JTCVS Techniques最新文献

{"title":"Implantation of polyglycolic acid mesh over lung resection staple lines to prevent air leaks","authors":"Lary A. Robinson MD ,&nbsp;Sandra Bryant APRN ,&nbsp;Xiaoqi Sun PhD ,&nbsp;Mokshitha S. Kaki PhD ,&nbsp;Samuel T. Freyaldenhoven MD ,&nbsp;Taylor Schwer APRN ,&nbsp;Alexis Bailey MSc ,&nbsp;Youngchul Kim PhD","doi":"10.1016/j.xjtc.2025.05.022","DOIUrl":"10.1016/j.xjtc.2025.05.022","url":null,"abstract":"<div><h3>Background</h3><div>Postoperative air leak is the most common complication following lung resection, occurring in 30% to 58% patients. It requires postponing chest tube removal and contributes to postoperative pain, pneumonia, empyemas, and increased hospital length of stay and cost. We placed a double layer of absorbable polyglycolic acid mesh over the parenchymal staple lines at the end of every major lung resection and retrospectively reviewed the results compared to a cohort of similar lung resections without the use of mesh.</div></div><div><h3>Methods</h3><div>We retrospectively reviewed consecutive patients undergoing segmentectomy, lobectomy, or multilobe lung resection (one resection was lobectomy or segmentectomy) between Novermber 2020 and July 2024 who had placement of a double layer of polyglycolic mesh over parenchymal staple lines held in place with lung sealant. The control cohort comprised consecutive patients undergoing the same resections without the use of mesh during the first 18 months of the study period. Nonparametric statistical tests were used.</div></div><div><h3>Results</h3><div>A total of 250 patients were analyzed, including 125 with mesh and 125 without mesh. The mesh group comprised 41 lobectomies, 83 segmentectomies, and 25 multilobe procedures, and the no-mesh group included 44 lobectomies, 80 segmentectomies, and 21 multilobe procedures. There were no differences in demographics or comorbidities between the 2 groups except for a higher rate of severe chronic obstructive pulmonary disease in the mesh patients. There were no mortalities, empyemas, or wound infections in either group. Use of the mesh was associated with significantly reduced length of hospital stay in both group (3.1 ± 1.7 days for mesh, 3.6 ± 3.0 days for no mesh; <em>P</em> = .028), and was especially effective in multilobe resections.</div></div><div><h3>Conclusions</h3><div>Placing a double layer of polyglycolic acid mesh over the parenchymal staple lines in major lung resections is a safe, effective adjunct to reduce postoperative air leaks, resulting in a significant decrease in hospital length of stay.</div></div>","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"32 ","pages":"Pages 163-171"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144739391","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":"Modified bio-Bentall operation with a rapid deployment valve","authors":"Hyo Kyen Park MD,&nbsp;Hong Rae Kim MD, PhD,&nbsp;Joon Bum Kim MD, PhD","doi":"10.1016/j.xjtc.2025.04.003","DOIUrl":"10.1016/j.xjtc.2025.04.003","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the early outcomes of a modified bio-Bentall operation using a rapid deployment valve (RDV) in high-risk patients, focusing on procedural efficacy, survival rates, and complications.</div></div><div><h3>Methods</h3><div>A retrospective review of 11 consecutive patients who underwent the modified bio-Bentall operation with an RDV between January 2018 and December 2022 was conducted. Kaplan–Meier survival analysis was used to determine survival rates. Patients' baseline characteristics, operative details, and postoperative outcomes were reviewed.