Kardiochirurgia I Torakochirurgia Polska最新文献_第6页

Preliminary outcomes of drainless videothoracoscopic pulmonary wedge resection procedure from Turkey. 土耳其无引流管视频胸腔镜肺楔形切除术的初步结果。

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Kardiochirurgia I Torakochirurgia Polska Pub Date : 2023-12-01 Epub Date: 2024-01-11 DOI: 10.5114/kitp.2023.134136

Muhammet Sayan, Irmak Akarsu, Muhammet Tarik Aslan, Aysegul Kurtoglu, Gunel Ahmadova, Ali Celik

{"title":"Preliminary outcomes of drainless videothoracoscopic pulmonary wedge resection procedure from Turkey.","authors":"Muhammet Sayan, Irmak Akarsu, Muhammet Tarik Aslan, Aysegul Kurtoglu, Gunel Ahmadova, Ali Celik","doi":"10.5114/kitp.2023.134136","DOIUrl":"10.5114/kitp.2023.134136","url":null,"abstract":"Introduction: A chest tube inserted through the intercostal space for air and blood evacuation after thoracic surgery is a serious cause of postoperative pain and prolongs the length of stay. Drainless video-assisted thoracoscopic thoracic surgical procedures, which were previously performed in mediastinal surgical procedures, have also been applied for lung resections in recent years.Aim: To investigate the superiority of drainless videothoracoscopic pulmonary wedge resection over those with a drain in terms of postoperative pain and length of stay.Material and methods: Data of patients who underwent video-assisted thoracoscopic (VATS) pulmonary wedge resection between December 2022 and May 2023 in our department were retrospectively reviewed. Age, gender, operation indication, postoperative complication, number of wedge resections, visual pain score, and length of hospital stay data were collected. Patients were divided into two groups: drainless and with-drain. The existence of differences or correlations between groups was investigated by the Pearson χ2, student' t-test, or Mann-Whitney-U test according to type or distribution of data.Results: A total of 35 patients were included in the study. There were 14 patients in the drainless group and 21 in the with-drain group. Postoperative pain score and length of stay were significantly lower in the drainless group (p < 0.001). There was no significant difference between the groups in terms of age, gender, presence of complications, or number of wedge resections (p > 0.5).Conclusions: Drainless VATS pulmonary wedge resections are safe methods that offer less postoperative pain and shorter hospital stays compared to with-drain methods.","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"20 4","pages":"228-232"},"PeriodicalIF":0.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10809804/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139571210","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

A systematic review and meta-analysis to evaluate blood levels of interleukin-6 in lung cancer patients. 评估肺癌患者血液中白细胞介素-6水平的系统综述和荟萃分析。

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Kardiochirurgia I Torakochirurgia Polska Pub Date : 2023-12-01 Epub Date: 2024-01-11 DOI: 10.5114/kitp.2023.134177

Seyed Vahid Jasemi, Soha Zia, Seyed Ghasem Mirbahari, Masoud Sadeghi

{"title":"A systematic review and meta-analysis to evaluate blood levels of interleukin-6 in lung cancer patients.","authors":"Seyed Vahid Jasemi, Soha Zia, Seyed Ghasem Mirbahari, Masoud Sadeghi","doi":"10.5114/kitp.2023.134177","DOIUrl":"10.5114/kitp.2023.134177","url":null,"abstract":"Introduction: The exact mechanism responsible for inflammation in malignancy is not completely understood, but it is possible that interleukin-6 (IL-6) plays a major role in triggering and maintaining an inflammatory response.Aim: To conduct a systematic review and meta-analysis of the levels of IL-6 in the serum/plasma of lung cancer (LC) patients.Material and methods: The researchers searched four databases up to September 11, 2022, to find studies that reported on IL-6 levels in LC patients compared to healthy controls (HCs). They calculated effect sizes using standardized mean difference (SMD) with a 95% confidence interval (CI). To evaluate the quality of each study, they used the Newcastle-Ottawa Scale (NOS). They performed subgroup analysis, sensitivity analysis, meta-regression analysis, heterogeneity analyses, trial sequential analysis, and publication bias with the trim-and-fill method.Results: The meta-analysis included 28 studies, and the results showed that the pooled SMD was 1.71 (95% CI: 1.22, 2.19; p < 0.00001; I2 = 98%), indicating that LC patients had significantly higher levels of IL-6 in their serum/plasma than HCs.Conclusions: The study found that the publication year and quality score of the studies were positively associated with the level of IL-6, while the sample size was inversely related. The research suggests that measuring IL-6 levels in the blood could be useful for detecting and monitoring LC as it appears to be a reliable biomarker.","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"20 4","pages":"240-250"},"PeriodicalIF":0.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10809806/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139570122","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

