Operative Techniques in Thoracic and Cardiovascular Surgery最新文献

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Lower Partial Mini-Sternotomy for Congenital Cardiac Surgery 先天性心脏手术的下部小胸骨切开术
Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2022-09-01 DOI: 10.1053/j.optechstcvs.2022.06.007
David Blitzer, Ismail Bouhout, Emile Bacha
{"title":"Lower Partial Mini-Sternotomy for Congenital Cardiac Surgery","authors":"David Blitzer,&nbsp;Ismail Bouhout,&nbsp;Emile Bacha","doi":"10.1053/j.optechstcvs.2022.06.007","DOIUrl":"10.1053/j.optechstcvs.2022.06.007","url":null,"abstract":"<div><p>With the continuous decrease in morbidity and mortality associated with cardiac surgery, there has been a trend toward the development of operative techniques that are aimed toward improving other measures such as cosmetic outcomes. We have previously reported on such efforts, where a lower partial mini sternotomy is utilized to limit the skin incision and extent of median sternotomy. In this article we detail the operative technique for lower partial mini-sternotomy for the repair of congenital cardiac defects.</p></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"27 3","pages":"Pages 289-293"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45638671","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
Video-Assisted Thoracic Surgery Technique for Chest Wall Resection 电视辅助胸外科胸壁切除术技术
Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2022-09-01 DOI: 10.1053/j.optechstcvs.2022.03.004
Sameer A. Hirji , Aaron Dezube , William Phillips , S. Stafford Balderson , H. Volkan Kara , Thomas A. D'Amico
{"title":"Video-Assisted Thoracic Surgery Technique for Chest Wall Resection","authors":"Sameer A. Hirji ,&nbsp;Aaron Dezube ,&nbsp;William Phillips ,&nbsp;S. Stafford Balderson ,&nbsp;H. Volkan Kara ,&nbsp;Thomas A. D'Amico","doi":"10.1053/j.optechstcvs.2022.03.004","DOIUrl":"https://doi.org/10.1053/j.optechstcvs.2022.03.004","url":null,"abstract":"<div><p>Chest wall resection is indicated in the management of operable primary chest wall tumors and lung cancers with chest wall invasion in carefully selected patients. Traditionally, chest wall resection has been performed via open thoracotomy, which is associated with significant postoperative pain and other associated morbidities. Furthermore, depending on the size and location of the resulting chest wall defect, chest wall reconstruction is warranted to maintain overall chest wall integrity, preserve inherent respiratory mechanics, and protect underlying intrathoracic structures. Video assisted thoracic surgery (VATS) techniques are an emerging and alternative technique to open chest wall resection, and have the potential benefit of minimizing the overall incision size, avoiding extensive rib spreading, and reducing tissue trauma. Given the technical challenges and lack of robust prospective outcomes data, VATS chest wall resection has not been widely adopted, but early reports appear to demonstrate its feasibility without apparent detriment to safety in selected patient populations. In this review, we detail relevant operative steps related to patient positioning and strategic port placement, anatomical dissection, and reconstruction options, as well as provide useful trouble shooting tips and tricks to help optimize outcomes following VATS chest wall resection.</p></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"27 3","pages":"Pages 345-358"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136919613","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
Repair of Common Atrioventricular Valve in Univentricular Circulation Using Adjustable Annular Bridging Technique 应用可调环形桥接技术修复单室循环房室总瓣膜
Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2022-09-01 DOI: 10.1053/j.optechstcvs.2022.03.003
Shingo Kasahara, Yasuhiro Kotani
{"title":"Repair of Common Atrioventricular Valve in Univentricular Circulation Using Adjustable Annular Bridging Technique","authors":"Shingo Kasahara,&nbsp;Yasuhiro Kotani","doi":"10.1053/j.optechstcvs.2022.03.003","DOIUrl":"10.1053/j.optechstcvs.2022.03.003","url":null,"abstract":"<div><p>The main reason for common atrioventricular valve regurgitation is the enlargement of the valve annulus contralaterally to the aorta and pulmonary artery. Edge-to-edge repair can be used to address the regurgitation; however, there might be potential disadvantage that a fixed bridging leaflet could have a restrictive motion, leading to recurrence of atrioventricular valve regurgitation. To avoid this issue and address the anteroposterior dilatation of the annulus, we have developed an adjustable annular bridging technique.</p></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"27 3","pages":"Pages 302-308"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45545960","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: 2
