JTCVS Techniques最新文献

{"title":"Superior approach for pulmonary venous restenosis postcardiac-type total anomalous pulmonary venous connection repair in a 6-month-old infant","authors":"Kai Luo PhD, Yanjun Pan PhD, Xiaomin He PhD, Xinrong Liu PhD, Jinghao Zheng PhD, Zhongqun Zhu PhD, Huiwen Chen PhD","doi":"10.1016/j.xjtc.2026.102412","DOIUrl":"10.1016/j.xjtc.2026.102412","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"38 ","pages":"Article 102412"},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148634727","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}

{"title":"Tubeless uniportal subxiphoid thoracoscopic thymectomy via percutaneous suspension technique for anterior mediastinal masses","authors":"Jun-Jie Wang MD,&nbsp;Jian-Ming Yue MD, PhD,&nbsp;Hao-Ji Yan MD, PhD,&nbsp;Jun-Min Zhu MD,&nbsp;Kai-Yuan Jiang MD, PhD,&nbsp;Cheng Chen MD, PhD,&nbsp;Yong-Xiang Song MD, PhD,&nbsp;Yong Xiao MD, PhD,&nbsp;Hai-Ning Zhou MD, PhD,&nbsp;Dong Tian MD, PhD","doi":"10.1016/j.xjtc.2026.102420","DOIUrl":"10.1016/j.xjtc.2026.102420","url":null,"abstract":"<div><h3>Objective</h3><div>We previously developed the percutaneous suspension technique to improve the anterior mediastinal exposure in minimally invasive thymectomy. In this study, we aimed to integrate this technique with tubeless video-assisted thoracoscopic surgery (VATS) for uniportal subxiphoid thoracoscopic thymectomy and to evaluate perioperative outcomes of this combined approach.</div></div><div><h3>Methods</h3><div>This retrospective, multicenter study included patients with anterior mediastinal masses who underwent uniportal subxiphoid thoracoscopic thymectomy using the percutaneous suspension technique combined with tubeless VATS at 4 centers between March and September 2025. Comprehensive early outcome data, including intraoperative and postoperative variables, were collected and analyzed.</div></div><div><h3>Results</h3><div>In total, 15 patients were included, with a median age of 53 years (range, 25-75 years). Median operative and anesthesia times were 83 minutes (range, 35-192 minutes) and 140 minutes (range, 108-264 minutes), respectively. The median pain score was 2 (range, 1-3) on postoperative day 1 and was 0 in all patients on postoperative day 7. The median postoperative length of stay was 2 days (range, 1-4 days). No conversions and no major intraoperative or postoperative complications occurred. 5 patients (33.3%) developed mild pneumothorax and 3 (20.0%) developed mild atelectasis, all managed conservatively without chest drain insertion. No patient required reinsertion of a chest drain or urinary catheter during hospitalization or after discharge.</div></div><div><h3>Conclusions</h3><div>Tubeless uniportal subxiphoid thoracoscopic thymectomy with the percutaneous suspension technique is safe and feasible for anterior mediastinal masses, although tubeless VATS potentially associated with a slightly higher incidence of minor complications.</div></div>","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"38 ","pages":"Article 102420"},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647231","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}

{"title":"Radical en bloc resection of thoracic outlet sarcoma with fibula free flap and neurovascular reconstruction","authors":"Alexander Pohlman MD,&nbsp;Jericho Hallare MD,&nbsp;Manuel Rojo MD,&nbsp;Samir Undevia MD,&nbsp;Vikram C. Prabhu MD,&nbsp;Darl K. Vandevender MD,&nbsp;Zaid M. Abdelsattar MD, MS, FACS","doi":"10.1016/j.xjtc.2026.102484","DOIUrl":"10.1016/j.xjtc.2026.102484","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"38 ","pages":"Article 102484"},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647235","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}

