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Annals of Thoracic Surgery最新文献

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Comparison of Short- and Long-term Outcomes in Patients Undergoing Sleeve Lobectomy With or Without Buttressing the Bronchial Anastomosis. 采用或不采用支气管吻合术进行袖状肺叶切除术患者的短期和长期预后比较。
IF 3.6 2区 医学
Annals of Thoracic Surgery Pub Date : 2025-03-19 DOI: 10.1016/j.athoracsur.2025.02.021
Jialiang Wen, Tao Chen, Yingze Li, Yichen Dong, Yifan Zhong, Yunlang She, Junqi Wu, Jiajun Deng, Long Xu, Qiankun Chen, Lei Jiang, Dong Xie, Xuefei Hu, Chang Chen, Deping Zhao
{"title":"Comparison of Short- and Long-term Outcomes in Patients Undergoing Sleeve Lobectomy With or Without Buttressing the Bronchial Anastomosis.","authors":"Jialiang Wen, Tao Chen, Yingze Li, Yichen Dong, Yifan Zhong, Yunlang She, Junqi Wu, Jiajun Deng, Long Xu, Qiankun Chen, Lei Jiang, Dong Xie, Xuefei Hu, Chang Chen, Deping Zhao","doi":"10.1016/j.athoracsur.2025.02.021","DOIUrl":"10.1016/j.athoracsur.2025.02.021","url":null,"abstract":"<p><strong>Background: </strong>This study evaluated whether buttressing the bronchial anastomosis with an autogenous pedicled flap has short- and long-term advantages for patients undergoing sleeve lobectomy.</p><p><strong>Methods: </strong>Consecutive patients who underwent bronchial sleeve lobectomy for centrally located non-small cell lung cancer were retrospectively identified. Perioperative outcomes, recurrence-free survival, and overall survival were compared between those who received anastomosis coverage and those who did not before and after stable inverse probability of treatment weighting (IPTW).</p><p><strong>Results: </strong>The study included 682 patients. Among them, 211 patients (30.9%) received anastomosis coverage (143 pleura, 39 intercostal muscle, and 29 pericardial or vein flap), and the other 471 (69.1%) did not. Perioperative outcomes were comparable except for more operative time (P = .028) in patients with anastomosis coverage after IPTW. Multivariable logistic regression analysis revealed that buttressing the anastomosis did not lead to fewer postoperative complications (odds ratio, 0.95; 95% CI, 0.60-1.52; P = .842). No significant difference was observed in long-term survival between the 2 groups before and after IPTW. Multivariable Cox regression analysis demonstrated that wrapping the anastomosis was not associated with favorable long-term recurrence-free survival (hazard ratio, 1.04; 95% CI, 0.81-1.35, P = .737) or overall survival (hazard ratio, 0.97; 95% CI, 0.72-1.30; P = .819) for patients undergoing sleeve lobectomy in the IPTW-adjusted cohort.</p><p><strong>Conclusions: </strong>Our results indicated that buttressing the bronchial anastomosis does not reduce the incidence of postoperative complications or confer survival benefits to patients undergoing sleeve lobectomy.</p>","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143674796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Our problem with the evidence regarding multiple arterial grafting in coronary bypass surgery. 我们对冠状动脉搭桥手术中多动脉移植证据的问题。
IF 3.6 2区 医学
Annals of Thoracic Surgery Pub Date : 2025-03-19 DOI: 10.1016/j.athoracsur.2025.02.024
Laurens Willem Wollersheim, David Stecher, Aanke Bijleveld
{"title":"Our problem with the evidence regarding multiple arterial grafting in coronary bypass surgery.","authors":"Laurens Willem Wollersheim, David Stecher, Aanke Bijleveld","doi":"10.1016/j.athoracsur.2025.02.024","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2025.02.024","url":null,"abstract":"","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143674809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Survival Following Concomitant Surgical Ablation During Mitral Surgery: Parsing the Signal from the Noise. 二尖瓣手术消融后的生存：从噪声中分析信号。
IF 3.6 2区 医学
Annals of Thoracic Surgery Pub Date : 2025-03-18 DOI: 10.1016/j.athoracsur.2025.02.020
Aminah Sallam, Derrick Y Tam
{"title":"Survival Following Concomitant Surgical Ablation During Mitral Surgery: Parsing the Signal from the Noise.","authors":"Aminah Sallam, Derrick Y Tam","doi":"10.1016/j.athoracsur.2025.02.020","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2025.02.020","url":null,"abstract":"","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
A Call for Caution on Routine Left Atrial Appendage Closure in Patients Without Atrial Fibrillation. 无房颤患者左心耳常规关闭的警示。
IF 3.6 2区 医学
Annals of Thoracic Surgery Pub Date : 2025-03-17 DOI: 10.1016/j.athoracsur.2025.03.002
Jeffrey Shuhaiber
