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The importance of n1 lymph node dissection in non-small cell lung cancer n1淋巴结清扫在非小细胞肺癌中的重要性
Current challenges in thoracic surgery Pub Date : 2022-01-01 DOI: 10.26663/cts.2022.007
T. Dogruyol, V. Baysungur, S. Citak, S. Doğruyol, A. Mısırlıoğlu, Serda Kanbur, L. Alpay, Ç. Tezel
{"title":"The importance of n1 lymph node dissection in non-small cell lung cancer","authors":"T. Dogruyol, V. Baysungur, S. Citak, S. Doğruyol, A. Mısırlıoğlu, Serda Kanbur, L. Alpay, Ç. Tezel","doi":"10.26663/cts.2022.007","DOIUrl":"https://doi.org/10.26663/cts.2022.007","url":null,"abstract":"Background: Not all of the N1 lymph nodes are routinely dissected during surgical resection of nonsmall cell lung cancer (NSCLC). The aim of our study is to determine the risk factors for N1 lymph node metastasis in NSCLC with peroperative dissection. Materials and Methods: Patients who underwent lung resection in our hospital between September 2014 and April 2016 were retrospectively included in this study. Resected specimens were dissected in the operating room by the surgeon before being put into formaldehyde solution. Patients were divided into three groups: with a single positive N1 node (Group 1), with multiple positive N1 nodes (Group 2), and with single or multiple positive N1 nodes and incidentally positive N2 nodes (Group 3). Results: Fifty patients were included (46 males, 4 females). Univariate analysis showed significant correlation between N1 positivity and left-sided tumor, left central mass, squamous cell carcinoma, maximum standardized uptake (SUVmax) on positron emission tomography (PET/CT), pneumonectomy, and tumor size (p < 0.05). Logistic regression showed that the risk of N1 involvement was higher for squamous cell carcinoma compared to adenocarcinoma in all three groups. Conclusions: Left central mass, squamous cell carcinoma, SUVmax ≥ 10, uptake in hilar lymph nodes on PET-CT, and tumor diameter > 3.5 cm correlated with single or multiple positive N1 nodes in our study. Specimen dissection in patients with such preoperative findings could improve the accuracy of pathological nodal staging, thus refining the assessment of prognosis and selection of patients who would benefit from adjuvant therapy.","PeriodicalId":72729,"journal":{"name":"Current challenges in thoracic surgery","volume":"83 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89024353","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
Giant pediatric intrathoracic ganglioneuroma: a case report and review of the literature 巨大的小儿胸内神经节瘤：病例报告和文献综述
Current challenges in thoracic surgery Pub Date : 2022-01-01 DOI: 10.26663/cts.2022.015
Buse Mine Konuk Balcı, G. Kocaman, Mehmet Ali Sakallı, B. Yenigün, A. Çoruh, Bilge Ayça Kırmızı, A. Heper, S. Enön
{"title":"Giant pediatric intrathoracic ganglioneuroma: a case report and review of the literature","authors":"Buse Mine Konuk Balcı, G. Kocaman, Mehmet Ali Sakallı, B. Yenigün, A. Çoruh, Bilge Ayça Kırmızı, A. Heper, S. Enön","doi":"10.26663/cts.2022.015","DOIUrl":"https://doi.org/10.26663/cts.2022.015","url":null,"abstract":"<jats:p xml:lang=\"tr\" />","PeriodicalId":72729,"journal":{"name":"Current challenges in thoracic surgery","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74329036","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
An analysis of cigarette smoking in thoracic surgery patients 胸外科患者吸烟情况分析
Current challenges in thoracic surgery Pub Date : 2022-01-01 DOI: 10.26663/cts.2022.014
Yunus Seyrek, Onur Volkan Yaran, M. Özbek, Nilüfer Menekşe, L. Cansever, M. Bedirhan
{"title":"An analysis of cigarette smoking in thoracic surgery patients","authors":"Yunus Seyrek, Onur Volkan Yaran, M. Özbek, Nilüfer Menekşe, L. Cansever, M. Bedirhan","doi":"10.26663/cts.2022.014","DOIUrl":"https://doi.org/10.26663/cts.2022.014","url":null,"abstract":"<jats:p xml:lang=\"tr\" />","PeriodicalId":72729,"journal":{"name":"Current challenges in thoracic surgery","volume":"129 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81340040","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