{"title":"Severe cutaneous response from nickel allergy requiring coronary stent explant with interposition graft—A case report","authors":"Justin James Shaw MD,&nbsp;Martin Misfeld MD, PhD","doi":"10.1016/j.xjtc.2026.102392","DOIUrl":"10.1016/j.xjtc.2026.102392","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"38 ","pages":"Article 102392"},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647351","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}

{"title":"Hybrid endoscopic and robotic-assisted resection of a midesophageal schwannoma","authors":"Colin Rousset MD,&nbsp;Tomer Lagziel MD,&nbsp;Roshan Kollipara MBBS,&nbsp;Shahriyour Andaz MD,&nbsp;Stavros N. Stavropoulas MD,&nbsp;Joshua Melamed MD","doi":"10.1016/j.xjtc.2026.102418","DOIUrl":"10.1016/j.xjtc.2026.102418","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"38 ","pages":"Article 102418"},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647355","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}

{"title":"Application of an innovative aortic occlusion band technique in minimally invasive cardiac surgery for congenital heart disease","authors":"Heqi Zhang MM,&nbsp;Qiqi Shi MD,&nbsp;Hua Cao MM,&nbsp;Haoju Dong MD,&nbsp;Taibing Fan MD,&nbsp;Weijie Liang MD","doi":"10.1016/j.xjtc.2026.102408","DOIUrl":"10.1016/j.xjtc.2026.102408","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the safety and effectiveness of an innovative aortic occlusion band technique in minimally invasive surgery for congenital heart disease.</div></div><div><h3>Methods</h3><div>This retrospective, single-center cohort study included 1963 pediatric patients with ventricular septal defect who underwent right vertical infra-axillary thoracotomy between January 2018 and December 2024. Of these, 1097 were treated using the innovative occlusion band technique (IOB group), whereas 866 underwent conventional aortic crossclamping (CC group). All procedures were performed by a single surgeon. Adequacy of aortic occlusion in the IOB group was assessed under low-flow conditions according to circumferential band-tightening morphology and the adequacy of antegrade cardioplegia-induced cardiac arrest, rather than by any single pressure value alone.</div></div><div><h3>Results</h3><div>Among the 1963 eligible patients, 1097 (55.88%) were assigned to the IOB group and 866 (45.12%) to the CC group. No intraoperative conversion to median sternotomy occurred in either group. No patient in the IOB group required conversion to conventional aortic crossclamping, and no postoperative aortic complications, including aortic dissection or bleeding, were observed. Operative time, cardiopulmonary bypass time, and aortic crossclamp time were significantly shorter in the IOB group than in the CC group (all <em>P</em> &lt; .001). In addition, incision length was significantly shorter in the IOB group than in the CC group (2.2 [2.0, 2.5] cm vs 2.7 [2.3, 3.5] cm, <em>P</em> &lt; .001). No significant between-group differences were observed in postoperative length of hospital stay, duration of mechanical ventilation, or intensive care unit stay.</div></div><div><h3>Conclusions</h3><div>Application of the innovative occlusion band technique improves mobilization of the aortic root and may enhance effective use of the limited working field, thereby facilitating surgical manipulation. Importantly, this technique was also associated with a significantly shorter incision length compared with the conventional crossclamp technique, further supporting its minimally invasive advantage. These benefits were achieved without an increased risk of incomplete aortic occlusion, hematoma, or aortic dissection. Overall, the IOB technique represents a safe and effective adjunct for minimally invasive congenital cardiac surgery.</div></div>","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"38 ","pages":"Article 102408"},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647356","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}

{"title":"Heart-lung transplantation using temperature- and airway pressure-controlled donor organ preservation system","authors":"Matthew M. Duda MD,&nbsp;Stefan Elde MD,&nbsp;Glenn J. Pelletier MD, MBA,&nbsp;Marc Leon MD, PhD,&nbsp;Katherine G. Verdi MD,&nbsp;Chawannuch Ruaengsri MD,&nbsp;Y. Joseph Woo MD,&nbsp;Yasuhiro Shudo MD, PhD","doi":"10.1016/j.xjtc.2026.102404","DOIUrl":"10.1016/j.xjtc.2026.102404","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"38 ","pages":"Article 102404"},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647221","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}

