JTCVS Techniques最新文献

{"title":"Autogenous paneled femoral vein grafts for mycotic thoracic aortic aneurysms","authors":"Ningzhi Gu MD ,&nbsp;Eimaan Shergill ,&nbsp;D. Kirk Lawlor MD, MSc ,&nbsp;Michael Janusz MD ,&nbsp;Jong Moo Kim MD, MHSc ,&nbsp;Joel Price MD, MPH ,&nbsp;Jason Faulds MD, MHSc","doi":"10.1016/j.xjtc.2025.07.008","DOIUrl":"10.1016/j.xjtc.2025.07.008","url":null,"abstract":"<div><h3>Objective</h3><div>Mycotic thoracic aortic aneurysms (MTAAs) are rare. The most common management has been aortic resection, wide debridement, and in-line reconstruction using prosthetic grafts. We have used autogenous femoral vein (FV) for the repair of all MTAA in our institution since 2017. This is the initial description of this technique, and the first comparative study of autogenous vein compared with prosthetic for MTAAs.</div></div><div><h3>Methods</h3><div>This is a single-center retrospective cohort study of all patients with MTAA who underwent operative repair. Patients were assigned to the FV or prosthetic grafts cohorts. Perioperative and long-term outcomes were collected. Univariate logistic regression models were fitted to quantify the strength of differences between the cohorts.</div></div><div><h3>Results</h3><div>Nineteen patients were included. The first 9 consecutive patients had prosthetic grafts, whereas the 10 subsequent patients were treated with FV grafts. Patients in the FV cohort were more likely to have positive intraoperative cultures (90% vs 33.3%; <em>P</em> = .02), receive intraoperative transfusions (10 vs 8 units; <em>P</em> = .08), and have a longer operation (629 vs 500 minutes; <em>P</em> = .07). There was a trend toward improved in-hospital (0 vs 33%; <em>P</em> = .09) and long-term mortality (10% vs 55.6%; <em>P</em> = .57) in the FV cohort. Patients in the FV cohort were more likely to be discharged home (90% vs 44.4%; <em>P</em> = .05).</div></div><div><h3>Conclusions</h3><div>Paneled autogenous FV repair is a durable and safe treatment for patients with MTAA. There were no in-hospital deaths in our series and there have been no long-term complications related to the vein graft repair.</div></div>","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"33 ","pages":"Pages 21-26"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145189887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Should minimally invasive surgery be the standard approach for early-stage thymoma? A 20-year experience","authors":"Oliver J. Harrison MD ,&nbsp;Kay See Tan PhD ,&nbsp;Joseph Dycoco BA ,&nbsp;Katherine Gray MD ,&nbsp;Smita Sihag MD ,&nbsp;Daniela Molena MD ,&nbsp;Matthew Bott MD ,&nbsp;Gaetano Rocco MD ,&nbsp;James Isbell MD ,&nbsp;Prasad Adusumilli MD ,&nbsp;David Jones MD ,&nbsp;James Huang MD ,&nbsp;Valerie Rusch MD ,&nbsp;Manjit Bains MD ,&nbsp;Bernard Park MD","doi":"10.1016/j.xjtc.2025.06.007","DOIUrl":"10.1016/j.xjtc.2025.06.007","url":null,"abstract":"<div><h3>Background</h3><div>Minimally invasive surgery (MIS) has become the prevailing technique for resecting early-stage thymoma; however, studies evaluating the oncologic impact of this evolution are lacking. This study aimed to characterize the transition from open surgery to MIS and to evaluate outcomes.</div></div><div><h3>Methods</h3><div>This was a retrospective, single-institution review of resections performed for pathologic TNM stage I-II thymomas between January 2000 and September 2023. The relationships between factors and recurrence were quantified using competing risk regression before and after applying overlap propensity score weights.