Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery最新文献_第9页

Three different surgical approaches for complex transposition of the great arteries with ventricular septal defect and pulmonary stenosis. 复杂大动脉转位合并室间隔缺损及肺动脉狭窄的三种不同手术入路。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-04-30 DOI: 10.1510/mmcts.2025.037

Tomasz Nalecz, Alexandre Pelouze, Rares-Alexandru Eniu, Mélanie Frei, Jalal Jolou, Charlotte Leclercq, Julie Wacker, Tornike Sologashvili

{"title":"Three different surgical approaches for complex transposition of the great arteries with ventricular septal defect and pulmonary stenosis.","authors":"Tomasz Nalecz, Alexandre Pelouze, Rares-Alexandru Eniu, Mélanie Frei, Jalal Jolou, Charlotte Leclercq, Julie Wacker, Tornike Sologashvili","doi":"10.1510/mmcts.2025.037","DOIUrl":"https://doi.org/10.1510/mmcts.2025.037","url":null,"abstract":"The treatment of complex transposition of the great arteries with a ventricular septal defect and pulmonary stenosis/left outflow tract obstruction poses significant challenges. The decision between performing a Rastelli procedure, a Nikaidoh procedure or a double root rotation depends on the cardiac anatomy, especially the location of the ventricular septal defect, its spatial relationship with the great arteries, the presence of straddling of the atrioventricular valve and the appreciation of the pulmonary valve. In our centre, our goal is to provide the most physiologic repair tailored to each patient's unique anatomy and to try to preserve the pulmonary valve in the pulmonary position, despite some degree of residual stenosis. We demonstrate three different surgical techniques adapted for various anatomies: one en bloc double root rotation, one double root translocation with separation of the roots and one modified Nikaidoh procedure.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041213","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 robotic fissureless en bloc resection of left S6 and S1+2a+b for lung cancer located at an incomplete fissure. 机器人无裂隙整体切除左S6和S1+2a+b不完全性裂隙肺癌。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-04-30 DOI: 10.1510/mmcts.2025.027

Hiroyuki Tao

{"title":"A robotic fissureless en bloc resection of left S6 and S1+2a+b for lung cancer located at an incomplete fissure.","authors":"Hiroyuki Tao","doi":"10.1510/mmcts.2025.027","DOIUrl":"https://doi.org/10.1510/mmcts.2025.027","url":null,"abstract":"The fissureless technique is useful for avoiding postoperative air leaks after pulmonary lobectomy or segmentectomy when the interlobar fissure is incomplete or fused. This technique is also useful for lung cancers with interlobar invasion or located in incomplete or fused fissures. In a recent case, we successfully utilized robotic-assisted thoracoscopic surgery to perform the fissureless technique on a patient diagnosed with lung adenocarcinoma. The tumour was located in the left superior segment (S6) and had spread beyond the incomplete fissure towards the apicodorsal segment (S1+2). The use of the fissureless technique allowed us to achieve a sufficient tumour margin, which is crucial for reducing the risk of recurrence. The pathological examination confirmed a diagnosis of node-negative papillary adenocarcinoma with pleural invasion. The patient experienced no recurrence at three years postoperatively. En bloc combined segmentectomy using the fissureless technique is useful to ensure adequate tumour margins for lung cancer arising in incomplete or fused fissures. Robotic surgery is suitable for this technique, which proceeds from a single direction.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056695","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

Extended left pneumonectomy with intrapericardial arterial reconstruction under cardiopulmonary bypass. 体外循环下扩展左全肺切除术合并心包内动脉重建。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-04-30 DOI: 10.1510/mmcts.2025.032

Vincenzo Verzeletti, Alberto Busetto, Alessandro Bonis, Cannone Giorgio, Marco Schiavon, Samuele Nicotra, Andrea Dell'Amore, Federico Rea

引用次数: 0

Valve-sparing aortic root replacement using the on-pump beating heart technique. 使用无泵心脏跳动技术保留主动脉根部瓣膜置换术。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-04-25 DOI: 10.1510/mmcts.2025.026

Andrey Marchenko, Pavel Myalyuk, Alexey Petrishchev, Alexander Verevkin, Vyacheslav Belov

引用次数: 0

Uniportal robotic right lower sleeve lobectomy. 单门机器人右下袖肺叶切除术。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-04-25 DOI: 10.1510/mmcts.2025.029

Edoardo Mercadante, Giorgia Opromolla, Mary Bove, Antonello La Rocca, Giuseppe De Luca, Carmine La Manna, Nicola Martucci

引用次数: 0

Arterial revascularization of the left coronary artery after Kawasaki disease in a paediatric patient. 川崎病患儿左冠状动脉动脉血运重建术。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-04-24 DOI: 10.1510/mmcts.2025.016

Yuriy Stukov, Phillip J Hess, Jeffrey P Jacobs, Matheus Falasa, Alexandra Murillo Solera, Thomas M Beaver, Giles J Peek, Mark Bleiweis

引用次数: 0

Giant right atrium myxoma resection: video-assisted thoracoscopic technique. 巨大右心房黏液瘤切除术：电视胸腔镜技术。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-04-23 DOI: 10.1510/mmcts.2025.022