Boerhaave syndrome complicated by subsequent esophageal stenosis and esophageal fistula. 随后并发食管狭窄和食管瘘的 Boerhaave 综合征。

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Kardiochirurgia I Torakochirurgia Polska Pub Date : 2023-12-01 Epub Date: 2024-01-11 DOI: 10.5114/kitp.2023.134167

Natalia Maria Kwiatkowska, Alicja Kaminska, Magdalena Sielewicz, Mariusz Kasprzyk, Cezary Piwkowski

引用次数: 0

Mixed rheumatic tricuspid valve disease: details of preoperative evaluation and surgical management. 混合风湿性三尖瓣疾病：术前评估和手术治疗的细节。

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Kardiochirurgia I Torakochirurgia Polska Pub Date : 2023-12-01 Epub Date: 2024-01-11 DOI: 10.5114/kitp.2023.134134

Igor Mokryk, Irina Akhmedova, Fatemeh Ghasabeh Hassanzadeh, Illia Nechai, Taalaibek Kudaiberdiev, Borys Todurov

引用次数: 0

Fate of the moderately diseased aorta: a single-center experience. 中度病变主动脉的命运：单中心经验。

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Kardiochirurgia I Torakochirurgia Polska Pub Date : 2023-12-01 Epub Date: 2024-01-11 DOI: 10.5114/kitp.2023.134131

Athanasia Vlahou, Fotini Ampatzidou, Konstantinos Diplaris, George Drossos

{"title":"Fate of the moderately diseased aorta: a single-center experience.","authors":"Athanasia Vlahou, Fotini Ampatzidou, Konstantinos Diplaris, George Drossos","doi":"10.5114/kitp.2023.134131","DOIUrl":"10.5114/kitp.2023.134131","url":null,"abstract":"Introduction: The fate of the aorta after tube graft replacement remains unclear.Aim: We investigated the evolution of aortic dilatation after non-aortic cardiac operations and the dimensions of the root and arch after ascending aorta replacement.Material and methods: From 252 patients with aortic dilatation operated on between January 2010 and June 2019, 160 were followed with CT angiography. Two groups were formed according to the initial operation. Group I (n = 36) included patients with a dilated aorta, unreplaced during different indication cardiac surgery. Group II (n = 124) included patients receiving tube graft aorta replacement with or without aortic valve replacement. Mean preoperative and follow-up diameters of the different aortic segments were compared in both groups using the two-sided paired t-test for repeated measurements.Results: Eighteen patients died during follow-up, with one death occurring during reoperation for a false aneurysm of the distal anastomosis on the aortic arch. There was no other re-operation for aortic aneurysm, rupture or dissection. In group I the aortic arch diameter increased slightly, while the rest of the aortic segments remained stable. In group II the aortic root diameter decreased slightly while the aortic arch remained stable.Conclusions: Ascending aorta replacement with a tube graft remodeled the aortic root and did not allow progressive dilatation of the aortic arch. In patients with moderate ascending aorta dilatation, the unreplaced ascending aorta and aortic root remained relatively stable but the aortic arch increased slightly during follow-up.","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"20 4","pages":"211-214"},"PeriodicalIF":0.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10809811/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139570968","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

Radiotherapy for tumors of the mediastinum - state of the art. 纵隔肿瘤的放射治疗--最新技术。

IF 0.6

Kardiochirurgia I Torakochirurgia Polska Pub Date : 2023-12-01 Epub Date: 2024-01-11 DOI: 10.5114/kitp.2023.134132

Ioanna Kantzou, Georgios Sarris, Vasileios Kouloulias, Ioannis Abatzoglou, Vasileios Leivaditis, Konstantinos Grapatsas, Efstratios Koletsis, Athanasios Papatriantafyllou, Manfred Dahm, Admir Mulita, Francesk Mulita, Nikolaos Baltayiannis