</div></div><div><h3>Results</h3><div>A total of 296 patients were identified, including 118 who underwent open surgery and 178 who underwent MIS (25 with video-assisted thoracic surgery and 153 with robotic-assisted thoracic surgery). Open surgery composed the vast majority of cases (92.3%) performed between 2000 and 2009, compared to 26.7% between 2010 and 2023 (<em>P</em> &lt; .0001). Median blood loss (125 mL vs 25 mL; <em>P</em> &lt; .0001), tumor dimension (6.5 cm vs 4.1 cm; <em>P</em> &lt; .0001), rate of major complications (35% vs 16%; <em>P</em> = .003), and length of stay (LOS; 4 days vs 2 days; <em>P</em> &lt; .0001) were significantly greater in the open surgery cohort. Eighteen patients developed recurrence (open, n = 12; MIS, n = 6). Univariable analyses revealed that World Health Organization class (<em>P</em> &lt; .001), higher TNM (<em>P</em> = .043) and Masaoka-Koga stage (<em>P</em> = .017), and R1/R2 resection (<em>P</em> &lt; .001) were associated with a greater risk of recurrence. Overlap propensity score weighting revealed a cumulative incidence of recurrence at 5 years of 5.1% (95% confidence interval [CI], 0.97%-9.2%) for open surgery (n = 47) compared to 7.1% (95% CI, 2.0%-12.9%) for MIS (n = 47), a non-statistically significant difference.</div></div><div><h3>Conclusions</h3><div>MIS has become the principal approach for resecting early-stage thymoma over the last 2 decades. MIS is associated with a lower complication rate and shorter LOS but may be associated with a higher risk of recurrence in certain situations. Larger studies to evaluate the appropriate role of MIS are warranted.</div></div>","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"33 ","pages":"Pages 273-283"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145190135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"First comprehensive case report of surgical resection of a cardiac Merkel cell carcinoma metastasis","authors":"Christian Burgard MD ,&nbsp;Willem Hendrik te Gussinklo MD ,&nbsp;Thomas Ritz MD ,&nbsp;Sameer Al-Maisary MD","doi":"10.1016/j.xjtc.2025.07.011","DOIUrl":"10.1016/j.xjtc.2025.07.011","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"33 ","pages":"Pages 155-157"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145189684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A case of descending aortic rupture and aortoesophageal fistula secondary to fish bone–induced esophageal perforation","authors":"Masashi Bungo MD,&nbsp;Ken-ichi Watanabe MD, PhD,&nbsp;Yoshio Teshima MD,&nbsp;Yuji Sakashita MD,&nbsp;Hisashi Uemura MD, PhD,&nbsp;Hiroe Tanaka MD, PhD,&nbsp;Mitsuhiro Yamamura MD, PhD,&nbsp;Taichi Sakaguchi MD, PhD","doi":"10.1016/j.xjtc.2025.07.016","DOIUrl":"10.1016/j.xjtc.2025.07.016","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"33 ","pages":"Pages 61-63"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145190118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Innovative triple-directional robotic extended thymectomy using the rotatable patient cart of a robot-assisted thoracic surgical system","authors":"Shota Nakamura MD, PhD,&nbsp;Keita Nakanishi MD,&nbsp;Yuka Kadomatsu MD, PhD,&nbsp;Harushi Ueno MD,&nbsp;Taketo Kato MD, PhD,&nbsp;Tetsuya Mizuno MD, PhD,&nbsp;Toyofumi F. Chen-Yoshikawa MD, PhD","doi":"10.1016/j.xjtc.2025.07.003","DOIUrl":"10.1016/j.xjtc.2025.07.003","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"33 ","pages":"Pages 284-286"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145190136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Robot-assisted anatomical lung resection with a modular robotic system: Preliminary experience from a single-arm, prospective trial","authors":"Yajie Zhang MD, PhD ,&nbsp;Tianzheng Shen MD ,&nbsp;Yichao Han MD, PhD ,&nbsp;Yuqin Cao MD ,&nbsp;Hecheng Li MD, PhD, FACS","doi":"10.1016/j.xjtc.2025.05.027","DOIUrl":"10.1016/j.xjtc.2025.05.027","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"33 ","pages":"Pages 238-243"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145189742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ex vivo optimization of a bicuspid pulmonary valve using the resequenced composite autograft Ross