Annals of Thoracic Medicine最新文献

{"title":"Case of uncontrolled asthma with <i>Ceriporia lacerata</i>-related broncholithiasis.","authors":"Chihiro Nakano,&nbsp;Norio Kodaka,&nbsp;Toshiaki Oharaseki,&nbsp;Hiroto Matsuse","doi":"10.4103/atm.atm_386_22","DOIUrl":"10.4103/atm.atm_386_22","url":null,"abstract":"<p><p>An 81-year-old Japanese male patient was treated for asthma. He complained of persistent cough and wheezing. Chest computed tomography scan revealed atelectasis in the right middle lobe. Fiberoptic bronchoscopy was performed. Results showed a calcified stone with filamentous fungi with septa in the right middle lobe bronchus, which was subsequently removed. <i>Ceriporia lacerata</i> was detected repeatedly on sputum culture. Thus, the filamentous fungi were suspected as <i>C. lacerata</i>. Broncholithiasis possibly caused mucous membrane damage owing to <i>C. lacerata</i> colonization, resulting in allergic airway inflammation. Herein, we report a rare case of <i>C. lacerata</i>-related broncholithiasis associated with asthma exacerbation.</p>","PeriodicalId":50760,"journal":{"name":"Annals of Thoracic Medicine","volume":"18 3","pages":"162-164"},"PeriodicalIF":2.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/67/48/ATM-18-162.PMC10473062.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10153711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nonuniform references style: A fundamental reason for citation error.","authors":"Sanjay Singhal,&nbsp;Abhilasha Motghare,&nbsp;Mrinalini Verma","doi":"10.4103/atm.atm_94_23","DOIUrl":"10.4103/atm.atm_94_23","url":null,"abstract":"Sir, A quality research publication requires years of meticulous planning, hard work, analysis, and human/ financial resources. Worldwide, research publication is an essential indicator of academic performance for evaluating researchers during their appointment and promotion. In India, National Medical Commission also mandates the number of publications in indexed journals as one of the criteria for the career progression of medical teachers besides the duration of service.","PeriodicalId":50760,"journal":{"name":"Annals of Thoracic Medicine","volume":"18 3","pages":"165-166"},"PeriodicalIF":2.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a3/6e/ATM-18-165.PMC10473057.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10208778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of pulmonary nodules in women with pregnant intention: A review with perspective.","authors":"Jiaqi Zhang,&nbsp;Kun Tang,&nbsp;Lei Liu,&nbsp;Chao Guo,&nbsp;Ke Zhao,&nbsp;Shanqing Li","doi":"10.4103/atm.atm_270_22","DOIUrl":"10.4103/atm.atm_270_22","url":null,"abstract":"<p><p>The process for the management of pulmonary nodules in women with pregnant intention remains a challenge. There was a certain proportion of targeted female patients with high-risk lung cancer, and anxiety for suspicious lung cancer in early stage also exists. A comprehensive review of hereditary of lung cancer, effects of sexual hormone on lung cancer, natural history of pulmonary nodules, and <i>computed tomography</i> imaging with radiation exposure based on PubMed search was completed. The heredity of lung cancer and effects of sexual hormone on lung cancer are not the decisive factors, and the natural history of pulmonary nodules and the radiation exposure of imaging should be the main concerns. The management of incidental pulmonary nodules in young women with pregnant intention is an intricate and indecisive problem we have to encounter. The balance between the natural history of pulmonary nodules and the radiation exposure of imaging should be weighed.</p>","PeriodicalId":50760,"journal":{"name":"Annals of Thoracic Medicine","volume":"18 2","pages":"61-69"},"PeriodicalIF":2.3,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6f/31/ATM-18-61.PMC10263075.