Shanghai chest最新文献_第5页

Pneumothorax as a result of bronchoscopic lung volume reduction with endobronchial valves: a clinical practice review of risk and management strategies 支气管镜下支气管内瓣膜肺减容导致的肺炎：风险和管理策略的临床实践综述

Shanghai chest Pub Date : 2023-01-01 DOI: 10.21037/shc-22-34

A. Wagh, Nakul Ravikumar, D. Hogarth

引用次数: 1

Surgical management of parapneumonic empyema 肺炎旁脓胸的外科治疗

Shanghai chest Pub Date : 2022-07-01 DOI: 10.21037/shc-22-11

N. Santana-Rodríguez, Hamsa Aldebakey, Ibrahem Albalkhi, M. Hussein, Abdullah AlShammari, Ahmed Ahmed, Nasser Alshariff, Hazem Albeyali, Mahmoud Hashim, Bernardino Clavo-Varas, M. Migliore

引用次数: 0

Spontaneous giant chest wall hematomas in COVID-19 patients: case report COVID-19患者自发性巨大胸壁血肿1例

Shanghai chest Pub Date : 2022-04-01 DOI: 10.21037/shc-21-29

Á. Fuentes-Martín, Ángel Cilleruelo Ramos, J. Soro-García, José María Matilla González

{"title":"Spontaneous giant chest wall hematomas in COVID-19 patients: case report","authors":"Á. Fuentes-Martín, Ángel Cilleruelo Ramos, J. Soro-García, José María Matilla González","doi":"10.21037/shc-21-29","DOIUrl":"https://doi.org/10.21037/shc-21-29","url":null,"abstract":"Background: Spontaneous chest wall hematomas are an extremely rare clinical finding. Bleeding manifestations without other associated factors have not yet been re-ported in COVID-19 disease. Case Description: We report the cases of two patients with severe COVID-19 disease who debuted with a giant spontaneous chest wall hematoma at our institution without a history of traumatic event or previous invasive procedure. Both patients, a 75-year-old male and a 96-year-old woman, were in a resolution stage of their COVID-19 bilateral pneumonia and were receiving prophylactic dose low-molecular-weight heparin. The initial symptoms in both patients were the appearance of chest pain with a rapidly progressive indurated mass in the pectoral region. The imaging test of choice were computed chest tomography and an angiographic study, which allowed the identification of the possible origin of the bleeding and its subsequent selective embolization. Surgical drainage of the hematoma was necessary in one of the patients. Both patients presented a good clinical evolution, being able to be discharged from the hospital approximately one week after admission, with hematoma in the resolution phase and without clinical, laboratory or radiological data of active bleeding. Conclusions: We consider it necessary to individualize antithrombotic prophylaxis in COVID-19 disease until the risk-benefit ratio is delimited. © 2022 by Prusa Medical Publishing.","PeriodicalId":74794,"journal":{"name":"Shanghai chest","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42254182","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

Stapler stuck to the lung tissue during thoracoscopic lobectomy: a case report 胸腔镜肺叶切除术中吻合器粘在肺组织1例

Shanghai chest Pub Date : 2022-04-01 DOI: 10.21037/shc-21-32

A. Fiorelli, Giovanni Natale, F. Ferraro, Roberta Fiorito, M. Santini

{"title":"Stapler stuck to the lung tissue during thoracoscopic lobectomy: a case report","authors":"A. Fiorelli, Giovanni Natale, F. Ferraro, Roberta Fiorito, M. Santini","doi":"10.21037/shc-21-32","DOIUrl":"https://doi.org/10.21037/shc-21-32","url":null,"abstract":"Background: Staplers play a crucial role for thoracoscopic lobectomy, but their malfunction may be associated with post-operative morbidity and/or mortality. Case Description: Herein, we reported a case of stapler trouble during thoracoscopic left lower lobectomy. At the end of the operation, interlobar fissure was divided by stapler with 60 mm purple (3.5 mm) cartridge. After firing, the jaws did not open, and remained stuck to the lung tissue. A fissureless approach was performed and the interlobar fissure was divided at last using a stapler with 60 mm purple (3.5 mm) cartridge. After firing, the jaws did not open, and remained stuck to the lung tissue. All secondary maneuvers recommended from the manufacturer for opening the jaws were performed, but without success. An additional stapler with 60 mm purple (3.5 mm) cartridge was inserted through the anterior incision, and divided the tissue between the stuck stapler and the pulmonary artery. The tissue with the locked stapler was divided from the specimen using energy device, and taken out of the patient through the anterior incision. The specimen was then inserted within the endo-bag and retrieved through the anterior incision in a standard manner. Extended lymphadenectomy completed the procedure, and intraoperative sealing test revealed no air leakage. The postoperative course was unremarkable, and patient was discharged five days later. The actual follow-up showed no sign of recurrence. Conclusions: Our strategy may be useful for surgeons to deal an unpredicted similar situation that may occur either for stapler malfunction or for improper use","PeriodicalId":74794,"journal":{"name":"Shanghai chest","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67564882","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