{"title":"A Call for Caution on Routine Left Atrial Appendage Closure in Patients Without Atrial Fibrillation.","authors":"Jeffrey Shuhaiber","doi":"10.1016/j.athoracsur.2025.03.002","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2025.03.002","url":null,"abstract":"","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Indications and Practical Considerations for Partial Heart Transplantation. 部分心脏移植的适应证和实际考虑。
IF 3.6 2区 医学
Annals of Thoracic Surgery Pub Date : 2025-03-17 DOI: 10.1016/j.athoracsur.2025.01.037
Taufiek Konrad Rajab, David M Kalfa, Carlos Mery, Sitaram M Emani, Brian L Reemtsen
{"title":"Indications and Practical Considerations for Partial Heart Transplantation.","authors":"Taufiek Konrad Rajab, David M Kalfa, Carlos Mery, Sitaram M Emani, Brian L Reemtsen","doi":"10.1016/j.athoracsur.2025.01.037","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2025.01.037","url":null,"abstract":"<p><p>Partial heart transplantation is a new approach to deliver growing heart valve substitutes. The rationale for partial heart transplantation is that the valves contained in heart transplants grow. Partial heart transplants differ from heart transplants because only the part of the heart containing the necessary valve is transplanted, while the native ventricles are preserved. Preserving the native ventricles eliminates the risk of graft ventricular dysfunction and allows for utilization of donor hearts with ventricular dysfunction. Here we outline practical considerations for partial heart transplantation, including indications, institutional oversight, sources for donor hearts, graft procurement, graft preservation, implantation, recipient immunosuppression, and reimbursement. This invited expert review is intended to help clinical teams implement partial heart transplantation.</p>","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Mentoring in Medicine in the 21st Century. 21世纪的医学指导。
IF 3.6 2区 医学
Annals of Thoracic Surgery Pub Date : 2025-03-14 DOI: 10.1016/j.athoracsur.2025.02.019
John R Benfield
{"title":"Mentoring in Medicine in the 21st Century.","authors":"John R Benfield","doi":"10.1016/j.athoracsur.2025.02.019","DOIUrl":"10.1016/j.athoracsur.2025.02.019","url":null,"abstract":"","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143639698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
A Roadmap to a Psychologically Safe and Diverse Workforce in Cardiothoracic Surgery 心胸外科心理安全和多样化工作队伍的路线图。
IF 3.6 2区 医学
Annals of Thoracic Surgery Pub Date : 2025-03-13 DOI: 10.1016/j.athoracsur.2025.03.001
Cecilia Pompili MD, PhD
{"title":"A Roadmap to a Psychologically Safe and Diverse Workforce in Cardiothoracic Surgery","authors":"Cecilia Pompili MD, PhD","doi":"10.1016/j.athoracsur.2025.03.001","DOIUrl":"10.1016/j.athoracsur.2025.03.001","url":null,"abstract":"","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":"119 5","pages":"Pages 1124-1125"},"PeriodicalIF":3.6,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Valve Surgery for Endocarditis Complicated by Preoperative Stroke: Does Early Surgery Increase Risk for Further Neurologic Complications? 心内膜炎合并术前卒中的瓣膜手术：早期手术会增加进一步神经并发症的风险吗？
IF 3.6 2区 医学
Annals of Thoracic Surgery Pub Date : 2025-03-11 DOI: 10.1016/j.athoracsur.2025.02.014
Bennett Collis, Sami El-Dalati, Takaaki Kobayashi, Masashi Kawabori
{"title":"Valve Surgery for Endocarditis Complicated by Preoperative Stroke: Does Early Surgery Increase Risk for Further Neurologic Complications?","authors":"Bennett Collis, Sami El-Dalati, Takaaki Kobayashi, Masashi Kawabori","doi":"10.1016/j.athoracsur.2025.02.014","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2025.02.014","url":null,"abstract":"","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Different Surgical Approaches for Acute Type I Aortic Dissections. 急性I型主动脉夹层的不同手术入路。
IF 3.6 2区 医学
Annals of Thoracic Surgery Pub Date : 2025-03-11 DOI: 10.1016/j.athoracsur.2025.02.015
Ayhan Muduroglu, Serdar Badem
{"title":"Different Surgical Approaches for Acute Type I Aortic Dissections.","authors":"Ayhan Muduroglu, Serdar Badem","doi":"10.1016/j.athoracsur.2025.02.015","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2025.02.015","url":null,"abstract":"","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Insights into Pathophysiology of Sequential Coronary Artery Grafting. 冠状动脉序贯移植术的病理生理学研究。
IF 3.6 2区 医学
Annals of Thoracic Surgery Pub Date : 2025-03-11 DOI: 10.1016/j.athoracsur.2025.02.016
Antonio Manenti, Gianluca Pagnoni, Giovanni Coppi, Francesca Coppi
{"title":"Insights into Pathophysiology of Sequential Coronary Artery Grafting.","authors":"Antonio Manenti, Gianluca Pagnoni, Giovanni Coppi, Francesca Coppi","doi":"10.1016/j.athoracsur.2025.02.016","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2025.02.016","url":null,"abstract":"","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
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