Surgeon powered robotic lobectomy: first case performed in turkey 外科医生驱动的机器人肺叶切除术:在土耳其进行的第一例
Current challenges in thoracic surgery Pub Date : 2022-01-01 DOI: 10.26663/cts.2022.008
C. Sezen, M. Metin
{"title":"Surgeon powered robotic lobectomy: first case performed in turkey","authors":"C. Sezen, M. Metin","doi":"10.26663/cts.2022.008","DOIUrl":"https://doi.org/10.26663/cts.2022.008","url":null,"abstract":"In this case report, the case of non-small cell lung cancer resection performed with surgeon-powered robotic surgery (sPRS) was evaluated in light of the literature. A 62-year-old male patient applied to our clinic with the complaint of non-specific chest pain. On the tomography of the patient, a mass of approximately 1 cm in the lower lobe of the right lung was detected, and there was no distant metastasis. A transthoracic needle biopsy was performed on the patient. Right lower lobectomy operation was performed using wristed instruments (Artisential® Wristed Instruments) in this non-small cell lung cancer patient. sPRS provides more mobility than VATS and we think that it is a more cost effective surgical instrument than robotic surgery. We think that surgeons should embrace new technologies in order to provide more benefits to patients.","PeriodicalId":72729,"journal":{"name":"Current challenges in thoracic surgery","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90469987","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: 1
Minimally invasive approach to pleural empyema: uniportal or biportal? 胸腔积液的微创方法：单门还是双门？
Current challenges in thoracic surgery Pub Date : 2022-01-01 DOI: 10.26663/cts.2022.010
Kerim Tuluce, H. Turut
{"title":"Minimally invasive approach to pleural empyema: uniportal or biportal?","authors":"Kerim Tuluce, H. Turut","doi":"10.26663/cts.2022.010","DOIUrl":"https://doi.org/10.26663/cts.2022.010","url":null,"abstract":"<jats:p xml:lang=\"tr\" />","PeriodicalId":72729,"journal":{"name":"Current challenges in thoracic surgery","volume":"151 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76010109","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
The surgical repair of a trauma-related sternoclavicular joint dislocation using the musculus gracilis tendon 利用腓肠肌肌腱对外伤导致的胸锁关节脱位进行手术修复
Current challenges in thoracic surgery Pub Date : 2022-01-01 DOI: 10.26663/cts.2022.016
Ș. Karadayi, F. Demir, S. Kılınç
{"title":"The surgical repair of a trauma-related sternoclavicular joint dislocation using the musculus gracilis tendon","authors":"Ș. Karadayi, F. Demir, S. Kılınç","doi":"10.26663/cts.2022.016","DOIUrl":"https://doi.org/10.26663/cts.2022.016","url":null,"abstract":"<jats:p xml:lang=\"tr\" />","PeriodicalId":72729,"journal":{"name":"Current challenges in thoracic surgery","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81121629","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
Uniport vats versus biport vats in treatment of spontaneous pneumothorax 单孔桶与双孔桶治疗自发性气胸
Current challenges in thoracic surgery Pub Date : 2022-01-01 DOI: 10.26663/cts.2022.001
M. Sallam, H. Elkhayat, Ahmed Elminshawy
{"title":"Uniport vats versus biport vats in treatment of spontaneous pneumothorax","authors":"M. Sallam, H. Elkhayat, Ahmed Elminshawy","doi":"10.26663/cts.2022.001","DOIUrl":"https://doi.org/10.26663/cts.2022.001","url":null,"abstract":"Background: To enhance postoperative outcomes in patients having videoassisted thoracic surgery (VATS) for spontaneous pneumothorax, it is necessary to determine the difference between the uses of each VATS treatment in such patients. Previous studies have revealed a discussion over the preference of one technique over the other. Materials and Methods: A comparative study was conducted on spontaneous pneumothorax patients (primary or secondary) undergoing VATS in Assiut University Heart Hospital from January 2017 till April 2019. Patients included in our study were prominent bullous forms in PSP pneumothorax