</div></div><div><h3>Results</h3><div>The median patient age was 71 years. Most patients presenting with high-risk conditions and significant comorbidities, including inflammatory conditions, chronic lung diseases, and advanced cardiac dysfunction. The median EuroSCORE II was 10.03%. The median aortic cross-clamping and cardiopulmonary bypass times were 73.0 minutes and 99.0 minutes, respectively. No early mortalities or reoperations occurred. Two patients (14.3%) required extracorporeal membrane oxygenation support because of low cardiac output and arrhythmias, and 3 patients (23.1%) required permanent pacemaker insertion. No paravalvular leakage or valve detachment was observed during follow-up. The 1-year survival rate was 90.9%, and the 3-year survival rate was 54.5%. Six patients died during a median follow-up of 35 months, from causes including respiratory complications, gastric cancer, and undetermined factors.</div></div><div><h3>Conclusions</h3><div>Our initial experience with the modified bio-Bentall operation using an RDV shows favorable early outcomes in relatively high-risk patients. Further validation with larger datasets and long-term follow-up is needed to validate these results.</div></div>","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"32 ","pages":"Pages 47-52"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144739368","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":"Feasibility of transcontinental coaching of complex robotic thoracic surgical procedures: A bronchial anastomosis on a 3-dimensional model","authors":"Kohei Hashimoto MD, PhD ,&nbsp;Yoshifumi Hirata MD ,&nbsp;Takashi Nozawa Diploma ,&nbsp;Jun Yamaguchi MD ,&nbsp;Hiroshi Fukuhara MD, PhD ,&nbsp;Haruhiko Kondo MD, PhD ,&nbsp;Kazuhiro Yasufuku MD, PhD","doi":"10.1016/j.xjtc.2025.01.014","DOIUrl":"10.1016/j.xjtc.2025.01.014","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"32 ","pages":"Pages 209-211"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144739397","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":"Total resection of superior vena cava in thymic atypical carcinoid without caval reconstruction","authors":"Shuai Wang PhD ,&nbsp;Jiahao Jiang PhD ,&nbsp;Xifei Jiang PhD ,&nbsp;Shiyu Chen PhD ,&nbsp;Shengjin Ge PhD ,&nbsp;Yue Fan PhD ,&nbsp;Bei Xu PhD ,&nbsp;Rongkui Luo PhD ,&nbsp;Wei Wu PhD ,&nbsp;Junzhen Liu PhD ,&nbsp;Jianyong Ding PhD","doi":"10.1016/j.xjtc.2025.05.028","DOIUrl":"10.1016/j.xjtc.2025.05.028","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"32 ","pages":"Pages 212-215"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144739398","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 axillary artery cannulation in aortic reoperations: Technical variations and implications for optimal outcomes","authors":"Suguru Ohira MD, PhD ,&nbsp;Gabrielle Amar BA ,&nbsp;Sooyun Caroline Tavolacci MD, MSCR ,&nbsp;Masashi Kai MD ,&nbsp;Ramin Malekan MD ,&nbsp;Junichi Shimamura MD, PhD ,&nbsp;Steven L. Lansman MD, PhD ,&nbsp;David Spielvogel MD","doi":"10.1016/j.xjtc.2025.05.017","DOIUrl":"10.1016/j.xjtc.2025.05.017","url":null,"abstract":"<div><h3>Objectives</h3><div>Recannulation of the right axillary artery (Redo-AX) is a valuable yet underutilized technique in aortic reoperations. The present study sought to analyze the outcomes of 1 of the largest redo AX cannulations experiences.</div></div><div><h3>Methods</h3><div>From February 2005 to December 2024, AX cannulation was planned for 804 aortic repairs and analyzed according to the intention-to-treat principle. Fifty patients had Redo-AX, whereas 754 patients had primary AX cannulation. Cannulation-related events included technical failure, vascular injury, additional vascular rep, and iatrogenic retrograde dissection.