Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery最新文献_第5页

Damus-Kaye-Stansel procedure in the case of an anteroposterior relationship of great vessels. 大血管前后关系的Damus-Kaye-Stansel手术。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-06-17 DOI: 10.1510/mmcts.2026.035

Yaroslav Ivanov, Yaroslav Mykychak, Kira Kuschnerus, Mi-Young Cho, Joachim Photiadis

引用次数: 0

Truncal valve repair combined with right atrial appendage valved right ventricular-to-pulmonary connection in truncus arteriosus type II with single coronary artery. 单冠状动脉II型动脉干瓣瓣修复联合右心房附件瓣合右心室-肺连接。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-06-17 DOI: 10.1510/mmcts.2026.053

Sameh M Said, Ahmed Wahba, Yasin Essa

引用次数: 0

Robotic sleeve lobectomy with bronchoplasty for primary squamous cell carcinoma of the left upper lobe. 机器人袖式肺叶切除术联合支气管成形术治疗原发性左上肺叶鳞状细胞癌。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-06-15 DOI: 10.1510/mmcts.2026.025

Hitoshi Igai, Akinobu Ida, Kazuhito Nii, Mitsuhiro Kamiyoshihara

{"title":"Robotic sleeve lobectomy with bronchoplasty for primary squamous cell carcinoma of the left upper lobe.","authors":"Hitoshi Igai, Akinobu Ida, Kazuhito Nii, Mitsuhiro Kamiyoshihara","doi":"10.1510/mmcts.2026.025","DOIUrl":"https://doi.org/10.1510/mmcts.2026.025","url":null,"abstract":"Sleeve lobectomy with bronchoplasty is a complex but lung-preserving operation, often requiring open thoracotomy. Robotic-assisted thoracoscopic surgery offers enhanced visualization and instrument dexterity, enabling such procedures to be performed with minimal invasiveness. We report a case of a 75-year-old man with squamous cell carcinoma located in the lingual segment of the left upper lobe, which invaded to the entrance of left upper lobe bronchus. The tumour was staged as cT2aN0M0. Due to its central location, robotic left upper sleeve lobectomy with bronchoplasty was selected. A five-port approach was used. Pulmonary vessels of the left upper lobe were dissected and divided using robotic staplers. After sleeve resection of the bronchus, bronchial reconstruction was performed using a continuous barbed suture, and the anastomosis was reinforced with a pericardial fat pad and fibrin sealant. The console time was 267 minutes with minimal blood loss. The chest tube was removed on postoperative Day 1, and the patient was discharged on Day 5 without complications. Pathology confirmed pT2aN0M0 squamous cell carcinoma with negative margins. Robotic left upper sleeve lobectomy with bronchoplasty is feasible and safe in selected patients, providing the advantages of minimally invasive surgery without compromising oncological outcomes.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2026 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148254423","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

Video atlas of pulmonary segmentectomy: robotic-assisted right S2 segmentectomy with 3D imaging. 肺节段切除术视频图谱：机器人辅助的右侧S2节段切除术与3D成像。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-06-15 DOI: 10.1510/mmcts.2026.043

Aishah Zubaid Mughal, Ahmed Oliemy

{"title":"Video atlas of pulmonary segmentectomy: robotic-assisted right S2 segmentectomy with 3D imaging.","authors":"Aishah Zubaid Mughal, Ahmed Oliemy","doi":"10.1510/mmcts.2026.043","DOIUrl":"10.1510/mmcts.2026.043","url":null,"abstract":"Robotic-assisted thoracic surgery has become increasingly utilized for the management of lung cancer, particularly in technically demanding anatomical resections. The robotic platform provides enhanced depth perception, refined instrument articulation and improved precision. This facilitates complex pulmonary resections such as segmentectomies. This minimally invasive approach is increasingly favoured over open thoracotomy due to its association with reduced postoperative complications and accelerated recovery. Anatomical segmentectomy remains technically challenging due to variations in bronchovascular anatomy. The incorporation of three-dimensional reconstruction imaging enables detailed pre-operative assessment of tumour location and its relationship to surrounding structures, allowing for more precise and individualized surgical planning. Despite these advantages, the routine use of three-dimensional imaging in thoracic surgery is not yet widely established across thoracic surgery centres, and has limited exposure in the literature. This video atlas series presents a robotic-assisted anatomical segmentectomy guided by three-dimensional reconstruction. This tutorial provides a structured, step-by-step approach to performing a right S2 posterior segmentectomy for a patient with a right upper lobe tumour.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2026 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148254386","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 right upper sleeve lobectomy with bronchoplasty for primary adenocarcinoma. 机器人右上袖肺叶切除术合并支气管成形术治疗原发性腺癌。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-06-15 DOI: 10.1510/mmcts.2026.033

