Journal of Chest Surgery最新文献

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Commentary: Concomitant Pulmonary Artery Angioplasty after Congenital Heart Defect Repair: Should We Consider Early Independent Surgery? 评论:先天性心脏缺损修复术后同时进行肺动脉血管成形术:我们是否应该考虑早期独立手术?
Journal of Chest Surgery Pub Date : 2024-07-05 DOI: 10.5090/jcs.24.046
Won Young Lee
{"title":"Commentary: Concomitant Pulmonary Artery Angioplasty after Congenital Heart Defect Repair: Should We Consider Early Independent Surgery?","authors":"Won Young Lee","doi":"10.5090/jcs.24.046","DOIUrl":"10.5090/jcs.24.046","url":null,"abstract":"","PeriodicalId":34499,"journal":{"name":"Journal of Chest Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11240093/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141535565","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: A New Frontier: Exploring Novel Articulating Hand-Held Instruments in Video-Assisted Thoracoscopic Surgery. 评论:新领域:探索视频辅助胸腔镜手术中的新型铰接式手持器械。
Journal of Chest Surgery Pub Date : 2024-07-05 DOI: 10.5090/jcs.24.067
Alexander Kern
{"title":"Commentary: A New Frontier: Exploring Novel Articulating Hand-Held Instruments in Video-Assisted Thoracoscopic Surgery.","authors":"Alexander Kern","doi":"10.5090/jcs.24.067","DOIUrl":"10.5090/jcs.24.067","url":null,"abstract":"","PeriodicalId":34499,"journal":{"name":"Journal of Chest Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11240092/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141535564","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
Early Clinical Outcomes of Thoracoscopic Major Pulmonary Resection and Thymectomy Using Novel Articulating Endoscopic Forceps. 使用新型铰接式内窥镜镊子进行胸腔镜肺大肌切除术和胸腺切除术的早期临床效果。
Journal of Chest Surgery Pub Date : 2024-07-05 Epub Date: 2024-03-13 DOI: 10.5090/jcs.23.161
Sangil Yun, You Jung Ok, Se Jin Oh, Jae-Sung Choi, Hyeon Jong Moon, Yong Won Seong
{"title":"Early Clinical Outcomes of Thoracoscopic Major Pulmonary Resection and Thymectomy Using Novel Articulating Endoscopic Forceps.","authors":"Sangil Yun, You Jung Ok, Se Jin Oh, Jae-Sung Choi, Hyeon Jong Moon, Yong Won Seong","doi":"10.5090/jcs.23.161","DOIUrl":"10.5090/jcs.23.161","url":null,"abstract":"<p><strong>Background: </strong>Video-assisted thoracoscopic surgery (VATS) is recognized as a safe and effective treatment modality for early-stage lung cancer and anterior mediastinal masses. Recently, novel articulating instruments have been developed and introduced to endoscopic surgery. Here, we share our early experiences with VATS major pulmonary resection and thymectomy performed using ArtiSential articulating instruments.</p><p><strong>Methods: </strong>At the Seoul Metropolitan Government-Seoul National University Boramae Medical Center, 500 patients underwent VATS pulmonary resection between July 2020 and April 2023, while 43 patients underwent VATS thymectomy between January 2020 and April 2023. After exclusion, 224 patients were enrolled for VATS major pulmonary resection, and 38 were enrolled for VATS thymectomy. ArtiSential forceps were utilized in 35 of the 224 patients undergoing pulmonary resection and in 12 of the 38 individuals undergoing thymectomy. Early clinical outcomes were retrospectively analyzed.</p><p><strong>Results: </strong>No significant differences were observed in sex, age, surgical approach, operation time, histological diagnosis, or additional procedures between the patients who underwent surgery using novel articulating instruments and the group treated with conventional endoscopic instruments for both VATS major pulmonary resection and thymectomy. However, the use of the novel articulating endoscopic forceps was associated with a significantly larger number of dissected lymph nodes (p=0.028) and lower estimated blood loss (p=0.009) in VATS major pulmonary resection.