Kardiochirurgia I Torakochirurgia Polska最新文献

Artificial pneumothorax during image-guided thermal ablation for treatment of a solitary paramediastinal lung metastasis. 影像引导下热消融治疗单发旁膈区肺转移的人工气胸。

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Kardiochirurgia I Torakochirurgia Polska Pub Date : 2024-12-01 Epub Date: 2024-12-12 DOI: 10.5114/kitp.2024.145843

Konstantinos Stefanidis, Elias Liolis, Konstantinos Tasios, Evrydiki Christakos, Evangelos Lianos, Gibran Yusuf, Ioannis Panagiotopoulos, Anastasia Katinioti, Andreas Antzoulas, Vasileios Leivaditis, Platon Dimopoulos, Paraskevi Katsakiori, Dimitrios Litsas, Vasiliki Garantzioti, Efstratios Koletsis, Francesk Mulita

引用次数: 0

Where should we perform a central venous bypass to salvage a functioning fistula? 我们应该在哪里进行中心静脉旁路手术来挽救功能正常的瘘管？

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Kardiochirurgia I Torakochirurgia Polska Pub Date : 2024-12-01 Epub Date: 2024-12-12 DOI: 10.5114/kitp.2024.145839

Ayla E Çelikten, Ufuk Türkmen, Görkem Yiğit

引用次数: 0

Evaluating smoking cessation strategies in thoracic surgery outpatient clinics. 评估胸外科门诊戒烟策略。

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Kardiochirurgia I Torakochirurgia Polska Pub Date : 2024-12-01 Epub Date: 2024-12-13 DOI: 10.5114/kitp.2024.145870

İsmail Sarbay

{"title":"Evaluating smoking cessation strategies in thoracic surgery outpatient clinics.","authors":"İsmail Sarbay","doi":"10.5114/kitp.2024.145870","DOIUrl":"10.5114/kitp.2024.145870","url":null,"abstract":"Introduction Smoking cessation remains a global challenge due to the complex and individualized nature of addiction. Understanding the interplay of psychological, social, and biological factors is crucial for developing effective, personalized cessation strategies.Aim: This study investigated the factors influencing the success of smoking cessation efforts among patients visiting thoracic surgery outpatient clinics.Material and methods: Between October 2022 and October 2023, 355 smokers sought assistance at thoracic surgery outpatient clinics, with 231 patients included in the study after exclusions. Data on demographics, comorbidities, cessation attempts, and Fagerström addiction scores were analyzed. Patients received nicotine replacement therapy (NRT), medical therapy (bupropion), and behavioral therapy. Follow-ups were conducted at 1, 3, and 6 months to assess cessation outcomes.Results: The cohort included 137 males and 94 females, with an average age of 45 years. Overall, 81 patients (35.06%) quit smoking in the first month, and 15 (6.49%) additional patients quit by the third month. Relapse occurred in 36 (15.58%) patients, and 99 (42.86%) patients failed to quit. Success rates were similar between genders and unrelated to age, comorbidities, previous attempts, or smoking intensity. The success rate was slightly higher among those who received pharmacotherapy, but the difference was not statistically significant. However, full adherence to behavioral suggestions was significantly associated with increased cessation success (p < 0.001).Conclusions: Behavioral therapy plays a critical role in smoking cessation success. Tailored behavioral strategies significantly enhance outcomes, highlighting the need for personalized approaches in cessation programs. Patients in thoracic surgery outpatient clinics benefit from comprehensive support, emphasizing behavioral adaptation to improve cessation rates.","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"21 4","pages":"201-205"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704749/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958106","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

Primary lung tuberculosis mimicking metastatic lesions of resected shoulder osteosarcoma. 原发性肺结核与切除的肩骨肉瘤的转移性病变相似。

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Kardiochirurgia I Torakochirurgia Polska Pub Date : 2024-12-01 Epub Date: 2024-12-12 DOI: 10.5114/kitp.2024.145845

Hamid Kouatli, Mohammed Massine El Hammoumi, El Hassane Kabiri

引用次数: 0

Paravalvular positioning of a cardiac implantable electronic device electrode during tricuspid valve replacement. 心脏植入式电子装置电极在三尖瓣置换术中的瓣旁定位。

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Kardiochirurgia I Torakochirurgia Polska Pub Date : 2024-12-01 Epub Date: 2024-12-17 DOI: 10.5114/kitp.2024.145836

