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Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery最新文献

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Surgical management of a prolonged air leak after lung volume reduction surgery: technical aspects. 肺减容术后长时间漏气的外科处理:技术方面。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2023-11-13 DOI: 10.1510/mmcts.2023.055
Annalisa Barbarossa, Christelle M Vandervelde, An-Lies Provoost, Karen Peeters, Dirk Van Raemdonck, Laurens J Ceulemans
{"title":"Surgical management of a prolonged air leak after lung volume reduction surgery: technical aspects.","authors":"Annalisa Barbarossa, Christelle M Vandervelde, An-Lies Provoost, Karen Peeters, Dirk Van Raemdonck, Laurens J Ceulemans","doi":"10.1510/mmcts.2023.055","DOIUrl":"10.1510/mmcts.2023.055","url":null,"abstract":"<p><p>A prolonged air leak is a well-known complication after lung volume reduction surgery that increases hospital stays and morbidities. Adequate management of a prolonged air leak can be challenging, with some patients requiring reintervention. We describe the main technical aspects for identifying and sealing an alveolar-pleural fistula.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89721629","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}
引用次数: 0
A straightforward guide to the swine left upper lobar transplant model: procedures and techniques. 猪左上叶移植模型的简单指南：程序和技术。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2023-11-10 DOI: 10.1510/mmcts.2023.075
Yui Watanabe, Sho Murai, Kazunori Ueda, Tatsuaki Watanabe, Takashi Hirama, Hisashi Oishi, Masafumi Noda, Yoshinori Okada
{"title":"A straightforward guide to the swine left upper lobar transplant model: procedures and techniques.","authors":"Yui Watanabe, Sho Murai, Kazunori Ueda, Tatsuaki Watanabe, Takashi Hirama, Hisashi Oishi, Masafumi Noda, Yoshinori Okada","doi":"10.1510/mmcts.2023.075","DOIUrl":"10.1510/mmcts.2023.075","url":null,"abstract":"<p><p>With the rising demand for lung transplants, especially for adults with smaller chest cavities and children, a significant donor-recipient size mismatch challenge exists. A solution is lobar lung transplants from deceased donors with otherwise unsuitable lungs due to local damage. Despite its promise, early post-transplant mortality rates are comparatively high, emphasizing the need for meticulous donor selection and graft evaluation. This video tutorial introduces a detailed methodology for a porcine left upper lobar lung transplant model, from preoperative measures to reperfusion. Steps encompass preoperative measures, donor and recipient preparations, graft procurement and specific anastomosis procedures for the bronchus, pulmonary artery and left atrium. This guidance, derived from rigorous translational research, not only contributes to the knowledge of safe lobar lung transplants in animals but also promises potential implications for clinical practice.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72016125","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}
引用次数: 0
Robotic resection of a second rib osteochondroma. 第二肋骨骨软骨瘤的机器人切除术。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2023-11-09 DOI: 10.1510/mmcts.2023.054
Manuel Rojo, Zaid Abdelsattar
{"title":"Robotic resection of a second rib osteochondroma.","authors":"Manuel Rojo, Zaid Abdelsattar","doi":"10.1510/mmcts.2023.054","DOIUrl":"10.1510/mmcts.2023.054","url":null,"abstract":"<p><p>A 43-year-old man presented with a several-month history of worsening left shoulder pain. On imaging, he was found to have an osseous mass arising from his left second rib and protruding into the soft tissues of his chest. The mass had radiographic characteristics consistent with those of an osteochondroma. He had point tenderness over the mass, and the area of point tenderness was consistent with his description of the location of his pain over the past several months. Based on his symptoms, he was taken to the operating room for robotic excision of this mass. He was placed in a right lateral decubitus position, and three robotic ports were inserted. The mass was identified based on landmarks and was dissected free. The bony attachment of the mass to the second rib was transected using a Kerrison rongeur. The mass was delivered into the chest and removed using an endobag. The patient was discharged the following day after removal of his Blake drain. His pain had completely resolved at the postoperative follow-up examination, and his final pathological report confirmed the benign diagnosis of osteochondroma.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71523370","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}
引用次数: 0
Ross procedure with personalized external aortic root support. 个性化主动脉外根支持的Ross手术。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2023-11-08 DOI: 10.1510/mmcts.2023.077
Luca Conci, Günther Laufer, Daniel Zimpfer, Alexandra Andreeva, Alfred Kocher, Conal Austin, Emilio Osorio-Jaramillo