Hitoshi Igai, Akinobu Ida, Kazuhito Nii, Mitsuhiro Kamiyoshihara

{"title":"Robotic right upper sleeve lobectomy with bronchoplasty for primary adenocarcinoma.","authors":"Hitoshi Igai, Akinobu Ida, Kazuhito Nii, Mitsuhiro Kamiyoshihara","doi":"10.1510/mmcts.2026.033","DOIUrl":"https://doi.org/10.1510/mmcts.2026.033","url":null,"abstract":"Sleeve lobectomy with bronchoplasty is a complex yet lung-sparing procedure traditionally performed via open thoracotomy. Robotic-assisted thoracoscopic surgery, with enhanced visualization and instrument dexterity, may facilitate this technically demanding procedure in a minimally invasive setting. We report the case of an 85-year-old man with adenocarcinoma in the right upper lobe, accompanied by an isolated intrapulmonary metastasis and an enlarged lymph node #4R and #11s, with #11s invading the orifice of the right upper lobe bronchus. The clinical stage was cT3N2aM0 (stage IIIB). Because of bronchial involvement by metastatic lymph node #11s, robotic right upper sleeve lobectomy with bronchoplasty was performed. A five-port approach was used. The right upper lobe pulmonary vessels were individually dissected and divided using robotic staplers. After sleeve resection of the bronchus, bronchial reconstruction was completed with a continuous barbed suture. The anastomosis was reinforced with a free pericardial fat pad and fibrin sealant. Console time was 226 minutes, with minimal blood loss. The chest tube was removed on postoperative Day 1, and the patient was discharged on postoperative Day 5 without complications. Pathology confirmed pT3N2bM0 adenocarcinoma with negative margins. Robotic right upper sleeve lobectomy with bronchoplasty may be a feasible minimally invasive option in selected patients requiring complex airway reconstruction.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2026 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148254355","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

"⅓ Yacoub" for correction of supravalvular aortic stenosis: valve-sparing root enlargement and ascending aorta replacement in an adult patient. 1例成人患者用“1 / 3 Yacoub”矫正瓣上主动脉狭窄：保留瓣根扩大和升主动脉置换术。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-06-12 DOI: 10.1510/mmcts.2026.020

Dario Brenna, Stefano Benussi, Fabrizio Rosati, Francesca Zanin, Andrea Venturini

{"title":"\"⅓ Yacoub\" for correction of supravalvular aortic stenosis: valve-sparing root enlargement and ascending aorta replacement in an adult patient.","authors":"Dario Brenna, Stefano Benussi, Fabrizio Rosati, Francesca Zanin, Andrea Venturini","doi":"10.1510/mmcts.2026.020","DOIUrl":"10.1510/mmcts.2026.020","url":null,"abstract":"Congenital supravalvular aortic stenosis is a rare form of left ventricular outflow-tract obstruction, which is frequently associated with genetic disorders such as Williams-Beuren syndrome, despite spontaneous occurrence still being possible. Over the years, different surgical approaches to relieve the stenosis have been proposed; among them the McGoon, the Doty and the Brom repair are the best-known. Nevertheless, all these techniques especially address a paediatric population, and treatment options in adults are rarely described. Older patients, indeed, do not present the concern of preserving the growth potential of the aorta, therefore root replacement with or without aortic valve-sparing is an attractive alternative. We report our surgical approach in a 40-year-old female affected by severe supravalvular aortic stenosis, consisting of a modification of the Yacoub technique, in order to perform an enlargement of both the aortic root and sinotubular junction, sparing the aortic valve. The aim is to provide practical insights into the evolving field of valve-sparing repair for supravalvular aortic obstruction in young adults.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2026 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148228879","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