technique","authors":"Albert J. Pedroza MD,&nbsp;Benjamin Shou MD,&nbsp;Y. Joseph Woo MD","doi":"10.1016/j.xjtc.2025.07.005","DOIUrl":"10.1016/j.xjtc.2025.07.005","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"33 ","pages":"Pages 75-78"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145189748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transapical zone 0 thoracic endovascular aortic repair with reversed debranching under extracorporeal membrane oxygenation support","authors":"Fumitaka Suzuki MD,&nbsp;Ryohei Ushioda MD,&nbsp;Hiroyuki Kamiya MD, PhD","doi":"10.1016/j.xjtc.2025.06.003","DOIUrl":"10.1016/j.xjtc.2025.06.003","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"33 ","pages":"Pages 31-34"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145189889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Redo aortic valve replacement after a floating Bentall procedure","authors":"Alex Nantsios MD,&nbsp;Hugo Monteiro Neder Issa MD,&nbsp;Ming Hao Guo MD, MSc,&nbsp;Munir Boodhwani MD, MSc","doi":"10.1016/j.xjtc.2025.06.006","DOIUrl":"10.1016/j.xjtc.2025.06.006","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"33 ","pages":"Pages 69-71"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145189895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Supradiaphragmatic Roux-en-Y jejunal reconstruction after extended total gastrectomy for gastroesophageal adenocarcinoma","authors":"Marisa Sewell MD,&nbsp;Smita Sihag MD,&nbsp;Mathew J. Bott MD,&nbsp;Katherine Gray MD,&nbsp;Bernard J. Park MD,&nbsp;David R. Jones MD,&nbsp;Daniela Molena MD","doi":"10.1016/j.xjtc.2025.05.020","DOIUrl":"10.1016/j.xjtc.2025.05.020","url":null,"abstract":"<div><h3>Background</h3><div>Surgical management of gastroesophageal junction adenocarcinoma extending into both the esophagus and the stomach often requires distal esophagectomy and total gastrectomy (extended total gastrectomy). Roux-en-Y jejunal conduits are commonly used for reconstruction; however, concerns exist regarding the ability to obtain adequate length for a supradiaphragmatic anastomosis.</div></div><div><h3>Methods</h3><div>This retrospective study included patients with esophagogastric adenocarcinoma who underwent extended total gastrectomy at our institution between 2016 and 2023. Clinicopathologic characteristics were analyzed descriptively. Quality of life was assessed using a Likert scale survey. The Roux-en-Y jejunal conduit was constructed by dividing the second and occasionally third jejunal arterial branches to obtain sufficient length. Disease-free survival (DFS) was defined as the time from surgery to recurrence or death from any cause.</div></div><div><h3>Results</h3><div>Overall, 29 patients were included. The median patient age was 64 years, and 83% of the patients received neoadjuvant therapy. Five patients (17%) had an anastomotic leak, and 9 (31%) had grade 3-4 complications. The median DFS was 4.5 years; 72% of patients had resumed a regular diet by 3 months. Compared with standard esophagectomy patients at our institution, gastrectomy patients had a longer median length of stay (11 days vs 9 days; <em>P</em> = .048) but similar complication rates. With the exception of diarrhea at 2 weeks (worse for gastrectomy patients; mean score, 2.8 vs 1.4; <em>P</em> ≤ .001), quality of life was not statistically different between gastrectomy patients and standard esophagectomy patients.</div></div><div><h3>Conclusions</h3><div>Supradiaphragmatic Roux-en-Y jejunal reconstruction after extended total gastrectomy for gastroesophageal junction adenocarcinoma is a feasible approach, associated with low complication rates and adequate recovery of quality of life.</div></div>","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"33 ","pages":"Pages 247-255"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145190128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}