{"title":"Radiotherapy for tumors of the mediastinum - state of the art.","authors":"Ioanna Kantzou, Georgios Sarris, Vasileios Kouloulias, Ioannis Abatzoglou, Vasileios Leivaditis, Konstantinos Grapatsas, Efstratios Koletsis, Athanasios Papatriantafyllou, Manfred Dahm, Admir Mulita, Francesk Mulita, Nikolaos Baltayiannis","doi":"10.5114/kitp.2023.134132","DOIUrl":"10.5114/kitp.2023.134132","url":null,"abstract":"Mediastinal tumors encompass a diverse range of malignancies, originating within or spreading to the mediastinum. The administration of radiotherapy within the anatomical confines of the mediastinum presents unique challenges owing to the close proximity of critical organs, including the heart, lungs, esophagus, and spinal cord. However, recent progress in imaging techniques, treatment modalities, and our understanding of tumor biology has significantly contributed to the development of effective and safe therapeutic strategies for mediastinal diseases. This review article aims to explore the latest innovations in radiotherapy and their practical applications in the management of mediastinal tumors, with a primary focus on lymphomas, thymomas, and thymic carcinomas. By examining these advancements, we seek to provide valuable insights into the current state of the art in radiotherapy for mediastinal malignancies, ultimately fostering improved patient outcomes and clinical decision-making.","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"20 4","pages":"255-262"},"PeriodicalIF":0.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10809816/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139572527","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

Do we correctly calculate doses of cardioplegia during aortic valve replacement procedures? A preliminary report. 在主动脉瓣置换手术中，我们是否正确计算了心脏停搏液的剂量？初步报告。

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Kardiochirurgia I Torakochirurgia Polska Pub Date : 2023-09-01 Epub Date: 2023-09-11 DOI: 10.5114/kitp.2023.130660

Aleksandra Sucharska, Agnieszka Adamowska, Zuzanna Karbowska, Lavanya Mohan Kumar, Jakub Pudełko, Łukasz Szarpak, Marek Jemielity, Bartłomiej Perek

{"title":"Do we correctly calculate doses of cardioplegia during aortic valve replacement procedures? A preliminary report.","authors":"Aleksandra Sucharska, Agnieszka Adamowska, Zuzanna Karbowska, Lavanya Mohan Kumar, Jakub Pudełko, Łukasz Szarpak, Marek Jemielity, Bartłomiej Perek","doi":"10.5114/kitp.2023.130660","DOIUrl":"10.5114/kitp.2023.130660","url":null,"abstract":"Introduction: Intraoperative myocardial protection during aortic valve replacement (AVR) for aortic stenosis (AS) is of paramount importance for outcomes. The dose of cardioplegia is usually calculated with reference to body mass.Aim: To assess whether such a strategy should be applied to all AS patients undergoing AVR.Material and methods: The study included 94 patients who underwent elective isolated AVR in cardiopulmonary bypass with cold cardioplegic arrest, with a mean age of 65.4 ±7.8 years. They were divided into two subgroup: A with an infusion of high (above median) and subgroup B with a low (below median) volume of cardioplegia indexed for left ventricular mass (LVM). Their doses were referred to the maximal postoperative release of cardiac troponin I (cTnI max). Eventually, it was examined whether the extent of intraoperative myocardial injury translated into long-term survival stratified according to the Kaplan-Meier method.Results: The mean volume of cardioplegia was 1381 ±279 ml (4.9 ±1.6 ml/g of LV myocardium). cTnI max was much higher in group A than in group B (medians: 14.918 vs. 9.876 μg/l; p = 0.005). Moreover, a negative correlation between the index cardioplegia volume and cTnI max (r = 0.345) was noted. The five-year probability of survival in subgroup A (95.7%) was significantly better than that in subgroup B individuals (82.6%, p = 0.044).Conclusions: Calculating cardioplegic doses during AVR solely based on body mass may be suboptimal and have a significant impact on postoperative outcomes.","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"20 3","pages":"155-160"},"PeriodicalIF":0.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10626402/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71488094","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

Modified pericostal suture technique to reduce postoperative pain and provide optimum anatomic restoration after conversion of minimally invasive thoracic surgery to thoracotomy. 改良颈外缝合技术，以减少微创胸腔手术转为开胸手术后的术后疼痛，并提供最佳的解剖修复。

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Kardiochirurgia I Torakochirurgia Polska Pub Date : 2023-09-01 Epub Date: 2023-10-30 DOI: 10.5114/kitp.2023.131940

Vasileios Leivaditis, Konstantinos Grapatsas, Benjamin Ehle, Manfred Dahm, Antonios Chatzimichalis, Emmanuil Margaritis, Nikolaos Baltayiannis, Nikolaos Charokopos, George Sakellaropoulos, Georgios-Ioannis Verras, Dimitrios Schizas, Admir Mulita, Ioannis Panagiotopoulos, Francesk Mulita, Efstratios Koletsis