</div></div><div><h3>Results</h3><div>This cohort included 196 redo sternotomies (24.4%) and 381 type A aortic dissections (47.4%). Among the 50 Redo-AX procedures, 46 patients had direct AX cannulation, and 4 patients had the side-graft technique in their initial surgery. Forty-five patients were successfully cannulated for cardiopulmonary bypass. Two patients underwent the side-graft technique with a graft extension, and direct AX cannulation was performed in 43 patients via arteriotomy (n = 40), the Seldinger technique (n = 2), and direct cannulation through an old polyethylene terephthalate graft (n = 1). The overall rate of cannulation-related events was 2.1% (17 out of 804), and the rate of cannulation site shift was 2.7% (22 out of 804). Cannulation-related events (10% vs 1.6%; <em>P</em> &lt; .001) were significantly more common in the Redo-AX group. Operative mortality was comparable between groups (Redo-AX, 0% vs Primary-AX, 4.8%; <em>P</em> = .220), as was the incidence of stroke (0% vs 4.9%, <em>P</em> = .209).</div></div><div><h3>Conclusions</h3><div>Redo-AX is a durable approach for complex redo aortic cases. Careful preoperative evaluation and certain surgical expertise are paramount to achieving optimal outcomes.</div></div>","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"32 ","pages":"Pages 1-9"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144739472","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":"Corrigendum to Ex vivo lung perfusion of pediatric lungs for adult recipients [JTCVS Techniques, Volume 29, 2025]","authors":"Aravind Krishnan,&nbsp;Moeed M. Fawad,&nbsp;Stefan Elde,&nbsp;Vishal K. Shah,&nbsp;Yasuhiro Shudo,&nbsp;Gundeep Dhillon,&nbsp;John W. MacArthur,&nbsp;Chawannuch Ruaengsri,&nbsp;Y. Joseph Woo,&nbsp;Brandon A. Guenthart","doi":"10.1016/j.xjtc.2025.05.013","DOIUrl":"10.1016/j.xjtc.2025.05.013","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"32 ","pages":"Page 229"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144738238","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":"Robotic left S6/S10 bisegmentectomy for non−small cell lung cancer","authors":"Andrei I. Gritsiuta MD, PhD ,&nbsp;Shiwan Shah DO ,&nbsp;Roman V. Petrov MD, PhD, MBA","doi":"10.1016/j.xjtc.2025.05.006","DOIUrl":"10.1016/j.xjtc.2025.05.006","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"32 ","pages":"Pages 192-194"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144739395","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":"Personalized external aortic root support: Implantation technique","authors":"Luca Conci MD ,&nbsp;Guido L. Busnelli MD ,&nbsp;Martin Winter Cand Med ,&nbsp;Alexandra Andreeva MD ,&nbsp;Rabab Saleh Cand Med ,&nbsp;Amila Kahrovic MD ,&nbsp;Marek P. Ehrlich MD ,&nbsp;Daniel Zimpfer MD ,&nbsp;Alfred Kocher MD ,&nbsp;Emilio Osorio-Jaramillo MD","doi":"10.1016/j.xjtc.2025.05.014","DOIUrl":"10.1016/j.xjtc.2025.05.014","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"32 ","pages":"Pages 35-38"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144739402","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":"Rescue use of a bovine carotid artery xenograft for coronary artery reattachment in acute type A aortic dissection","authors":"Alexis Nichols BS ,&nbsp;Abraham N. Katz MD ,&nbsp;Scott A. Weldon MA ,&nbsp;Ginger M. Etheridge BBA ,&nbsp;Susan Y. Green MPH ,&nbsp;Anna H. Xue MD ,&nbsp;Vicente Orozco-Sevilla MD ,&nbsp;Marc R. Moon MD ,&nbsp;Joseph S. Coselli MD","doi":"10.1016/j.xjtc.2025.04.015","DOIUrl":"10.1016/j.xjtc.2025.04.015","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"32 ","pages":"Pages 89-90"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144739388","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":"Ross-Konno with salvage stented bovine jugular vein graft for mitral valve replacement in infants with critical multivalve disease","authors":"Viktoria Weixler MD, PhD ,&nbsp;Mimi Xiaoming MD ,&nbsp;Teerapong Tocharoenchok MD ,&nbsp;Lee Benson MD ,&nbsp;Anne I. Dipchand MD ,&nbsp;David Barron MD ,&nbsp;Osami Honjo MD, PhD","doi":"10.1016/j.xjtc.2025.04.024","DOIUrl":"10.1016/j.xjtc.2025.04.024","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"32 ","pages":"Pages 102-104"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144739460","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}