</p><p><strong>Conclusion: </strong>Major pulmonary resection and thymectomy via VATS using ArtiSential forceps were found to be safe and effective, with early clinical outcomes comparable to established methods. Further research into long-term clinical outcomes and cost-effectiveness is warranted.</p>","PeriodicalId":34499,"journal":{"name":"Journal of Chest Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11240099/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140111568","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
Surgical Correction of Left Ventricular Assist Device Outflow Graft Obstruction Caused by a Wrapped Expanded Polytetrafluoroethylene Graft: A Case Report. 左心室辅助装置流出道移植物因包裹的膨胀聚四氟乙烯移植物而阻塞的手术矫正:病例报告。
Journal of Chest Surgery Pub Date : 2024-07-05 Epub Date: 2024-02-08 DOI: 10.5090/jcs.23.133
Sung Min Kim, Ilkun Park, Siwon Oh, Hyo Won Seo, Ga Hee Jeong, Jun Ho Lee, Su Ryeun Chung, Kiick Sung, Wook Sung Kim, Yang Hyun Cho
{"title":"Surgical Correction of Left Ventricular Assist Device Outflow Graft Obstruction Caused by a Wrapped Expanded Polytetrafluoroethylene Graft: A Case Report.","authors":"Sung Min Kim, Ilkun Park, Siwon Oh, Hyo Won Seo, Ga Hee Jeong, Jun Ho Lee, Su Ryeun Chung, Kiick Sung, Wook Sung Kim, Yang Hyun Cho","doi":"10.5090/jcs.23.133","DOIUrl":"10.5090/jcs.23.133","url":null,"abstract":"<p><p>A 70-year-old man with dilated cardiomyopathy underwent left ventricular assist device (LVAD) implantation, using a HeartWare ventricular assist device, as a bridge to candidacy. After 26 months, computed tomography (CT) angiography indicated stenosis in the LVAD outflow graft; however, the patient was asymptomatic, prompting a decision to manage his condition with close monitoring. Ten months later, the patient presented with dizziness and low-flow alerts. Subsequent CT angiography revealed a critical obstruction involving the entire LVAD outflow graft. The patient underwent emergency surgery, during which an organized seroma causing the graft obstruction was found between a wrapped expanded polytetrafluoroethylene (ePTFE) graft and a Dacron outflow graft. The covering of the outflow graft was removed, along with the organized seroma. Following removal of the ePTFE wrap and decompression of the outflow graft, normal LVAD flow was reestablished. The practice of wrapping the outflow graft with synthetic material, commonly done to facilitate later redo sternotomy, may pose a risk for outflow graft obstruction.</p>","PeriodicalId":34499,"journal":{"name":"Journal of Chest Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11240098/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139703612","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
Thrombocytopenia after Aortic Valve Replacement Using Sutureless Valves. 使用无缝线瓣膜进行主动脉瓣置换术后的血小板减少症
Journal of Chest Surgery Pub Date : 2024-07-05 Epub Date: 2024-03-26 DOI: 10.5090/jcs.23.167
Mil Hoo Kim, Soojin Lee, Juhyun Lee, Seohee Joo, You Kyeong Park, Kang Min Kim, Joon Chul Jung, Hyoung Woo Chang, Jae Hang Lee, Dong Jung Kim, Jun Sung Kim, Kay-Hyun Park, Cheong Lim
