Journal of Chest Surgery最新文献_第10页

Evolution of Lung Cancer Surgery: Historical Milestones, Current Strategy, and Future Innovations. 肺癌手术的演变：历史里程碑、当前策略和未来创新。

Journal of Chest Surgery Pub Date : 2025-05-05 Epub Date: 2025-04-15 DOI: 10.5090/jcs.25.025

Min-Woong Kang

{"title":"Evolution of Lung Cancer Surgery: Historical Milestones, Current Strategy, and Future Innovations.","authors":"Min-Woong Kang","doi":"10.5090/jcs.25.025","DOIUrl":"https://doi.org/10.5090/jcs.25.025","url":null,"abstract":"Lung cancer surgery has advanced significantly over the decades, profoundly impacting patient outcomes and surgical practices. This review examines the major historical milestones in lung cancer surgery-from early pneumonectomies to the establishment of lobectomy as the standard treatment for resectable non-small cell lung cancer (NSCLC) and the subsequent evolution toward sublobar resections (including segmentectomy and wedge resection) for early-stage NSCLC. Growing evidence for the efficacy of sublobar resections has redefined the surgical approach for early-stage lung cancer by shifting the focus from lobectomy to less invasive procedures. However, despite the demonstrated non-inferiority of sublobar resections, concerns about locoregional recurrence continue to pose a major challenge. Addressing this issue is essential for optimizing surgical outcomes in early-stage NSCLC. One promising innovation to mitigate recurrence is the novel asymmetrical linear stapler (NALS), which represents a significant advancement in stapling technology for minimally invasive lung cancer surgery. This review traces the evolution of lung cancer surgery from the 1960s to 2024, focusing on key milestones and the role of NALS in addressing current challenges.","PeriodicalId":34499,"journal":{"name":"Journal of Chest Surgery","volume":"58 3","pages":"79-84"},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12066400/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144036912","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

Prognostic Value of Cardiac Biomarkers in Patients Undergoing On-Pump Coronary Artery Bypass Grafting: A Cohort Study in An Iranian Population. 心脏生物标志物在接受无泵冠状动脉旁路移植术患者中的预后价值：伊朗人群的队列研究

Journal of Chest Surgery Pub Date : 2025-05-05 Epub 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":"10.5090/jcs.24.073","url":null,"abstract":"Background: The predictive value of creatine kinase-myocardial band (CK-MB) and high-sensitivity 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":"99-106"},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12066397/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143459789","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

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

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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11884980/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476507","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

Commentary: Volumetry for Lung Nodule Assessment. 评论：肺结节评估的容积法。

Journal of Chest Surgery Pub Date : 2025-03-05 DOI: 10.5090/jcs.25.010

Ho Yun Lee

引用次数: 0

Correction: Commentary: Is the Data Strong Enough to Prorocolize the Approach in Diaphragmatic Hernia Repair? Aspects of Technique and the Sample Size of a Longitudinal Single-Center Study. 修正：评论：这些数据是否足以支持膈疝修补入路？纵向单中心研究的技术方面和样本量。

Journal of Chest Surgery Pub Date : 2025-03-05 DOI: 10.5090/jcs.23.019e

Hyo Yeong Ahn, Hoseok I

引用次数: 0

Sternal Reconstruction with Titanium Prosthesis for Complicated Sternal Dehiscence with Right Ventricle Herniation after Cardiac Surgery: A Case Report. 钛假体胸骨重建术治疗心脏术后复杂胸骨裂合并右心室疝1例。

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

{"title":"Sternal Reconstruction with Titanium Prosthesis for Complicated Sternal Dehiscence with Right Ventricle Herniation after Cardiac Surgery: A Case Report.","authors":"Luís Alexandre Lourenço Graça, Rita Lopes, Carlos Branco, Rita Pancas","doi":"10.5090/jcs.24.087","DOIUrl":"10.5090/jcs.24.087","url":null,"abstract":"Sternal wound dehiscence after cardiac surgery is usually accompanied by a high morbidity and mortality rate. When sternal rewiring fails, rigid fixation systems may be used for sternal reconstruction. We report a case involving a female patient with multiple risk factors for sternal dehiscence who underwent a coronary artery bypass graft procedure. Postoperatively, she experienced sternal dehiscence that necessitated primary rewiring. Despite the surgical intervention and clinical optimization, the sternal wound dehiscence recurred. The patient experienced severe chest pain and thoracic instability, presenting with complete non-union of the sternal segments and right ventricular protrusion. Given the symptoms and the risk of both direct and indirect trauma to the heart, the multidisciplinary team opted to reinforce the anterior chest wall with a pre-planned titanium prosthesis to provide protection and stability. This report highlights the advantages of a comprehensive strategy for managing repeated sternal dehiscence.","PeriodicalId":34499,"journal":{"name":"Journal of Chest Surgery","volume":" ","pages":"60-64"},"PeriodicalIF":0.0,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11884975/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143459791","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

Balloon and Glue Technique: A Modification of Distal Reinforcement to Prevent Anastomotic New Entry, Reducing Replacement Range in Acute Type A Aortic Dissection. 球囊-黏胶技术：改良远端加固防止吻合口新进入，减少急性A型主动脉夹层的置换范围。

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

{"title":"Balloon and Glue Technique: A Modification of Distal Reinforcement to Prevent Anastomotic New Entry, Reducing Replacement Range in Acute Type A Aortic Dissection.","authors":"Masato Furui, Go Kuwahara, Yuta Sukehiro, Hideichi Wada","doi":"10.5090/jcs.24.098","DOIUrl":"10.5090/jcs.24.098","url":null,"abstract":"In emergency surgery for acute type A aortic dissection, the creation of needle holes can cause various issues and complications. One persistent challenge is the prevention of distal anastomotic new entry tears, which frequently necessitate additional intervention. Modification of the distal reinforcement technique offers a straightforward solution by combining existing hemostatic agents with tools such as occlusion balloons. We describe a modified distal reinforcement procedure employing a balloon-and-glue technique to help prevent new entry tears at the distal anastomosis and avoid total arch replacement. Ten patients with acute type A aortic dissection were treated using this technique. Postoperative computed tomography indicated no evidence of distal anastomotic entry tears. In conclusion, this modified distal reinforcement technique represents not only a method to prevent distal anastomotic new entry tears but also a palliative approach that may obviate the need for total arch replacement in patients in poor condition or of advanced age.","PeriodicalId":34499,"journal":{"name":"Journal of Chest Surgery","volume":" ","pages":"65-69"},"PeriodicalIF":0.0,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11884978/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143459757","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

Commentary: The Balloon and Glue Technique in Acute Type A Aortic Dissection: Considerations for Optimization and Clinical Application. 评论：球囊-黏胶技术在急性A型主动脉夹层中的应用：优化和临床应用的考虑。

Journal of Chest Surgery Pub Date : 2025-03-05 DOI: 10.5090/jcs.25.011

Sang-Ho Cho

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