Safak Alpat, Ahmet Aydin, Uğur Canpolat, Mustafa Yilmaz

{"title":"Paravalvular positioning of a cardiac implantable electronic device electrode during tricuspid valve replacement.","authors":"Safak Alpat, Ahmet Aydin, Uğur Canpolat, Mustafa Yilmaz","doi":"10.5114/kitp.2024.145836","DOIUrl":"https://doi.org/10.5114/kitp.2024.145836","url":null,"abstract":"Introduction: Patients who need tricuspid valve replacement (TVR) surgery often have permanent transvalvular pacemaker (PM) leads, which pose an important challenge in lead management.Aim: The objective of this study was to evaluate the results of paravalvular positioning of a permanent pacemaker lead during TVR surgery.Material and methods: Between 2014 and 2024, a total of 15 patients who had previously had a transvenous pacemaker system underwent TVR. Relevant information, with a focus on pacemaker characteristics, was collected retrospectively.Results: A total of 15 patients with PM lead previously implanted underwent TVR during the study period. The median time interval between pacemaker implantation and TVR was 8.5 years (5.7-10.5 years). The preoperative median threshold amplitude and impedance values were 1 V (0.68-1.25 V) and 518 Ω (377.5-598.7 Ω), whereas the postoperative median threshold amplitude and impedance values were 0.73 V (0.5-1 V) and 460 Ω (378.5-550). During the midterm follow-up, there were no mortalities or significant morbidities, and no patients required pacemaker lead revision.Conclusions: We concluded that paravalvular positioning of the PM lead is an acceptable option during TVR surgery, since this technique enables better function of the prosthetic valve and pacemakers at mid-term follow-up.","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"21 4","pages":"206-210"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704753/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958131","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

Advancements in prognostic factors and survival outcomes following pulmonary metastasectomy for head and neck cancers. 头颈癌肺转移切除术后预后因素和生存结果的进展。

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Kardiochirurgia I Torakochirurgia Polska Pub Date : 2024-12-01 Epub Date: 2024-12-12 DOI: 10.5114/kitp.2024.145835

Konstantinos Grapatsas, Benjamin Ehle, Manfred Dahm, Athanasios Papatriantafyllou, Efstratios Koletsis, Francesk Mulita, Elias Liolis, Konstantinos Tasios, Ioannis Panagiotopoulos, Anastasia Katinioti, Paraskevi Katsakiori, Dimitrios Litsas, Vasileios Leivaditis

{"title":"Advancements in prognostic factors and survival outcomes following pulmonary metastasectomy for head and neck cancers.","authors":"Konstantinos Grapatsas, Benjamin Ehle, Manfred Dahm, Athanasios Papatriantafyllou, Efstratios Koletsis, Francesk Mulita, Elias Liolis, Konstantinos Tasios, Ioannis Panagiotopoulos, Anastasia Katinioti, Paraskevi Katsakiori, Dimitrios Litsas, Vasileios Leivaditis","doi":"10.5114/kitp.2024.145835","DOIUrl":"10.5114/kitp.2024.145835","url":null,"abstract":"Surgical treatment of lung metastases originating from head and neck tumors has shown favorable outcomes with low incidence of complications and mortality. This study aims to investigate survival and prognostic factors following pulmonary metastasectomy for head and neck cancers. A comprehensive review of the literature was conducted through the Medline database, focusing on English-language studies related to surgical treatment of lung metastases from head and neck cancers. Lung metastases occur frequently in patients with head and neck tumors, significantly impacting overall survival. Multidisciplinary assessment is crucial in determining treatment strategies, with notable improvements in survival rates observed over recent decades. Various studies have reported survival outcomes and prognostic factors, highlighting the significance of factors such as primary tumor localization, histology, and completeness of resection. Pulmonary metastasectomy with curative intent for head and neck cancers is a safe and effective treatment option that can prolong survival in selected patients.","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"21 4","pages":"218-222"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704745/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958079","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

Comparative study between using a stapler and hand sewing in bullectomy. 订书机与手缝在大疱切除术中的比较研究。

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Kardiochirurgia I Torakochirurgia Polska Pub Date : 2024-12-01 Epub Date: 2024-12-13 DOI: 10.5114/kitp.2024.145873