{"title":"Thrombocytopenia after Aortic Valve Replacement Using Sutureless Valves.","authors":"Mil Hoo Kim, Soojin Lee, Juhyun Lee, Seohee Joo, You Kyeong Park, Kang Min Kim, Joon Chul Jung, Hyoung Woo Chang, Jae Hang Lee, Dong Jung Kim, Jun Sung Kim, Kay-Hyun Park, Cheong Lim","doi":"10.5090/jcs.23.167","DOIUrl":"10.5090/jcs.23.167","url":null,"abstract":"<p><strong>Background: </strong>Sutureless valves are widely used in aortic valve replacement surgery, with Perceval valves and Intuity valves being particularly prominent. However, concerns have been raised about postoperative thrombocytopenia with Perceval valves (Corcym, UK). We conducted a comparative analysis with the Intuity valve (Edwards Lifesciences, USA), and assessed how thrombocytopenia affected patient and transfusion outcomes.</p><p><strong>Methods: </strong>Among 595 patients who underwent aortic valve replacement from June 2016 to March 2023, sutureless valves were used in 53 (Perceval: n=23; Intuity: n=30). Platelet counts were monitored during hospitalization and outpatient visits. Daily platelet count changes were compared between groups, and the results from patients who underwent procedures using Carpentier Edwards Perimount Magna valves were used as a reference group.</p><p><strong>Results: </strong>Compared to the Intuity group, the Perceval group showed a significantly higher amount of platelet transfusion (5.48±1.64 packs vs. 0.60±0.44 packs, p=0.008). During the postoperative period, severe thrombocytopenia (<50,000/μL) was significantly more prevalent in the Perceval group (56.5%, n=13) than in the Intuity group (6.7%, n=2). After initial postoperative depletion, daily platelet counts increased, with significant differences observed in the extent of improvement between the Perceval and Intuity groups (p<0.001). However, there was no significant difference in early mortality or the incidence of neurological complications between the 2 groups.</p><p><strong>Conclusion: </strong>The severity of postoperative thrombocytopenia differed significantly between the Perceval and Intuity valves. The Perceval group showed a significantly higher prevalence of severe thrombocytopenia and higher platelet transfusion volumes. However, thrombocytopenia gradually recovered during the postoperative period in both groups, and the early outcomes were similar in both groups.</p>","PeriodicalId":34499,"journal":{"name":"Journal of Chest Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11240101/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140289167","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: Is Arterial Cannulation Inevitable for Acute Type A Aortic Dissection Repair? 急性 A 型主动脉夹层修复时是否必然要进行动脉插管?
Journal of Chest Surgery Pub Date : 2024-07-05 Epub Date: 2024-06-05 DOI: 10.5090/jcs.24.033
Wan Kee Kim, Suk-Won Song, Kyung-Jong Yoo
{"title":"Commentary: Is Arterial Cannulation Inevitable for Acute Type A Aortic Dissection Repair?","authors":"Wan Kee Kim, Suk-Won Song, Kyung-Jong Yoo","doi":"10.5090/jcs.24.033","DOIUrl":"10.5090/jcs.24.033","url":null,"abstract":"","PeriodicalId":34499,"journal":{"name":"Journal of Chest Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11240094/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141248872","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 Multifaceted Art of Fighting against Time. 评论:与时间抗争的多元艺术
Journal of Chest Surgery Pub Date : 2024-05-05 DOI: 10.5090/jcs.24.042
Ha Lee, Suk-Won Song
{"title":"Commentary: The Multifaceted Art of Fighting against Time.","authors":"Ha Lee, Suk-Won Song","doi":"10.5090/jcs.24.042","DOIUrl":"10.5090/jcs.24.042","url":null,"abstract":"","PeriodicalId":34499,"journal":{"name":"Journal of Chest Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11089053/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140859277","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: Exploring the Potential of Serratus Anterior Plane Block for Severe Pain Management after the Nuss Operation: Is It the Optimal Solution? 评论:探索前方锯齿状肌平面阻滞治疗 Nuss 手术后严重疼痛的潜力:它是最佳解决方案吗?
