Video-Assisted Thoracic Surgery最新文献_第8页

Non-intubated surgical lung biopsies in elderly and frail adults—one shot, two targets: a case report 老年人和体弱成年人的非插管手术肺活检——一次注射，两个目标：一例报告

IF 0.2 4区医学

Video-Assisted Thoracic Surgery Pub Date : 2022-01-01 DOI: 10.21037/vats-22-33

Ludovica Balsamo, P. Lybéris, G. Rosboch, F. Femia, E. Della Beffa, P. Lausi, E. Ruffini, F. Guerrera

引用次数: 0

Robotic surgery: a game-changer for anatomic segmentectomies 机器人手术:解剖节段切除术的游戏规则改变者

IF 0.2 4区医学

Video-Assisted Thoracic Surgery Pub Date : 2022-01-01 DOI: 10.21037/vats-22-18

Juan A. Muñoz‐Largacha, B. Wei

引用次数: 0

The price of robotic lobectomy 机器人肺叶切除术的价格

IF 0.2 4区医学

Video-Assisted Thoracic Surgery Pub Date : 2022-01-01 DOI: 10.21037/vats-22-20

Dong-Seok Lee, Raja Flores

引用次数: 0

Ni-VATS for interstitial lung disease—where are we now? 间质性肺病的Ni-VATS研究进展如何?

IF 0.2 4区医学

Video-Assisted Thoracic Surgery Pub Date : 2021-06-01 DOI: 10.21037/VATS-21-19

R. Cherchi, P. Ferrari, F. Guerrera

引用次数: 0

Non-intubated thoracic surgery—the surgeon perspective 非插管胸外科手术——外科医生的观点

IF 0.2 4区医学

Video-Assisted Thoracic Surgery Pub Date : 2021-03-22 DOI: 10.21037/VATS-21-6

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

引用次数: 1

Oncological clearance of minimally invasive approaches for clinical N0 non-small cell lung cancer 微创入路治疗临床N0非小细胞肺癌癌症的肿瘤清除率

IF 0.2 4区医学

Video-Assisted Thoracic Surgery Pub Date : 2021-01-20 DOI: 10.21037/VATS-2019-OC-07

M. Mun

{"title":"Oncological clearance of minimally invasive approaches for clinical N0 non-small cell lung cancer","authors":"M. Mun","doi":"10.21037/VATS-2019-OC-07","DOIUrl":"https://doi.org/10.21037/VATS-2019-OC-07","url":null,"abstract":"Since the 1960s, lobectomy with systemic lymph node (LN) dissection has been the standard surgical treatment for patients with stage I or II non-small cell lung cancer (NSCLC). The efficacy of LN dissection for lung cancer depends on the accurate staging and the likelihood of survival benefit. After surgical resection, 10–20% of clinical N0 lung cancer converts to pathologic N1 or N2 disease. Moreover, evaluating the postoperative locoregional recurrences at the dissected area is an important factor to judge the proper approach for lung cancer surgery. Although video-assisted thoracoscopic surgery (VATS) lobectomy for lung cancer is increasingly accepted as a minimally invasive surgery, it is now widely performed with a lack of clear evidence regarding the clearance of the LN dissection. Furthermore, the novel minimally invasive approaches, such as the single-port VATS and the robotic-assisted thoracic surgery, have increased in adaptation for lung cancer surgery in the past decade. This focused series is directed to the thoracic surgeons who are performing the minimally invasive surgery for early-stage lung cancer. Experts on each minimally invasive approach will comprehensively introduce their techniques and the results of their oncological clearance. Further prospective randomized controlled trials that compare each minimally invasive approach for early-stage lung cancer are needed to evaluate the oncological efficacy of these minimally invasive approaches.","PeriodicalId":42086,"journal":{"name":"Video-Assisted Thoracic Surgery","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2021-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46321219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Choosing the best approach for paraesophageal hiatal hernia repair: a narrative review 食道旁裂孔疝修补术的最佳入路选择:一个叙述性的回顾