{"title":"Ross procedure with personalized external aortic root support.","authors":"Luca Conci, Günther Laufer, Daniel Zimpfer, Alexandra Andreeva, Alfred Kocher, Conal Austin, Emilio Osorio-Jaramillo","doi":"10.1510/mmcts.2023.077","DOIUrl":"10.1510/mmcts.2023.077","url":null,"abstract":"<p><p>The Ross-Personalized External Aortic Root Support procedure is a surgical aortic valve replacement technique in which the autologous pulmonary valve is transposed in the aortic position to replace the malfunctioning aortic valve and a homograft is implanted in the pulmonary position. To prevent autograft dilatation, a Personalized External Aortic Root Support prosthesis is included in the proximal autograft anastomosis and wrapped around the ascending aorta. The aorta is transected transversely, the aortic valve is resected, and the coronary arteries are mobilized and cut out of the sinuses, leaving a rim. The pulmonary autograft is harvested by transecting the pulmonary artery and part of the right ventricular outflow tract. The autograft is approximated to the aortic root and inverted inside the ventricle. The proximal anastomosis is performed including the prosthesis between the aortic root and the autograft. The coronary buttons are threaded through appropriately positioned and sized holes in the prosthesis and reimplanted into the autograft. The ascending aorta is appropriately adapted and anastomosed with the distal autograft. When the patient is off cardiopulmonary bypass, the prosthesis can be closed longitudinally and is anchored to the distal aortic adventitia.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71523371","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}
引用次数: 0
Cardiac surgery simulation - part 2: Step-by-step Konno operation in a preclinical model. 心脏手术模拟-第2部分：在临床前模型中逐步进行Konno手术。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2023-11-07 DOI: 10.1510/mmcts.2022.091
Alberto Pozzoli, Tiziano Torre, Francesca Toto, Sara Biroova, Dario Carletta, Enrico Ferrari, Stefanos Demertzis
{"title":"Cardiac surgery simulation - part 2: Step-by-step Konno operation in a preclinical model.","authors":"Alberto Pozzoli, Tiziano Torre, Francesca Toto, Sara Biroova, Dario Carletta, Enrico Ferrari, Stefanos Demertzis","doi":"10.1510/mmcts.2022.091","DOIUrl":"10.1510/mmcts.2022.091","url":null,"abstract":"<p><p>This operation is performed on a preclinical model (porcine heart) that has been positioned and fixed inside a plastic mannequin, simulating the human anatomy. This set-up allows surgical operations to be performed at almost the same depth and orientation as in the operating theatre. The preclinical model allows the exact simulation of most of the key movements and steps of major adult and congenital operations. In this case, we replicate the Konno operation. This intervention addresses localized subaortic stenosis involving the left outflow tract or the narrowing of the left ventriculo-aortic junction.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71488874","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}
引用次数: 0
Right robotic S4 segmentectomy. 右侧机器人S4节段切除术。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2023-11-06 DOI: 10.1510/mmcts.2023.076
Haisam Saad, Joana Fuentes-Warr, Vasileios Kouritas
{"title":"Right robotic S4 segmentectomy.","authors":"Haisam Saad,&nbsp;Joana Fuentes-Warr,&nbsp;Vasileios Kouritas","doi":"10.1510/mmcts.2023.076","DOIUrl":"https://doi.org/10.1510/mmcts.2023.076","url":null,"abstract":"<p><p>Among the various segmentectomy procedures performed for lung diseases, the right S4 segmentectomy stands out as an exceptionally rare operation. Its infrequent occurrence can be attributed to several factors, including the relatively lower incidence of pathologies necessitating isolated resection of the S4 segment of the right lung. This video tutorial showcases the robotic approach to the rare right S4 segmentectomy, guiding surgeons through the step-by-step procedures for better understanding and proficiency.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71488875","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}
引用次数: 0
Root-commando operation with a modified self-assembled aortic root conduit for endocarditis after sutureless aortic valve replacement. 改良自组装主动脉根部导管根部突击手术治疗无缝合主动脉瓣置换术后心内膜炎。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2023-11-06 DOI: 10.1510/mmcts.2023.073
Anton Pechenenko, Maksym Rzhanyi, Robert Pruna-Guillen, María Ascaso, Jorge Alcocer, Eduard Quintana
