AME Surgical Journal最新文献_第9页

Decision making of a specialist Aortovascular multidisciplinary team meeting 主动脉多学科专家小组会议的决策

AME Surgical Journal Pub Date : 2021-01-01 DOI: 10.21037/asj-21-47

M. Yates, A. Lopez-Marco, Michelle S. Lee, B. Adams, J. Yap, R. Uppal, A. Oo

引用次数: 2

Role of induction and adjuvant systemic treatment in mesothelioma: narrative review 诱导和辅助系统治疗在间皮瘤中的作用:叙述性回顾

AME Surgical Journal Pub Date : 2021-01-01 DOI: 10.21037/asj-21-55

M. Edelman

{"title":"Role of induction and adjuvant systemic treatment in mesothelioma: narrative review","authors":"M. Edelman","doi":"10.21037/asj-21-55","DOIUrl":"https://doi.org/10.21037/asj-21-55","url":null,"abstract":"Objective: This review will focus on the issues of integrating chemotherapy and immunotherapy in the definitive management of mesothelioma as either induction or adjuvant therapy. Background: While surgery is considered a primary treatment for mesothelioma, complete resection can rarely be obtained. Systemic therapy with chemotherapy and more recently, immunotherapy has been demonstrated to improve outcomes in advanced disease. Therefore, it is appropriate to consider the use of chemotherapy and/or immunotherapy as induction therapy or postoperatively. Additionally, factors such as surgical procedure, radiotherapy and various prognostic factors also need to be considered. Methods: A search of the English language literature was performed to identify prospective trials using current chemotherapy and immunotherapy regimens. In addition, literature was selectively reviewed for case series and database analyses that focused on the issue of the utility of induction or adjuvant therapy. Conclusions: There are numerous issues that complicate the interpretation of studies, including the variety of surgical procedures, prognostic factors and the nature of the trial design and reporting. Relatively few well designed studies have been performed and there is inadequate data at this time to support or refute the use of induction or adjuvant therapy. Current studies are focused on evaluating immunotherapy studies in this setting.","PeriodicalId":388955,"journal":{"name":"AME Surgical Journal","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122559382","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

Indications for the surgical excision of fibroadenomas: systematic review 纤维腺瘤手术切除的适应症:系统回顾

AME Surgical Journal Pub Date : 2021-01-01 DOI: 10.21037/asj-21-87

Dorcie Gillette, Jinghu He, Anne E Lee, C. Chao

引用次数: 0

Preoperative localization of solitary pulmonary nodule: a narrative review 孤立性肺结节的术前定位:一个叙述性的回顾

AME Surgical Journal Pub Date : 2021-01-01 DOI: 10.21037/asj-21-17

C. Diotti, V. Musso, A. Mazzucco, D. Tosi

{"title":"Preoperative localization of solitary pulmonary nodule: a narrative review","authors":"C. Diotti, V. Musso, A. Mazzucco, D. Tosi","doi":"10.21037/asj-21-17","DOIUrl":"https://doi.org/10.21037/asj-21-17","url":null,"abstract":"The diffusion of lung cancer screening programs using CT scan and the improvement in imaging technologies have led to an increased number of indeterminate solid and subsolid small lung lesions, in which percutaneous or bronchoscopic diagnostic procedures may be unsuccessful or not technically feasible. In these cases, a surgical resection using minimally invasive techniques can be indicated, with both diagnostic and therapeutic purposes. Intraoperative detection of small lung nodules is still a challenge for surgeons, especially in the era of video and robot-assisted thoracic surgery, which could make direct finger palpation of lung parenchyma through thoracoscopic incisions demanding and thus require conversion to a standard thoracotomy to find the lesion. In this scenario, several preoperative and intraoperative localization techniques for small lung nodules are available, from image-guided techniques with percutaneous markers placement or injection of liquid agents (dyes, radio-tracers), to novel promising marking methods using electromagnetic navigation bronchoscopy (ENB) or Hybrid Room technology. The proper localization technique should be selected according to the lesion’s position, size, and radiological characteristics, as well as the expertise and the preferences of the staff performing preoperative and surgical procedures. The aim of this narrative review is to describe and compare various available preoperative and intraoperative localization techniques in terms of safety, possible complications, cost/effectiveness and feasibility in everyday clinical practice, and to provide information on this topic for clinicians dealing with non-palpable or deep-located","PeriodicalId":388955,"journal":{"name":"AME Surgical Journal","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121037952","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

Lobectomy or sublobar resection?—Comparative analysis of the techniques in the surgical treatment of non-small cell lung cancer: a narrative review 肺叶切除术还是叶下切除术?-非小细胞肺癌手术治疗技术的比较分析:综述