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9646603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prospective analysis of the physiological changes caused by prolonged use of N95-type masks.","authors":"Melis E Demirag,&nbsp;Mustafa Akyil,&nbsp;Merve Karasal,&nbsp;Serkan Bayram,&nbsp;Serda Kanbur Metin,&nbsp;Fatma A Tokgoz,&nbsp;Volkan Baysungur,&nbsp;Serdar Evman","doi":"10.4103/atm.atm_429_22","DOIUrl":"10.4103/atm.atm_429_22","url":null,"abstract":"<p><strong>Introduction: </strong>The clinical and physiological effects of long-duration use of N95-type masks without ventilation valves, on health-care workers during the coronavirus disease-2019 (COVID-19) pandemic, were evaluated.</p><p><strong>Methods: </strong>All volunteering personnel working in operating theater or intensive care unit, using nonventilated N95 type respiratory masks, minimum for a 2-h noninterrupted duration were observed. The partial oxygen saturation (SpO₂) and heart rate (HR) were recorded before wearing the N95 mask and at 1^st and 2^nd h. Volunteers were then questioned for any symptoms.</p><p><strong>Results: </strong>A total of 210 measurements were completed in 42 (24 males and 18 females) eligible volunteers, each having 5 measurements, on different days. The median age was 32.7. Premask, 1^st h, and 2^nd h median values for SpO₂ were 99%, 97%, and 96%, respectively (<i>P</i> < 0.001). The median HR was 75 premask, 79 at 1^st h, and 84/min at 2^nd h (<i>P</i> < 0.001). A significant difference between all three consecutive measurements of HR was achieved. Statistical difference was only reached between premask and other SpO₂ measurements (1^st and 2^nd h). Complaints seen in the group were head ache (36%), shortness of breath (27%), palpitation (18%), and nausea feeling (2%). Two individuals took off their masks to breathe, on 87^th and 105^th min, respectively.</p><p><strong>Conclusions: </strong>Long duration (>1 h) use of N95-type masks causes a significant reduction in SpO₂ measurements and increase in HR. Despite being an essential personal protective equipment in COVID-19 pandemic, it should be used with short intermittent time periods in health-care providers with known heart disease, pulmonary insufficiency, or psychiatric disorders.</p>","PeriodicalId":50760,"journal":{"name":"Annals of Thoracic Medicine","volume":"18 2","pages":"86-89"},"PeriodicalIF":2.3,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f2/c4/ATM-18-86.PMC10263074.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9652851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk factors predicting disease severity and mortality in coronavirus disease 2019 Saudi Arabian patients.","authors":"Wala M Al Balwi,&nbsp;Nouf AlGhamdi,&nbsp;Reem Alshahrani,&nbsp;Ihssan H Abdelrahman,&nbsp;Sami Mahmoud,&nbsp;Ali Al-Hamad,&nbsp;Salma Al Hamzah,&nbsp;Fahad Al Jraid,&nbsp;Maha Al Turki,&nbsp;Mohammed A Al Balwi","doi":"10.4103/atm.atm_435_22","DOIUrl":"10.4103/atm.atm_435_22","url":null,"abstract":"<p><strong>Context: </strong>Coronavirus disease 2019 (COVID-19) became a global pandemic that may be associated with significant associated risk factors.</p><p><strong>Aims: </strong>The aim of this study was to evaluate the factors predisposing risk to death in COVID-19 patients.</p><p><strong>Settings and design: </strong>This is a retrospective study that presents the demographic, clinical presentation, and laboratory findings on our patients to determine risk factors contributing to their COVID-19 outcome.</p><p><strong>Methods: </strong>We used logistic regression (odds ratios) to examine associations between clinical findings and risk of death in COVID-19 patients. All analyses were done using STATA 15.</p><p><strong>Results: </strong>A total of 206 COVID-19 patients were investigated, 28 of them died, and 178 survived. Expired patients were older (74.04 ± 14.45 vs. 55.56 ± 18.41 in those who survived) and mainly of male gender (75% vs. 42% in those who survived). The following factors were strong predictors of death: hypertension (OR: 5.48, 95% CI: 2.10-13.59, <i>P</i> < 0.001), cardiac disease (OR: 5.08, 95% CI: 1.88-13.74, <i>P</i> = 0.001), and hospital admission (OR: 39.75, 95% CI: 5.28-299.12, <i>P</i> < 0.001). In addition, blood group B was more frequent in expired patients (OR: 2.27, 95% CI: 0.78-5.95, <i>P</i> = 0.065).