Journal of Chest Surgery Pub Date : 2024-05-05 DOI: 10.5090/jcs.24.034
Yong Ho Jeong, Duk Hwan Moon, Sungsoo Lee
{"title":"Commentary: Exploring the Potential of Serratus Anterior Plane Block for Severe Pain Management after the Nuss Operation: Is It the Optimal Solution?","authors":"Yong Ho Jeong, Duk Hwan Moon, Sungsoo Lee","doi":"10.5090/jcs.24.034","DOIUrl":"10.5090/jcs.24.034","url":null,"abstract":"","PeriodicalId":34499,"journal":{"name":"Journal of Chest Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11089059/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140866005","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
Two Cases of Robot-Assisted Totally Minimally Invasive Esophagectomy with Colon Interposition for Gastroesophageal Junction Cancer: Surgical Considerations. 两例胃食管交界癌机器人辅助全微创食管切除术与结肠插管术:手术注意事项。
Journal of Chest Surgery Pub Date : 2024-05-05 Epub Date: 2024-02-07 DOI: 10.5090/jcs.23.131
Kinam Shin, In Ha Kim, Yun-Ho Jeon, Chung Sik Gong, Chan Wook Kim, Yong-Hee Kim
{"title":"Two Cases of Robot-Assisted Totally Minimally Invasive Esophagectomy with Colon Interposition for Gastroesophageal Junction Cancer: Surgical Considerations.","authors":"Kinam Shin, In Ha Kim, Yun-Ho Jeon, Chung Sik Gong, Chan Wook Kim, Yong-Hee Kim","doi":"10.5090/jcs.23.131","DOIUrl":"10.5090/jcs.23.131","url":null,"abstract":"<p><p>This case report presents 2 patients with gastroesophageal junction cancer who both underwent totally minimally invasive esophagectomy with colon interposition. Patients 1 and 2, who were 43-year-old and 78-year-old men, respectively, had distinct clinical presentations and medical histories. Patient 1 underwent minimally invasive robotic esophagectomy with a laparoscopic total gastrectomy, colonic conduit preparation, and intrathoracic esophago-colono-jejunostomy. Patient 2 underwent completely robotic total gastrectomy, colon conduit preparation, and intrathoracic esophago-colono-jejunostomy. The primary challenge in colon interposition is assessing colon vascularity and ensuring an adequate conduit length, which is critical for successful anastomosis. In both cases, we used indocyanine green fluorescence angiography to evaluate vascularity. Determining the appropriate conduit is challenging; therefore, it is crucial to ensure a slightly longer conduit during reconstruction. Because totally minimally invasive colon interposition can reduce postoperative pain and enhance recovery, this surgical technique is feasible and beneficial.</p>","PeriodicalId":34499,"journal":{"name":"Journal of Chest Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11089049/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139698511","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
Mechanical versus Bioprosthetic Aortic Valve Replacement in Patients Aged 50 to 70 Years. 机械主动脉瓣置换术与生物人工主动脉瓣置换术在 50 至 70 岁患者中的应用。
Journal of Chest Surgery Pub Date : 2024-05-05 Epub Date: 2024-03-13 DOI: 10.5090/jcs.23.143
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
{"title":"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.23.143","DOIUrl":"10.5090/jcs.23.143","url":null,"abstract":"<p><strong>Background: </strong>This study compared the outcomes of surgical aortic valve replacement (AVR) in patients aged 50 to 70 years based on the type of prosthetic valve used.</p><p><strong>Methods: </strong>We compared patients who underwent mechanical AVR to those who underwent bioprosthetic AVR at our institution between January 2000 and March 2019. Competing risk analysis and the inverse probability of treatment weighting (IPTW) method based on propensity score were employed for comparisons.</p><p><strong>Results: </strong>A total of 1,580 patients (984 patients with mechanical AVR; 596 patients with bioprosthetic AVR) were enrolled. There was no significant difference in early mortality between the mechanical AVR and bioprosthetic AVR groups (0.9% vs. 1.7%, p=0.177). After IPTW adjustment, the risk of all-cause mortality was significantly higher in the bioprosthetic AVR group than in the mechanical AVR group (hazard ratio [HR], 1.39; 95% confidence interval [CI], 1.07-1.80; p=0.014). Competing risk analysis revealed lower risks of stroke (sub-distributional hazard ratio [sHR], 0.44; 95% CI, 0.28-0.67; p<0.001) and anticoagulation- related bleeding (sHR, 0.35; 95% CI, 0.23-0.53; p<0.001) in the bioprosthetic AVR group. Conversely, the risk of aortic valve (AV) reintervention was higher in the bioprosthetic AVR group (sHR, 6.14; 95% CI, 3.17-11.93; p<0.001).</p><p><strong>Conclusion: </strong>Among patients aged 50 to 70 years who underwent surgical AVR, those receiving mechanical valves showed better survival than those with bioprosthetic valves. The mechanical AVR group exhibited a higher risk of stroke and anticoagulation-related bleeding, while the bioprosthetic AVR group showed a higher risk of AV reintervention.</p>","PeriodicalId":34499,"journal":{"name":"Journal of Chest Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11089054/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140111570","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
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