IF 0.2 4区医学

Video-Assisted Thoracic Surgery Pub Date : 2021-01-01 DOI: 10.21037/vats-21-13

Brian P. Fallon, R. Reddy

{"title":"Choosing the best approach for paraesophageal hiatal hernia repair: a narrative review","authors":"Brian P. Fallon, R. Reddy","doi":"10.21037/vats-21-13","DOIUrl":"https://doi.org/10.21037/vats-21-13","url":null,"abstract":": The optimal approach for repairing large paraesophageal hernia (PEH) is unclear. Historically, these were initially approached through a transthoracic incision, then shifted to a laparotomy. Now laparoscopy has been the most common approach for at least the past decade, during which time the robotic approach has also increased in utilization. This article reviews the pros and cons of the different approaches, including recurrence rates, morbidity, and mortality. Using this information, we propose a general framework for the utilization of each approach as a reference for surgeons in their clinical decision making and operative planning. Laparoscopic (and/or robotic) approaches are best suited for small PEHs or cases of reflux alone. Robotic technology can aid in crural repair and potentially reduce long-term recurrence compared to traditional laparoscopy, while maintaining the benefits of quicker recovery. A laparotomy should generally be reserved for patients with recurrent PEH and severe intra-abdominal adhesions or urgent situations such as obstruction, gangrene, or conversion from laparoscopy. Due to the high risk of recurrence, patients with larger PEHs (type III or IV) or risk factors for recurrence (obesity, shortened esophagus, chronic cough, or constipation), should be strongly considered for a transthoracic approach. It is unclear if mesh offers benefits long term, but there is a small incidence of catastrophic mesh complications that should also be considered. Non-operative management of PEH, though occasionally utilized for asymptomatic patients, should generally be avoided due to a high risk of PEH-related complications and mortality. 9","PeriodicalId":42086,"journal":{"name":"Video-Assisted Thoracic Surgery","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47608746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Can we sell something people don’t want? 我们能卖一些人们不想要的东西吗？

IF 0.2 4区医学

Video-Assisted Thoracic Surgery Pub Date : 2021-01-01 DOI: 10.21037/VATS-21-8

R. Cerfolio

{"title":"Can we sell something people don’t want?","authors":"R. Cerfolio","doi":"10.21037/VATS-21-8","DOIUrl":"https://doi.org/10.21037/VATS-21-8","url":null,"abstract":"© Video-Assisted Thoracic Surgery. All rights reserved. Video-assist Thorac Surg 2021 | http://dx.doi.org/10.21037/vats-21-8 Performing thoracic surgery in a patient who is not intubated under general anesthesia is an exciting idea. When I first heard and saw in earlier 2000 I was genuinely excited and sanguine for its promise. Finally, there was something new in our specialty and at our international meetings. An innovation. A game changer. On paper, it looked like a “can’t miss” disruptive technological advance. A true paradigm shift. Some thought it would quickly revolutionize how thoracic surgery was performed. Think of the all of the theoretical advantages it conveys, such as: the avoidance of muscle paralysis and the incumbent hemodynamic fluctuations and post-operative muscle pain that many patients experience, the elimination of intubation and the placement of a double-lumen tube which for the uninitiated takes significant time and has risk, the mitigation of atelectasis of one lung during the operation and thus the improved PaO2, the elimination of the need to reserve anesthetic agents and extubation that often causes large swings in intra-thoracic pressure and the propagation of air leaks, etc. Yet, despite these many theoretical advantages some of which have been shown to be true, it has not been widely accepted. Flash-forward 19 years later and how is its adoption? Non-intubated thoracic surgery or non-intubated minimally invasive pulmonary resection using video-assisted thoracoscopic techniques (VATS) or robotic techniques is rarely chosen, especially in the United States despite the fact that the concept has advantages and has been around for a long time. Why? The answer is simple. The consumers, the patients, the surgeons and the anesthesiologists do not want to do it. It is hard to sell something that the consumer does not want even if it “may be better for you.” Its marketing is poor to say the least. Before we explore the consumer part of this equation let’s see the actual data that may or may not support the purported advantages. The data","PeriodicalId":42086,"journal":{"name":"Video-Assisted Thoracic Surgery","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45408191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Non-intubated video-assisted pulmonary metastasectomy: a narrative literature review 非插管电视辅助肺转移切除术：叙述性文献综述

IF 0.2 4区医学

Video-Assisted Thoracic Surgery Pub Date : 2021-01-01 DOI: 10.21037/vats-21-30

L. Gherzi, M. Ferrari, Alessandro Pardolesi

引用次数: 0

Surgery and anesthesia in the thoracic pathways of the new era: a move on to the future 外科和麻醉在新时期的胸廓路径：迈向未来

IF 0.2 4区医学

Video-Assisted Thoracic Surgery Pub Date : 2021-01-01 DOI: 10.21037/vats-2021-01

F. Guerrera, P. Ferrari, R. Crisci

引用次数: 0