</p><p><strong>Conclusions: </strong>Our work adds to the current knowledge about the factors predisposing to death in COVID-19 patient. In our cohort, expired patients were of older age and male gender plus they were more likely to have hypertension, cardiac disease, and hospital severe disease. These factors might be used to evaluate risk of death in patients recently diagnosed of COVID-19.</p>","PeriodicalId":50760,"journal":{"name":"Annals of Thoracic Medicine","volume":"18 2","pages":"98-102"},"PeriodicalIF":2.3,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7d/6d/ATM-18-98.PMC10263073.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9646602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A survival analysis of idiopathic pulmonary fibrosis in the context of antifibrotic therapy in Saudi Arabia.","authors":"Mohammed Ayaz Khan,&nbsp;Basma Al Ghamdi,&nbsp;Mohammed Alhamadi,&nbsp;Rajkumar Rajendram,&nbsp;Sami Alyami,&nbsp;Majed Al-Gamedi,&nbsp;Abdullah Al-Harbi,&nbsp;Hamdan Al-Jahdali","doi":"10.4103/atm.atm_264_22","DOIUrl":"10.4103/atm.atm_264_22","url":null,"abstract":"<p><strong>Background: </strong>The prognosis of idiopathic pulmonary fibrosis (IPF) can be predicted by the gender, age, and physiology (GAP) index. However, antifibrotic therapy (i.e., nintedanib and pirfenidone) may improve survival.</p><p><strong>Aims: </strong>This study aimed to compare the outcomes of antifibrotic-treated IPF with the survival predicted by the GAP index.</p><p><strong>Methods: </strong>A retrospective cohort study was conducted from March 2014 to January 2020. The electronic health-care records of all IPF patients treated with nintedanib or pirfenidone were reviewed. Besides standard demographic and mortality data, the variables required to calculate the GAP index were also extracted.</p><p><strong>Results: </strong>Eighty-one patients (male 55, 68%; age 71.4 ± 10.2 years) with IPF received antifibrotic therapy (nintedanib 44.4%; pirfenidone 55.6%; mean follow-up 35 ± 16.5 months). Cumulative mortality (whole cohort 3 years 12%; 4 years 26%; 5 years 33%) was significantly less than predicted by the GAP index.</p><p><strong>Conclusions: </strong>The survival of antifibrotic-treated IPF is better than predicted by the GAP index. Novel systems for prognostication are required. The survival benefit from pirfenidone and nintedanib seem similar overall.</p>","PeriodicalId":50760,"journal":{"name":"Annals of Thoracic Medicine","volume":"18 2","pages":"79-85"},"PeriodicalIF":2.3,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2b/d4/ATM-18-79.PMC10263079.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9646604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of the COVID-19 pandemic on hospital admissions and outpatient visits in Ontario, Canada.","authors":"Steven Habbous,&nbsp;Anna Lambrinos,&nbsp;Stephen Petersen,&nbsp;Erik Hellsten","doi":"10.4103/atm.atm_376_22","DOIUrl":"10.4103/atm.atm_376_22","url":null,"abstract":"<p><strong>Introduction: </strong>The wave-over-wave effect of the COVID-19 pandemic on hospital visits for non-COVID-19-related diagnoses in Ontario, Canada remains unknown.</p><p><strong>Methods: </strong>We compared the rates of acute care hospitalizations (Discharge Abstract Database), emergency department (ED) visits, and day surgery visits (National Ambulatory Care Reporting System) during the first five \"waves\" of Ontario's COVID-19 pandemic with prepandemic rates (since January 1, 2017) across a spectrum of diagnostic classifications.