Background: The predictive value of creatine kinase-myocardial band (CK-MB) and highsensitivity troponin T (hs-TnT) for adverse outcomes in coronary artery bypass grafting (CABG) has been well established in previous studies. However, most of these investigations have focused on perioperative complications. The present study assessed the preoperative and postoperative prognostic value of hs-TnT and CK-MB in individuals undergoing on-pump CABG.Methods: This cohort study included patients who underwent isolated on-pump CABG at a tertiary hospital, Tehran Heart Center, between November 2018 and March 2021. We evaluated the associations of preoperative and postoperative hs-TnT and CK-MB levels with the incidence of major adverse cardiovascular events (MACE) within 1 year after surgery.Results: Of the 3,188 participants, 231 (7.2%) experienced MACE. Factors associated with a higher incidence of MACE included older age, diabetes mellitus, history of peripheral vascular disease, lower left ventricular ejection fraction, and the occurrence of acute kidney injury after surgery. The adjusted hazard ratios (HRs) for the association between hs-TnT levels and 1-year MACE were 1.17 (95% confidence interval [CI], 1.07-1.29; p<0.001) for preoperative levels, 1.22 (95% CI, 1.02-1.47; p=0.044) at 8 hours post-surgery, and 1.38 (95% CI, 1.17-1.62; p<0.001) at 24 hours post-surgery. CK-MB levels at 8 hours (HR, 1.05; 95% CI, 1.01-1.10; p=0.023) and 24 hours (HR, 1.07; 95% CI, 1.04-1.10; p<0.001) after surgery were also associated with adverse events.Conclusion: Preoperative and postoperative serum levels of hs-TnT and CK-MB may be considered significant predictors of MACE within 1 year after on-pump CABG.","PeriodicalId":34499,"journal":{"name":"Journal of Chest Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143459789","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

Histological Findings of ETosis in Hermansky-Pudlak Syndrome with Pulmonary Fibrosis: A Follow-Up Case Report. 赫尔曼斯基-普德拉克综合征肺纤维化 ETosis 的组织学发现：随访病例报告

Journal of Chest Surgery Pub Date : 2025-01-05 Epub Date: 2024-10-22 DOI: 10.5090/jcs.24.059

Sergio Michael Navarro, Aneel Ashrani, Myung Soo Park, Dong Chen

引用次数: 0

Commentary: Endoscopic Coronary Arterial Bypass: Strike A Balance. 评论：内窥镜冠状动脉搭桥：取得平衡。

Journal of Chest Surgery Pub Date : 2025-01-05 DOI: 10.5090/jcs.24.110

Wan Kee Kim

引用次数: 0

Statewide Variation in Practices and Charges for Primary Spontaneous Pneumothorax in Maryland, United States: A Retrospective Study. 美国马里兰州全州范围内原发性自发性气胸的治疗方法和收费差异：回顾性研究。

Journal of Chest Surgery Pub Date : 2025-01-05 Epub Date: 2024-11-18 DOI: 10.5090/jcs.24.051

Grace Lassiter, Eric Etchill, Tamir Sholklapper, Charbel Chidiac, Joseph Canner, Daniel Sangkyu Rhee

{"title":"Statewide Variation in Practices and Charges for Primary Spontaneous Pneumothorax in Maryland, United States: A Retrospective Study.","authors":"Grace Lassiter, Eric Etchill, Tamir Sholklapper, Charbel Chidiac, Joseph Canner, Daniel Sangkyu Rhee","doi":"10.5090/jcs.24.051","DOIUrl":"10.5090/jcs.24.051","url":null,"abstract":"Background: The optimal treatment for primary spontaneous pneumothorax (PSP) remains undefined. Furthermore, the overall utilization and costs of various treatment approaches are incompletely understood. We investigated hospital charges and resource utilization by management strategy across the state of Maryland in adult and pediatric patients with PSP.Methods: We queried the Maryland Health Services Cost Review Commission database for patients aged 10-40 years admitted with PSP between 2012 and 2020. Patients managed with a chest tube alone (CT) were compared with recipients of video-assisted thoracoscopic surgery (VATS). Subsequently, we analyzed hospital charges for patients undergoing early VATS (<48 hours post-admission) vs. delayed VATS (≥48 hours). The predicted incremental cost of early vs. delayed VATS was calculated.Results: Overall, 354 admissions were identified, with 211 (59.6%) receiving CT management and 143 (40.4%) undergoing VATS. Patients receiving VATS were more likely to be female (24% vs. 15%, p=0.030) and Black (32% vs. 20%, p=0.035) than CT recipients. The median total hospital charge for CT recipients was $6,493, compared to $20,437 for patients managed surgically (p<0.001). Delayed surgery during the index admission was associated with significantly higher total hospital charges-including operating room, room and board, radiology, and laboratory costs-than early surgery. Applying early VATS to all patients appeared more cost-efficient than delayed VATS (per-patient costs: $18,568 vs. $30,832, p<0.001), although the former had slightly higher recurrence (7.9% vs. 1.5%, p=0.08).Conclusion: Variations in management strategies, particularly surgical decision-making and timing, impact hospital charges and utilization for patients with PSP.","PeriodicalId":34499,"journal":{"name":"Journal of Chest Surgery","volume":" ","pages":"34-43"},"PeriodicalIF":0.0,"publicationDate":"2025-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11738139/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648534","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}

引用次数: 0