Mohammed M Mostafa, Hesham H Ahmed, Amr Ashry

{"title":"Comparative study between using a stapler and hand sewing in bullectomy.","authors":"Mohammed M Mostafa, Hesham H Ahmed, Amr Ashry","doi":"10.5114/kitp.2024.145873","DOIUrl":"https://doi.org/10.5114/kitp.2024.145873","url":null,"abstract":"Introduction: Spontaneous pneumothorax is a life-threatening thoracic condition that could be either primary spontaneous pneumothorax (PSP) in the absence of an underlying lung disease or secondary spontaneous pneumothorax (SSP) in the presence of an underlying lung disease. In the case of recurrent, contralateral spontaneous pneumothorax or persistent air leak with a chest drain, surgery with bullectomy associated with pleurectomy or pleurodesis is the gold standard management.Aim: To compare two different techniques for bullectomy, either by using staplers or by hand sewing.Material and methods: Retrospective review of all patients with spontaneous pneumothorax who underwent bullectomy and pleurectomy by thoracotomy. Group A (30 patients) had repair by using staplers and group B (30 patients) had repair using the hand sewing technique.Results: The mean operative cost was 4400 ±433.4 Egyptian pounds (EGP) versus EGP 2733.3 ±253.7 in group A and group B respectively (p = 0.001). Mean post-operative cost was 1000 ±100 EGP in group A compared to EGP 2060 ±154.4 in group B (p = 0.0001). Duration of air leak was 1.8 ±1.095 and 9.1 ±3.2 days in group A and group B, respectively (p = 0.0001). Re-exploration occurred in 1 patient in group A (3.3%) and 2 patients in group B (6.6%) (p = 0.5).Conclusions: The operative cost was significantly higher in the stapler group compared to the hand sewing technique group. However, the duration of post-operative air leak, post-operative hospital stay and post-operative cost were significantly lower in the stapler group. There was no significant difference between the 2 groups in the re-exploration rate after surgery.","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"21 4","pages":"197-200"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704755/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958092","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

Postoperative paraplegia due to spinal cord infarction after tricuspid valve replacement. 三尖瓣置换术后脊髓梗死所致的术后截瘫。

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Kardiochirurgia I Torakochirurgia Polska Pub Date : 2024-12-01 Epub Date: 2024-12-12 DOI: 10.5114/kitp.2024.145840

Christina-Chrysanthi Theocharidou, Fotini Ampatzidou, Anastasia Theocharidou, George Drossos

引用次数: 0

Deciphering risk elements: exploring precursors to recoarctation in individuals with aortic coarctation. 解读危险因素：探索主动脉缩窄个体再狭窄的前兆。

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Kardiochirurgia I Torakochirurgia Polska Pub Date : 2024-12-01 Epub Date: 2024-12-13 DOI: 10.5114/kitp.2024.145904

Bobur Turaev, Khakimjon Abralov, Nodir Ibragimov

{"title":"Deciphering risk elements: exploring precursors to recoarctation in individuals with aortic coarctation.","authors":"Bobur Turaev, Khakimjon Abralov, Nodir Ibragimov","doi":"10.5114/kitp.2024.145904","DOIUrl":"10.5114/kitp.2024.145904","url":null,"abstract":"Introduction: Coarctation of the aorta (CoA) patients often experience recoarctation, the reoccurrence of aortic narrowing, presenting a considerable clinical challenge.Aim: This study aims to investigate the triggers or contributing factors associated with the development of recoarctation (reCoA) following the initial repair of CoA.Material and methods: The retrospective cohort study includes information about 120 patients, who underwent 4 different types of surgical repairs of coarctation of the aorta through left thoracotomy in the period 2012-2022. Recoarctation was evaluated using the pressure gradient on the coarctation site measured by echocardiography (echoCG). A threshold of more than 20 mm Hg was employed to define recoarctation. All statistical analysis was performed using SPSS and Jamovi applications.Results: The study revealed that 30 (25%) patients experienced early recoarctation, while 52 (43.7%) patients encountered late recoarctation. Among the 28 (23.3%) patients who had arch hypoplasia, 12 experienced early recoarctation, and 22 exhibited late recoarctation. Correlation tests demonstrated a strong negative correlation of the z-score of the arch size with both early recoarctation (r = -0.229, p = 0.013) and late recoarctation (r = -0.421, p < 0.001). Resection and end-to-end anastomosis (EEA) displayed the highest proportions of early (59%) and late (77%) recoarctation.Conclusions: Aortic arch hypoplasia emerges as a significant risk factor for both early and late recoarctation. Additionally, while all coarctation repair methods carry some risk of recoarctation, resection and end-to-end anastomosis and prosthetic patch aortoplasty may pose a higher risk compared to extended end-to-end anastomosis.","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"21 4","pages":"211-217"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704758/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958101","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

Cardiothoracic surgical backup in emergency management of cardiac tamponade during pacemaker extraction. 心脏起搏器取出过程中心包填塞的急诊处理。

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Kardiochirurgia I Torakochirurgia Polska Pub Date : 2024-12-01 Epub Date: 2024-12-13 DOI: 10.5114/kitp.2024.145871

Krzysztof Greberski, Maciej Łuczak, Radosław Jarząbek, Karol Buszkiewicz, Cezary Danielecki, Paweł Bugajski

引用次数: 0