</p><p><strong>Results: </strong>Patients admitted in the COVID-19 era were less likely to reside in long-term-care facilities (OR 0.68 [0.67-0.69]), more likely to reside in supportive housing (OR 1.66 [1.63-1.68]), arrive by ambulance (OR 1.20 [1.20-1.21]) or be admitted urgently (OR 1.10 [1.09-1.11]). Since the start of the COVID-19 pandemic (February 26, 2020), there were an estimated 124,987 fewer emergency admissions than expected based on prepandemic seasonal trends, representing reductions from baseline of 14% during Wave 1, 10.1% in Wave 2, 4.6% in Wave 3, 2.4% in Wave 4, and 10% in Wave 5. There were 27,616 fewer medical admissions to acute care, 82,193 fewer surgical admissions, 2,018,816 fewer ED visits, and 667,919 fewer day-surgery visits than expected. Volumes declined below expected rates for most diagnosis groups, with emergency admissions and ED visits associated with respiratory disorders exhibiting the greatest reduction; mental health and addictions was a notable exception, where admissions to acute care following Wave 2 increased above prepandemic levels.</p><p><strong>Conclusions: </strong>Hospital visits across all diagnostic categories and visit types were reduced at the onset of the COVID-19 pandemic in Ontario, followed by varying degrees of recovery.</p>","PeriodicalId":50760,"journal":{"name":"Annals of Thoracic Medicine","volume":"18 2","pages":"70-78"},"PeriodicalIF":2.3,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/df/c9/ATM-18-70.PMC10263076.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9652852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The prevalence of rapid eye movement-related obstructive sleep apnea in a sample of Saudi population.","authors":"Sultan Qanash,&nbsp;Hani Mufti,&nbsp;Faris Alhejaili,&nbsp;Faisal Al-Husayni,&nbsp;Ghufran Bukhari,&nbsp;Shatha Bazhair,&nbsp;Ghadi Alansari,&nbsp;Alaa Aldeibani,&nbsp;Dimah Balkhi,&nbsp;Yara Alhjrsy,&nbsp;Shahad Albadani,&nbsp;Malak Alamoudi,&nbsp;Siraj Wali","doi":"10.4103/atm.atm_388_22","DOIUrl":"10.4103/atm.atm_388_22","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to estimate the prevalence of rapid eye movement-related obstructive sleep apnea (REMrOSA) using common definitions.</p><p><strong>Methods: </strong>This was a retrospective cohort study that used three sets of criteria to identify patients with REMrOSA. These criteria were defined as strict, intermediate, and lenient depending on the apnea-hypopnea index (AHI), AHI during REM sleep/(AHI during non-REM sleep [NREM-AHI]), NREM-AHI and REM duration.</p><p><strong>Results: </strong>The study included 609 patients with OSA and full sleep study. The prevalence of REMrOSA was 26%, 33%, and 52% using the strict, intermediate, and lenient criteria, respectively. There were no differences in the patients' general and demographic characteristics between the different groups of the three definitions. REMrOSA patients were more likely to be younger females than non-REMrOSA (NREMrOSA) patients. Comorbidities were more frequent in the REMrOSA group compared to NREMrOSA when using strict and intermediate definitions. In contrast, AHI, mean O2 saturation, and time spent <90% O2 saturation were significantly worse during NREMrOSA compared to REMrOSA, regardless of the criteria used. Our study reported higher AHI, lower mean oxygen saturation, lower minimum oxygen saturation, and longer time of desaturation during REMrOSA when lenient definition was used compared to when strict and intermediate definitions were used.</p><p><strong>Conclusions: </strong>REMrOSA is a common condition with a prevalence ranging between 26% and 52% depending on what definition is applied. Although OSA tends to be more severe with lenient definition, however, the clinical and polysomnographic features were similar among REMrOSA groups regardless of the definition used.</p>","PeriodicalId":50760,"journal":{"name":"Annals of Thoracic Medicine","volume":"18 2","pages":"90-97"},"PeriodicalIF":2.3,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/97/35/ATM-18-90.PMC10263078.