{"title":"Root-commando operation with a modified self-assembled aortic root conduit for endocarditis after sutureless aortic valve replacement.","authors":"Anton Pechenenko,&nbsp;Maksym Rzhanyi,&nbsp;Robert Pruna-Guillen,&nbsp;María Ascaso,&nbsp;Jorge Alcocer,&nbsp;Eduard Quintana","doi":"10.1510/mmcts.2023.073","DOIUrl":"https://doi.org/10.1510/mmcts.2023.073","url":null,"abstract":"<p><p>We present a case of a Staphylococcus epidermidis early prosthetic valve endocarditis after minimally invasive sutureless aortic valve replacement. The patient developed a root abscess with a fistula, severe mitral and periprosthetic regurgitations, with a large mitral vegetation and a residual patent foramen ovale. The surgical approach consisted of a redo median sternotomy, explantation of a sutureless aortic prosthesis, resection of an intervalvular fibrosa and anterior mitral leaflet and debridement of an aortic root-left ventricle outflow tract abscess. These procedures were followed by a root-commando procedure with mitral and aortic root placement using a self-assembled mechanical aortic root conduit. The technique used is an alternative to a root-commando procedure performed with an allograft or a Medtronic Freestyle bioprosthesis. The same technique can be utilized with a commercially available stented bioprosthesis.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71488876","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}
引用次数: 0
Sternal protection technique for open chest management. 开胸手术的胸骨保护技术。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2023-11-03 DOI: 10.1510/mmcts.2023.058
Robert Pruna-Guillen, Ignacio Morales-Rey, Eduard Quintana, Elena Sandoval Martínez
{"title":"Sternal protection technique for open chest management.","authors":"Robert Pruna-Guillen,&nbsp;Ignacio Morales-Rey,&nbsp;Eduard Quintana,&nbsp;Elena Sandoval Martínez","doi":"10.1510/mmcts.2023.058","DOIUrl":"10.1510/mmcts.2023.058","url":null,"abstract":"<p><p>On some occasions, postoperative mediastinal bleeding or right ventricular failure forces surgical teams to pursue a strategy of open-chest management and delayed sternal closure. One notable source of postoperative bleeding is the sternum, either due to medullar bleeding or bone margin oozing, which may be difficult to control. Furthermore, in cases with right ventricular failure or dilatation needing an open-chest strategy, sternal margins might erode and injure the right ventricular anterior wall. We propose a simple but effective sternal protection technique during open-chest management and further delayed chest closure. Using leftover tubing from the cardiopulmonary bypass circuit or a mediastinal 32 Fr drain, both sternal margins are covered and secured with sutures. Moreover, in case of profuse bleeding, a thrombin-derived haemostatic agent can be applied between the bone marrow and the tube for an additional level of haemostasis. The sternal wound is isolated with a latex membrane and covered with transparent sterile adhesive sheets to achieve vacuum sealing.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71434925","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}
引用次数: 0
Totally robotic en bloc left upper lobectomy and chest wall resection after neoadjuvant chemoradiation. 新辅助放化疗后全机器人整体左上叶切除术和胸壁切除术。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2023-11-03 DOI: 10.1510/mmcts.2023.051
John Tedesco, Hiroko Nakahama, Zaid Abdelsattar
{"title":"Totally robotic en bloc left upper lobectomy and chest wall resection after neoadjuvant chemoradiation.","authors":"John Tedesco,&nbsp;Hiroko Nakahama,&nbsp;Zaid Abdelsattar","doi":"10.1510/mmcts.2023.051","DOIUrl":"10.1510/mmcts.2023.051","url":null,"abstract":"<p><p>This patient presented with a stage IIIB advanced lung cancer with chest wall invasion. She was treated with neoadjuvant chemoradiation therapy and had an excellent treatment response. The management of T3N2 disease is controversial, but given her treatment response and age, she was discussed by the multidisciplinary tumour board and referred for surgical evaluation. She was offered a robotic en bloc lobectomy and chest wall dissection.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71429133","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}
引用次数: 0
Surgical bypass to the left subclavian artery: an extra-anatomical transpleural approach. 左锁骨下动脉的外科搭桥术：一种额外解剖的经胸膜入路。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2023-11-02 DOI: 10.1510/mmcts.2023.038
Kinsing Ko, Tim Smith, Michel Verkoost, Guillaume S C Geuzebroek, Wilson Li, Robin Heijmen
{"title":"Surgical bypass to the left subclavian artery: an extra-anatomical transpleural approach.","authors":"Kinsing Ko,&nbsp;Tim Smith,&nbsp;Michel Verkoost,&nbsp;Guillaume S C Geuzebroek,&nbsp;Wilson Li,&nbsp;Robin Heijmen","doi":"10.1510/mmcts.2023.038","DOIUrl":"10.1510/mmcts.2023.038","url":null,"abstract":"<p><p>A distal anastomosis in zone 3 is technically demanding during the frozen elephant trunk procedure. Proximalization of the distal anastomosis to zone 2 with subsequent revascularization of the left subclavian artery is an attractive alternative. This video tutorial describes the technique of an extra-anatomical bypass from the aortic prosthesis to the infraclavicular left subclavian (axillary) artery in arch replacement with the distal aortic graft anastomosis in zone 2.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71429132","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}
引用次数: 0
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