Pulmonary Endarterectomy: A Stepwise Approach 肺内膜切除术:渐进式入路
Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2022-09-01 DOI: 10.1053/j.optechstcvs.2022.04.006
Anthony L. Zaki, Haytham Elgharably, Michael Z. Tong
{"title":"Pulmonary Endarterectomy: A Stepwise Approach","authors":"Anthony L. Zaki,&nbsp;Haytham Elgharably,&nbsp;Michael Z. Tong","doi":"10.1053/j.optechstcvs.2022.04.006","DOIUrl":"10.1053/j.optechstcvs.2022.04.006","url":null,"abstract":"<div><p><span>Chronic thromboembolic pulmonary hypertension<span> (CTEPH) is an underdiagnosed complication of acute pulmonary embolism<span> that is potentially curable with pulmonary thromboendarterectomy (PTE). Proper patient selection within the scope of a multidisciplinary team and detailed preoperative imaging is essential for successful outcomes. The operation itself is technically demanding and requires complete, bilateral endarterectomy down to the subsegmental branches on </span></span></span>cardiopulmonary bypass<span> with brief periods of deep hypothermic circulatory arrest. Finally, postoperative care is unique for PTE patients and is best conducted within the care of a multidisciplinary team.</span></p></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"27 3","pages":"Pages 263-277"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45625930","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
Techniques of Minimally Invasive Posterior Basal (S10) Segmentectomies of the Lower Lobes 下叶后基底(S10)节段微创切除术技术
Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2022-09-01 DOI: 10.1053/j.optechstcvs.2022.01.004
Yasuhiro Tsutani, Morihito Okada
{"title":"Techniques of Minimally Invasive Posterior Basal (S10) Segmentectomies of the Lower Lobes","authors":"Yasuhiro Tsutani,&nbsp;Morihito Okada","doi":"10.1053/j.optechstcvs.2022.01.004","DOIUrl":"10.1053/j.optechstcvs.2022.01.004","url":null,"abstract":"<div><p>Now, the standard treatment for clinical stage I non-small cell lung cancer (NSCLC) is lobectomy with systematic nodal dissection. Sublobar resections, such as segmentectomy and wedge resection are often performed in compromised patients with peripheral small-sized NSCLC who are unfit or at high risk for standard lobectomy or even in those with indolent NSCLC who are fit for lobectomy. Anatomical segmentectomy rather than non-anatomical wedge resection as sublobar resection is usually recommended. Segmentectomy could be subdivided according to the number and shape of intersegmental plane. Segmentectomy that creates one, linear intersegmental plane, with a relatively easier procedure, could be considered simple segmentectomy, that is, resection of the superior segmentectomy of the lower lobe, the upper division, or lingula segment of the left upper lobe. Segmentectomy that creates several, or intricate intersegmental planes, with more a complex procedure, could be considered complex segmentectomy, that is, one other than simple segmentectomy, such as non-superior segmentectomy of the basilar segment of the lower lobe. Because of procedural complexity and risk of increased complications and incurability, compared with simple segmentectomy, some general thoracic surgeons may have concerns to perform complex segmentectomies. In this article, we show the technique of posterior basal segmentectomies, which is one of the most challenging procedures in complex segmentectomy, through a hybrid video-assisted thoracic surgery approach.</p></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"27 3","pages":"Pages 329-339"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1522294222000046/pdfft?md5=82c2d432e12cc77252d78076d405991b&pid=1-s2.0-S1522294222000046-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43247583","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: 1
Commentary: Technology and Technique 评论:技术和技巧
Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2022-09-01 DOI: 10.1053/j.optechstcvs.2022.04.003
Dawn S. Hui
{"title":"Commentary: Technology and Technique","authors":"Dawn S. Hui","doi":"10.1053/j.optechstcvs.2022.04.003","DOIUrl":"10.1053/j.optechstcvs.2022.04.003","url":null,"abstract":"","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"27 3","pages":"Pages 261-262"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46916479","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
Commentary: Atrioventricular Valve Repair in Univentricular Hearts: No Longer a Bridge Too Far? 评论:单室心脏的房室瓣膜修复:不再是一个太远的桥梁?
Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2022-09-01 DOI: 10.1053/j.optechstcvs.2022.04.007
Edward Buratto , Igor E. Konstantinov
{"title":"Commentary: Atrioventricular Valve Repair in Univentricular Hearts: No Longer a Bridge Too Far?","authors":"Edward Buratto ,&nbsp;Igor E. Konstantinov","doi":"10.1053/j.optechstcvs.2022.04.007","DOIUrl":"10.1053/j.optechstcvs.2022.04.007","url":null,"abstract":"","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"27 3","pages":"Pages 311-312"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47008230","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
Commentary: Approaches for Thoracoscopic Lateral and Posterior Basal Segmentectomy 评论:胸腔镜下外侧和后基底节切除术的入路
Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2022-09-01 DOI: 10.1053/j.optechstcvs.2022.06.005
Dingpei Han M.D., Hecheng Li M.D., Ph.D.
{"title":"Commentary: Approaches for Thoracoscopic Lateral and Posterior Basal Segmentectomy","authors":"Dingpei Han M.D.,&nbsp;Hecheng Li M.D., Ph.D.","doi":"10.1053/j.optechstcvs.2022.06.005","DOIUrl":"10.1053/j.optechstcvs.2022.06.005","url":null,"abstract":"","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"27 3","pages":"Pages 340-344"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49129831","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
Commentary: The Adjustable Bridge – Definitely a Useful Technique; However 评论:可调桥-绝对是一个有用的技术;然而
Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2022-09-01 DOI: 10.1053/j.optechstcvs.2022.04.001
Ronald K. Woods
{"title":"Commentary: The Adjustable Bridge – Definitely a Useful Technique; However","authors":"Ronald K. Woods","doi":"10.1053/j.optechstcvs.2022.04.001","DOIUrl":"10.1053/j.optechstcvs.2022.04.001","url":null,"abstract":"","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"27 3","pages":"Pages 309-310"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43359750","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
Right Vertical Infra-Axillary Thoracotomy Approach in Simple Congenital Heart Diseases 单纯性先天性心脏病的右腋下垂直开胸入路
Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2022-09-01 DOI: 10.1053/j.optechstcvs.2022.06.008
Yasuyuki Kobayashi , Shingo Kasahara , Yasuhiro Kotani
{"title":"Right Vertical Infra-Axillary Thoracotomy Approach in Simple Congenital Heart Diseases","authors":"Yasuyuki Kobayashi ,&nbsp;Shingo Kasahara ,&nbsp;Yasuhiro Kotani","doi":"10.1053/j.optechstcvs.2022.06.008","DOIUrl":"10.1053/j.optechstcvs.2022.06.008","url":null,"abstract":"<div><p>Right thoracotomy approach has been gaining popularity in the repair of simple congenital heart diseases; especially, right vertical infra-axillary thoracotomy (RVIAT) provides a cosmetic benefit that is concealed and less evident but often requires peripheral cannulation. The surgical technique for RVIAT involved a 6-cm vertical incision in the right axillary fold, and cardiopulmonary bypass was established with ascending aorta and bicaval cannulations directly through the same surgical field. Intercostal block was routinely performed intra- and postoperatively to facilitate fast-track postoperative recovery. There is still a large potential to expand the selection criteria of RVIAT approach for further complicated diseases as a promising alternative to standard median sternotomy.</p></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"27 3","pages":"Pages 294-301"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45095716","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: 1
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