lines, recurrent pneumothorax, bilateral pneumothorax, previous history of contralateral pneumothorax, and spontaneous hemothorax, air leakage more than five days with drainage catheter for first-episode patients. Patients were divided into two groups as group A patients who underwent uniport VATS procedure, and group B patients who underwent biport VATS procedure. Results: The study included 32 patients, 22 were primary spontaneous pneumothorax (PSP), while 10 were secondary spontaneous pneumothorax (SSP). The male to female ratio (MF ratio) was 3.2:1. The mean ± SD for age was 30.04 ± 10.245 in PSP and was 50.43 ± 9.071 in SSP. Eighteen patients underwent uniport VATS, and 14 underwent biport VATS. The mean time for operation was 81.5 ± 33.74 in uniport VATS versus 109.79 ± 25.37 in biport VATS (p = 0.014). No significant statistical difference was found between uniport and biport VATS regarding pain, air leak, complications, hospital stay, recurrence, and mortality. Despite no statistical difference regarding mortality (p = 0.492), there were two mortalities in the uniport VATS group known as interstitial pulmonary fibrosis. Conclusions: We concluded that there are no differences between both techniques except for operative time.","PeriodicalId":72729,"journal":{"name":"Current challenges in thoracic surgery","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90080645","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
Conservative approach versus invasive approach for pneumothorax secondary to blunt trauma 治疗钝性外伤继发气胸的保守方法与创伤性方法的比较
Current challenges in thoracic surgery Pub Date : 2022-01-01 DOI: 10.26663/cts.2022.011
Özgür İşgörücü
{"title":"Conservative approach versus invasive approach for pneumothorax secondary to blunt trauma","authors":"Özgür İşgörücü","doi":"10.26663/cts.2022.011","DOIUrl":"https://doi.org/10.26663/cts.2022.011","url":null,"abstract":"<jats:p xml:lang=\"tr\" />","PeriodicalId":72729,"journal":{"name":"Current challenges in thoracic surgery","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76019693","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
Prehabilitation and enhanced recovery after thoracic surgery: a narrative review 胸外科手术后的预适应和增强恢复:一个叙述性的回顾
Current challenges in thoracic surgery Pub Date : 2022-01-01 DOI: 10.21037/ccts-21-24
Azza Al-Abri, D. Shafiepour
{"title":"Prehabilitation and enhanced recovery after thoracic surgery: a narrative review","authors":"Azza Al-Abri, D. Shafiepour","doi":"10.21037/ccts-21-24","DOIUrl":"https://doi.org/10.21037/ccts-21-24","url":null,"abstract":"","PeriodicalId":72729,"journal":{"name":"Current challenges in thoracic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42706483","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
Parkinson and atraumatic sternum fracture: a case report 帕金森合并非外伤性胸骨骨折1例
Current challenges in thoracic surgery Pub Date : 2022-01-01 DOI: 10.26663/cts.2022.009
Özlem Orhan, F. Cansun
{"title":"Parkinson and atraumatic sternum fracture: a case report","authors":"Özlem Orhan, F. Cansun","doi":"10.26663/cts.2022.009","DOIUrl":"https://doi.org/10.26663/cts.2022.009","url":null,"abstract":"Although sternum fractures are more common after direct and impact trauma, they are rarely caused by pathological reasons. Sternum insufficiency fractures have been reported rarely in elderly patients. In the literature, sternum fracture after low-energy indirect trauma has been rarely reported. Our aim in this case is to present a 79-year-old female patient with chest pain after indirect trauma and a sternum fracture on admission to the emergency department. The patient with previously known Parkinson’s disease had a manubrium sternum fracture on computed tomography, and no additional pathology was found.","PeriodicalId":72729,"journal":{"name":"Current challenges in thoracic surgery","volume":"83 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79343234","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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