Ventricular septal defect repair after acute myocardial infarction using the double-patch technique without ventriculotomy. 非脑室切开术双补片技术修复急性心肌梗死后室间隔缺损。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-05-27 DOI: 10.1510/mmcts.2026.027

Sofia Fontanella, Valentina Mescola, Ignasi Julià Amill, Mario Torre, Luis Delgado Ramis, Claudio Fernández Gallego, Marta Ramas Díez, Elisabet Berastegui García

{"title":"Ventricular septal defect repair after acute myocardial infarction using the double-patch technique without ventriculotomy.","authors":"Sofia Fontanella, Valentina Mescola, Ignasi Julià Amill, Mario Torre, Luis Delgado Ramis, Claudio Fernández Gallego, Marta Ramas Díez, Elisabet Berastegui García","doi":"10.1510/mmcts.2026.027","DOIUrl":"10.1510/mmcts.2026.027","url":null,"abstract":"The double-patch-without-ventriculotomy technique represents a less aggressive surgical option for post-ischaemic ventricular septal defect (VSD). It allows repair without placing sutures in the ischaemic and perilesional frail tissue. VSD closure is obtained through two composite semirigid patches placed on both sides of the defect and kept together by two button-seam fashion sutures. The left patch must exceed the VSD maximum diameter by 2 cm, while the right patch can be 0.5 cm smaller. The technique requires a biventricular approach through transverse aortotomy and right atriotomy. A vessel loop is passed through the defect, helping the parachuting of the left side patch over the VSD. After positioning the left patch, the ends of the button-seam sutures are passed through the right patch. The right patch is then parachuted through the atriotomy, covering the VSD right side. Finally, both patches are tied together, and valvular and subvalvular apparatus checked for correct functioning.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2026 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148037543","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

From compression to cure: aberrant right subclavian artery reimplantation for dysphagia lusoria. 从压迫到治愈：畸形右锁骨下动脉再植治疗吞咽困难。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-05-19 DOI: 10.1510/mmcts.2025.168

Hani Nabeel Mufti, Alwaleed Althobaiti, Mohannad Dawary

引用次数: 0

Two variations of Commando-Nicks approach for calcified aortic and mitral valve disease. 两种不同的Commando-Nicks入路治疗钙化主动脉瓣和二尖瓣疾病。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-05-19 DOI: 10.1510/mmcts.2026.008

Amar Gabrielle, Junichi Shimamura, David Spielvogel, Sabet Hashim, Suguru Ohira

{"title":"Two variations of Commando-Nicks approach for calcified aortic and mitral valve disease.","authors":"Amar Gabrielle, Junichi Shimamura, David Spielvogel, Sabet Hashim, Suguru Ohira","doi":"10.1510/mmcts.2026.008","DOIUrl":"10.1510/mmcts.2026.008","url":null,"abstract":"Surgery for radiation-associated valve disease is technically demanding due to challenging exposure, extensive calcification, and risk of paravalvular leak or atrioventricular groove disruption. An oblique aortotomy revealed heavy calcification extending to the aortomitral continuity, where only a 23 mm sizer could barely pass. The aortotomy was extended into the non-coronary sinus adjacent to the left-non commissure. An extended transseptal approach was employed and connected to the aortotomy. The anterior mitral leaflet was excised. From trigone to trigone, non-everting buttressed stitches were placed in the posterior annulus to avoid the mitral annular calcification. A 2-cm-wide felt strip collar, corresponding to the mitral annular calcification depth, was secured to a 31 mm mitral bioprosthesis with running polypropylene sutures. The valve stitches were passed through the felt strip, and after tying them down, a folded bovine pericardial patch was sewn to the anterior annulus of the mitral prosthesis using a running suture. One side of the patch was used to close the dome of the left atrium; the other side was used to close the aortotomy. A 27 mm aortic prosthesis was then easily implanted due to root enlargement. The aortotomy was closed, and the patient was weaned from cardiopulmonary bypass without difficulty.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2026 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147977092","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

Repair of a unicuspid aortic valve with root stabilization. 单尖瓣主动脉瓣根部稳定修复术。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-05-13 DOI: 10.1510/mmcts.2025.158

Igor E Konstantinov, Karen Abeln

引用次数: 0