Ignacio Morales-Rey, Ignacio Sanchís, Lorena Mujica, Manuel López-Baamonde, Robert Pruna-Guillen, Manuel Castellà

{"title":"Giant right atrium myxoma resection: video-assisted thoracoscopic technique.","authors":"Ignacio Morales-Rey, Ignacio Sanchís, Lorena Mujica, Manuel López-Baamonde, Robert Pruna-Guillen, Manuel Castellà","doi":"10.1510/mmcts.2025.022","DOIUrl":"https://doi.org/10.1510/mmcts.2025.022","url":null,"abstract":"A 68-year-old man was diagnosed with a very large right atrium mass that gave him symptoms of constitutional and right-sided heart failure. Echocardiography and magnetic resonance imaging showed tricuspid occlusion by the tumoural mass during diastole and suggested an implant base near the inferior vena cava-right atrium junction. A video-assisted thoracoscopic port-access approach was used to remove it surgically. Bicaval jugular and femoral cannulation for cardiopulmonary bypass was implemented. Antegrade del Nido cardioplegia was administered. Complete tumour resection was performed without complications, with excellent exposition and visualization for clean margins. The postoperative period was uneventful, and he was discharged on postoperative day 4. The pathology report confirmed a histologic diagnosis of myxoma. This minimally invasive approach caused hardly any surgical trauma to this fragile, malnourished patient with cardiac cachexia, did not jeopardize the clinical outcomes and protected him from potential serious complications derived from a conventional sternotomy and long stays in the intensive care unit and the hospital, thereby allowing him to recover functional capacity swiftly.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021752","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 bronchogenic cyst. 机器人切除支气管源性囊肿。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-04-17 DOI: 10.1510/mmcts.2025.021

Bilal Odeh, Alexander Pohlman, Zaid M Abdelsattar

{"title":"Robotic resection of a bronchogenic cyst.","authors":"Bilal Odeh, Alexander Pohlman, Zaid M Abdelsattar","doi":"10.1510/mmcts.2025.021","DOIUrl":"https://doi.org/10.1510/mmcts.2025.021","url":null,"abstract":"We present the case of the robotic resection of a bronchogenic cyst in a 25-year-old man. The mass, which was 3.5 x 2.4 x 4.4 cm, was picked up on a computed tomography scan performed after a motor vehicle accident. The mass was bordered by multiple thoracic structures like the oesophagus, pericardium, lung and airways. The cyst was first freed from its adherence to the vagus nerve. A combination of bipolar cautery and blunt dissection was used. Then, the mass was also separated from the bronchus intermedius, followed by its posterior attachment to the oesophagus and its infero-posterior attachment to the pericardium. During its separation from the oesophagus, the cyst was opened and evacuated from the inside. This step was particularly important because the cyst was visualized from the inside and was confirmed to have no communication with the oesophagus. The cyst was confirmed to have had all its contents suctioned appropriately. Following its separation from the pericardium, which was done intricately using bipolar cautery to limit potential injury to the pericardium, the mass was put in an anchor bag and removed from the chest. The patient's postoperative course was unremarkable, and he made a full recovery.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041211","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-sparing valve replacement in a prefabricated KONECT RESILIA aortic valved conduit. 预制KONECT RESILIA主动脉瓣管置换术中的保根瓣膜置换术。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-04-14 DOI: 10.1510/mmcts.2025.015

Benjamin Yang, Paul Cullen, Anthony Zaki

引用次数: 0

Right robotic-assisted thoracic surgery retrograde fissureless en bloc S2/6 bisegmentectomy. 右机器人辅助胸外科逆行无裂整体S2/6双节段切除术。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-04-11 DOI: 10.1510/mmcts.2025.017

Fatemeh Habibi Nameghi, William Ansley, Ra'fat Tawalbeh, Haisam Saad, Jonathon Francis, Vasileios Kouritas

{"title":"Right robotic-assisted thoracic surgery retrograde fissureless en bloc S2/6 bisegmentectomy.","authors":"Fatemeh Habibi Nameghi, William Ansley, Ra'fat Tawalbeh, Haisam Saad, Jonathon Francis, Vasileios Kouritas","doi":"10.1510/mmcts.2025.017","DOIUrl":"https://doi.org/10.1510/mmcts.2025.017","url":null,"abstract":"We describe a demanding procedure involving resection of a non-palpable lesion resting in the middle of the posterior aspect of the undeveloped oblique fissure, between the right S2 and S6 segments. Four ports were utilized, and the da Vinci X system was used. The resection started from the V6. Because the fissure was not complete, a tunnel was created below the B6 and towards the area between the A6 and the rest of the basal pulmonary artery. The division of the S6 segment from the lower lobe followed. After the B6 was divided, the A6 was divided separately from the A2 although they originated with a common trunk. The B2 division followed. Finally, the S2 segment was detached, completing the S2/6 bisegmentectomy. Postoperative recovery was uneventful, and the patient was discharged on post-operative day 1. The final histologic report confirmed an adenocarcinoma non-small cell lung cancer (pT1bN0M0V1PL0) with negative margins (R0). At the follow-up examination, the patient was well without cancer recurrence.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051961","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