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9652850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characteristics of pleural effusion due to amyloidosis.","authors":"Cristina Pou, Lucía Ferreiro, Juan Suárez-Antelo, Antonio Golpe, José M Álvarez-Dobaño, María Elena Toubes, Adriana Lama, Nuria Rodríguez-Núñez, Jorge Ricoy, Carlos Rábade, Tamara Lourido, Luis Valdés","doi":"10.4103/atm.atm_433_22","DOIUrl":"10.4103/atm.atm_433_22","url":null,"abstract":"<p><p>The characteristics of patients with pleural amyloidosis (PA) are poorly known. A systematic review was performed of studies reporting clinical findings, pleural fluid (PF) characteristics, and the most effective treatment of PA. Case descriptions and retrospective studies were included. The review included 95 studies with a total sample of 196 patients. The mean age was 63 years, male/female ratio was 1.6:1, and 91.9% of patients were >50 years. The most common symptom was dyspnea (88 patients). PF was generally serious (63%), predominantly lymphocytic, and with the biochemical characteristics of transudates (43.4%) or exudates (42.6%). Pleural effusion was generally bilateral (55%) and <1/3 of the hemithorax (50%), although in 21% pleural effusion (PE) exceeded 2/3. Pleural biopsy was performed in 67 patients (yield: 83.6%; 56/67) and was positive in 54% of exudates and 62.5% of unilateral effusions. Of the 251 treatments prescribed, only 31 were effective (12.4%). The combination of chemotherapy and corticosteroids was effective in 29.6% of cases, whereas talc pleurodesis was effective in 21.4% and indwelling pleural catheter in 75% of patients (only four patients). PA is more frequent in adults from 50 years of age. PF is usually bilateral, serous, and indistinctly a transudate or exudate. A pleural biopsy can aid in diagnosis if effusion is unilateral or an exudate. Treatments are rarely effective and there may be definitive therapeutic options for PE in these patients.</p>","PeriodicalId":50760,"journal":{"name":"Annals of Thoracic Medicine","volume":"18 2","pages":"53-60"},"PeriodicalIF":2.1,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/91/97/ATM-18-53.PMC10263077.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10028760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application of single-port laparoscopic retrograde gastric mobilization during McKeown esophagectomy for esophageal cancer.","authors":"Bo Liu,&nbsp;Xu Li,&nbsp;Min-Jie Yu,&nbsp;Jin-Bao Xie,&nbsp;Guo-Liang Liao,&nbsp;Ming-Lian Qiu","doi":"10.4103/atm.atm_205_22","DOIUrl":"10.4103/atm.atm_205_22","url":null,"abstract":"<p><strong>Background: </strong>As a novel alternative to the conventional minimally invasive esophagectomy (MIE) to treat esophageal cancer, single-port laparoscopic retrograde three-step gastric mobilization (SLRM) for esophageal reconstruction during MIE to treat esophageal cancer was attempted in our department. The aim of the present study was to explore the preliminary clinical outcomes and feasibility of this innovative surgery.</p><p><strong>Methods: </strong>From March 2020 to November 2021, patients undergoing SLRM combined with four-port thoracoscopic McKeown esophagectomy for their esophageal cancers were reviewed. Gastric mobilization with abdominal lymph node dissection was performed through SLRM. The clinical characteristics and short-term outcomes were analyzed retrospectively.</p><p><strong>Results: </strong>A total of 120 patients underwent R0 resection without conversion to open surgery. The mean times needed for the thoracic part, abdominal part, and total operation were 43 ± 6 min, 60 ± 18 min, and 230 ± 20 min, respectively. The numbers of mediastinal and abdominal lymph nodes harvested were 13.2 ± 2.7 and 10.2 ± 2.5, respectively. Postoperative pneumonia was encountered in 10 (8.3%) patients. Anastomotic leakage occurred in 3 (2.5%) cases. Temporary vocal cord paralysis was reported in 20 (16.6%) cases. The mean length of hospital stay was 8.5 ± 4.6 days.</p><p><strong>Conclusions: </strong>The SLRM is a technically feasible and safe treatment for patients with esophageal cancer. It can be considered an alternative method for patients, especially for the ones with obesity and gastric distension.</p>","PeriodicalId":50760,"journal":{"name":"Annals of Thoracic Medicine","volume":"18 1","pages":"39-44"},"PeriodicalIF":2.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/67/ed/ATM-18-39.PMC10034825.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9191290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}