{"title":"Modified pericostal suture technique to reduce postoperative pain and provide optimum anatomic restoration after conversion of minimally invasive thoracic surgery to thoracotomy.","authors":"Vasileios Leivaditis, Konstantinos Grapatsas, Benjamin Ehle, Manfred Dahm, Antonios Chatzimichalis, Emmanuil Margaritis, Nikolaos Baltayiannis, Nikolaos Charokopos, George Sakellaropoulos, Georgios-Ioannis Verras, Dimitrios Schizas, Admir Mulita, Ioannis Panagiotopoulos, Francesk Mulita, Efstratios Koletsis","doi":"10.5114/kitp.2023.131940","DOIUrl":"10.5114/kitp.2023.131940","url":null,"abstract":"Minimally invasive thoracic techniques often need to be converted to open thoracotomy. Thoracotomy is associated with severe postoperative pain in 50% of the patients, and this situation can be maintained for a prolonged period. Many efforts have been made to avoid this complication. We propose an easy and fast thoracotomy closure technique to avoid nerve entrapment at the time of chest closure suitable for cases of conversion to thoracotomy after a minimally invasive attempt. The proposed method effectively avoids interference with the intercostal nerve, which remains intact and restores the anatomy of the intercostal space. Efforts to decrease postoperative pain are vital. Thoracic surgeons are the principal health professionals able to deal with operative factors and postoperative pain management. We believe that the use of this easy and fast technique can facilitate excellent anatomic repositioning of the ribs alongside nerve sparing.","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"20 3","pages":"193-199"},"PeriodicalIF":0.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10626407/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71488097","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

Successful chest wall and diaphragmatic resection and reconstruction of a metachronous metastasis from carcinoma of the endocervix. 子宫颈癌异时转移的胸壁和膈肌切除重建成功。

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Kardiochirurgia I Torakochirurgia Polska Pub Date : 2023-09-01 Epub Date: 2023-10-30 DOI: 10.5114/kitp.2023.131946

Kassa Boukat Aymar, El Hammoumi Mohammed Massine, Jacky Ifounga, Kouatli Hamid, Benameur Yassir, Bhairis Mohammed, Amraoui Mouad, El Marjany Mohamed, Kabiri El Hassane

引用次数: 0

A randomized trial to compare the analgesic effect of pecto-intercostal fascial plane block with erector spinae plane block after mid-sternotomy incision for cardiac surgery. 比较胸骨中段切开术后胸肋间筋膜平面阻滞和竖脊肌平面阻滞用于心脏手术的镇痛效果的随机试验。

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Kardiochirurgia I Torakochirurgia Polska Pub Date : 2023-09-01 Epub Date: 2023-10-30 DOI: 10.5114/kitp.2023.132057

Manish Keshwani, Samarjit Dey, Prateek Arora, Subrata Kumar Singha

{"title":"A randomized trial to compare the analgesic effect of pecto-intercostal fascial plane block with erector spinae plane block after mid-sternotomy incision for cardiac surgery.","authors":"Manish Keshwani, Samarjit Dey, Prateek Arora, Subrata Kumar Singha","doi":"10.5114/kitp.2023.132057","DOIUrl":"10.5114/kitp.2023.132057","url":null,"abstract":"Introduction: Most cardiac surgeries are performed through a median sternotomy, of which 49% of these patients experience severe pain at rest postoperatively and up to 78% on coughing and deep breathing. Regional thoracic wall blocks targeting thoracic nerve roots improve the analgesia quality and limit opioid use. Truncal blocks through the posterior approach can often be cumbersome in patients with multiple lines and catheters. Pecto-Intercostal Fascial Plane Block (PIFB) can be a convenient alternative for achieving comparable analgesia.Material and methods: The patients were randomly assigned to receive either an ultrasound-guided Pecto-Intercostal Fascial Plane Block (PIFB) or Erector Spinae Plane Block (ESPB). The outcomes measured and compared postoperative pain scores at rest and on deep breathing at 2, 6, 12, 24 h, total opioid (fentanyl) consumption in the postoperative period, time to rescue analgesia and total rescue analgesic doses required, between the two groups.Results: Data from 30 patients were analysed. Post-operative pain scores at rest and during deep breathing were found to be comparable in both groups. The total opioid consumed, time to rescue analgesia and total doses of rescue analgesia was not found to be statistically different in the two groups.Conclusions: PIFB was found to be comparable to ESPB in alleviating post-operative pain in patients who underwent cardiac surgeries through sternotomy. And it/PIFB can be a quicker alternative to posterior truncal blocks since it can be safely given in a supine position with an ultrasound.","PeriodicalId":49945,"journal":{"name":"Kardiochirurgia I Torakochirurgia Polska","volume":"20 3","pages":"167-172"},"PeriodicalIF":0.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10626400/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71488091","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