{"title":"Standardized femoral artery cannulation and ischemia-prevention protocol for minimally invasive cardiac surgery","authors":"Shota Inoue MD,&nbsp;Kohei Nagashima PhD,&nbsp;Mitsuru Yokoyama MD,&nbsp;Nariaki Nagaoka MD,&nbsp;Hiroshi Nakanaga MD,&nbsp;Chikara Ueki MD, PhD, MPH,&nbsp;Atsuhiko Sato MD, PhD,&nbsp;Shigefumi Matsuyama MD,&nbsp;Minoru Tabata MD, PhD, MPH","doi":"10.1016/j.xjtc.2026.102485","DOIUrl":"10.1016/j.xjtc.2026.102485","url":null,"abstract":"<div><h3>Objectives</h3><div>In minimally invasive cardiac surgery, femoral artery cannulation is widely used; however, it may cause lower-limb ischemia. We developed a standardized patient-selection strategy, a femoral artery–cannulation technique, and a structured ischemia-prevention protocol and evaluated their reproducibility and clinical effectiveness in preventing limb ischemia.</div></div><div><h3>Methods</h3><div>We retrospectively analyzed 505 patients who underwent totally endoscopic minimally invasive cardiac surgery with femoral artery cannulation between June 2019 and July 2024. The arterial cannula was inserted with the proximal side hole directed dorsally and secured at a shallow depth to facilitate distal perfusion. Regional oxygen saturation of both lower limbs was continuously monitored. A &gt;50% decrease in regional oxygen saturation triggered a stepwise protocol: increased cardiopulmonary bypass flow, topical papaverine hydrochloride solution, and, if unresolved, distal perfusion via a 6-Fr sheath. The incidences of clinical limb ischemia (need for distal perfusion or compartment syndrome) and a &gt;50% decrease in regional oxygen saturation were evaluated, and risk factors for regional oxygen saturation decrease were identified.</div></div><div><h3>Results</h3><div>No patients required distal perfusion or developed postoperative compartment syndrome. A &gt;50% decrease in regional oxygen saturation occurred in 28 patients (5.5%), all of whom recovered without distal perfusion. Multivariate analysis identified smaller femoral artery diameter and low ejection fraction as independent risk factors for regional oxygen saturation decrease.</div></div><div><h3>Conclusions</h3><div>A standardized patient-selection strategy combined with a femoral artery–cannulation technique and a structured ischemia-prevention protocol effectively prevented clinically significant limb ischemia without the need for distal perfusion in this cohort.</div></div>","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"38 ","pages":"Article 102485"},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647349","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}

{"title":"Resection versus cordal implantation for degenerative mitral regurgitation: Devil in the details","authors":"Christopher Rumer MD,&nbsp;James S. Gammie MD,&nbsp;Rachael Quinn PhD","doi":"10.1016/j.xjtc.2026.102331","DOIUrl":"10.1016/j.xjtc.2026.102331","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"38 ","pages":"Article 102331"},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647246","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}

{"title":"Single-operator endoscopic lesser saphenous vein harvest using retractor-assisted leg suspension","authors":"Mahmoud Alshneikat MD,&nbsp;Ryan Carter RN, BSN,&nbsp;Rami Alaraj MD,&nbsp;Ahmed K. Awad MD,&nbsp;Marijan J. Koprivanac MD, MS,&nbsp;Faisal G. Bakaeen MD","doi":"10.1016/j.xjtc.2026.102429","DOIUrl":"10.1016/j.xjtc.2026.102429","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"38 ","pages":"Article 102429"},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647331","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}