AME Surgical Journal Pub Date : 2021-01-01 DOI: 10.21037/asj-21-31

D. Divisi, A. D. Vico, Piero Aquilini, G. Zaccagna

{"title":"Lobectomy or sublobar resection?—Comparative analysis of the techniques in the surgical treatment of non-small cell lung cancer: a narrative review","authors":"D. Divisi, A. D. Vico, Piero Aquilini, G. Zaccagna","doi":"10.21037/asj-21-31","DOIUrl":"https://doi.org/10.21037/asj-21-31","url":null,"abstract":"Objective: The aim of the study is to compare two techniques in the surgical treatment of resectable non-small cell lung cancer (NSCLC). Background: Minimally invasive surgery is the gold standard in the treatment of lung cancer in the early stage. This strategy is not only related to the reduced surgical access but also to the amount of parenchyma that must be saved, compatibly with the oncological radicality. The purpose of the study is to evaluate if sublobar resection can be a valid alternative to lobectomy, based on results. Methods: We carried out a systematic analysis of the studies conducted in literature in the last 6 years (from 2015 to 2021), comparing the outcomes of lobectomies and sublobar resections (segmentectomy or wedge). The parameters considered were as follows: complications, relapse rate and overall survival. Lobectomy showed a slightly higher risk of developing complications than sublobar resection, especially in octogenarian or in a high index of comorbidity (0–48% vs. 0–46.6%, respectively). Conversely, the relapse rate (2.3–32% vs. 2.9–53.4%) and overall survival (45.9–93.8% vs. 33.8–100%) were more favorable in patients treated with lobectomy although sublobar resection showed an increasing survival rate over the years. Conclusions: From the review of literature, lobectomy is still the safest oncologically method to treat the bronchogenic carcinoma. Regarding sublobar resections, there is no clear and distinct classification of results between anatomical segmentectomy and wedge resection. More multicenter randomized studies would be needed in order to compare the three techniques separately.","PeriodicalId":388955,"journal":{"name":"AME Surgical Journal","volume":"291 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126457471","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

Evaluating the quality of lymphadenectomy in lung cancer resections: a narrative review 评价肺癌切除术中淋巴结切除术的质量:一个叙述性的回顾

AME Surgical Journal Pub Date : 2021-01-01 DOI: 10.21037/asj-21-80

J. Kakuturu, Ghulam Abbas, A. Toker

引用次数: 0

Application of the CARE guideline as reporting standard in the AME Surgical Journal CARE指南作为AME外科杂志报道标准的应用

AME Surgical Journal Pub Date : 2021-01-01 DOI: 10.21037/asj.2019.11.01

引用次数: 0

Laparoscopic cholecystectomy in a patient with situs inversus totalis: report of a case with surgical tips 腹腔镜胆囊全倒位切除术1例:手术提示1例报告

AME Surgical Journal Pub Date : 2021-01-01 DOI: 10.21037/asj-21-106

Taku Matsumoto, T. Okawa, Y. Asakura, Hiroki Sakamoto, A. Arimoto, K. Yokoyama, N. Ueno, T. Yoshikawa

{"title":"Laparoscopic cholecystectomy in a patient with situs inversus totalis: report of a case with surgical tips","authors":"Taku Matsumoto, T. Okawa, Y. Asakura, Hiroki Sakamoto, A. Arimoto, K. Yokoyama, N. Ueno, T. Yoshikawa","doi":"10.21037/asj-21-106","DOIUrl":"https://doi.org/10.21037/asj-21-106","url":null,"abstract":"Background: Situs inversus totalis (SIT) is a rare congenital anomaly characterized by the mirror-image transposition of organs. To date, approximately 100 cases of laparoscopic cholecystectomy (LC) have been reported in patients with situs inversus. Although laparoscopic surgery was successfully completed in all these cases, the operation is known to be technically challenging in patients with situs inversus. Herein, we report a case of cholelithiasis with SIT in a patient who underwent successful LC. Additionally, we have discussed surgical tips that could serve as guidelines for clinicians who encounter such cases in surgical practice. Case Description: A 69-year-old female with a chief complaint of upper abdominal pain was referred to our hospital. Blood tests and imaging findings suggested a common bile duct stone was temporarily incarcerated in the duodenal papilla and was spontaneously excreted subsequently. Therefore, LC was performed to avoid recurrences. The surgical equipment and port placement were arranged on the side opposite to that used for routine LC. Intraoperatively, the most important step for successful LC was to start the dissection procedure from the left side of the gallbladder and ensure the creation of sufficient space posterior to the gallbladder body to neck before touching Calot’s triangle. Conclusions: Using this procedure, the critical view of safety (CVS) can be easily and safely achieved even in patients with SIT.","PeriodicalId":388955,"journal":{"name":"AME Surgical Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129972552","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

Fluorine-18 fluorodeoxyglucose positron emission tomography/ computed tomography in the evaluation of solitary pulmonary nodule: a scoping review 氟-18氟脱氧葡萄糖正电子发射断层扫描/计算机断层扫描评价孤立性肺结节:范围审查

AME Surgical Journal Pub Date : 2021-01-01 DOI: 10.21037/asj-22-2

D. Divisi, G. Zaccagna, A. D. Vico, Piero Aquilini, R. Crisci

引用次数: 0

The road to regionalization in congenital heart surgery: a narrative review 先天性心脏手术区域化之路:叙述性回顾

AME Surgical Journal Pub Date : 2021-01-01 DOI: 10.21037/asj-21-70

Hiba Ghandour, Karl F. Welke, T. Karamlou

引用次数: 0