Endotracheal tube for relocating dislocated airway stent: a case report 气管插管移位气道支架1例

Shanghai chest Pub Date : 2022-04-01 DOI: 10.21037/shc-22-6

A. Fiorelli, G. Messina, Roberta Fiorito, M. Martone, F. Ferraro, M. Santini

{"title":"Endotracheal tube for relocating dislocated airway stent: a case report","authors":"A. Fiorelli, G. Messina, Roberta Fiorito, M. Martone, F. Ferraro, M. Santini","doi":"10.21037/shc-22-6","DOIUrl":"https://doi.org/10.21037/shc-22-6","url":null,"abstract":"Background: Malignant central airway stenosis (CAO) is a life-threatening condition that may lead to emergency intubation and mechanical ventilation to manage severe respiratory failure. Airway stenting may facilitate extubation, and preserve stable airway for further cancer specific treatments. Herein, we reported an unconventional life-saving strategy using endotracheal tube (ETT) to relocate a displaced airway stent in a patient with critical CAO. Case Description: A 69-year-old man with severe malignant tracheal stenosis underwent emergent intubation. Airway stenting was placed and patient moved to Intensive Care Unit (ICU) with ETT in situ . Soon after extubation, the patient developed severe breathing difficulty due to stent dislocation. Under endoscopic view, a 7.5 mm ETT was placed within the stent; the balloon was inflated, and the tube with the stent was gently moved toward the carina, till the stent forced and covered the stenosis and its distal end was located above the carina. The balloon was then deflated, and the ETT was removed. Conclusions: Our method was not the first choice for relocating dislocating airway stent, but it should be considered as a life-saving treatment to perform in emergent situation when rigid bronchoscope and operating room were not readily available. The main lesson to be learned from this case was to not extubate a patient with a high-risk airway unless physicians are prepared to deal with the potential complications.","PeriodicalId":74794,"journal":{"name":"Shanghai chest","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45650893","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: 2

Annual report of thoracic surgery services at the Shanghai Chest Hospital in 2020 2020年上海胸科医院胸外科服务年度报告

Shanghai chest Pub Date : 2022-01-01 DOI: 10.21037/shc-2021-04

Yiyang Wang, Z. Gu, F. Yao, T. Mao, Rui Wang, Yifeng Sun, Zhigang Li, J. Yang, Q. Tan, Q. Luo, W. Fang

{"title":"Annual report of thoracic surgery services at the Shanghai Chest Hospital in 2020","authors":"Yiyang Wang, Z. Gu, F. Yao, T. Mao, Rui Wang, Yifeng Sun, Zhigang Li, J. Yang, Q. Tan, Q. Luo, W. Fang","doi":"10.21037/shc-2021-04","DOIUrl":"https://doi.org/10.21037/shc-2021-04","url":null,"abstract":"Background: The thoracic surgery team of the Shanghai Chest Hospital has been publishing its annual report since 2018, summarizing the services and major progress over the last year. Methods: All patients receiving thoracic surgery services at the Department of Thoracic Surgery and the Department of Oncological Surgery at the Shanghai Chest Hospital in 2020 were enrolled. The number of surgical resections, types of surgical procedures, disease histological types, and perioperative outcomes were collected and compared with the results from previous years. Results: In the year 2020, the thoracic team of the Shanghai Chest Hospital faced the unprecedented challenge of the coronavirus disease 2019 (COVID-19) epidemic. A total of 15,664 patients received thoracic surgeries at the Shanghai Chest Hospital, only an 8.0% decrease compared with the previous year of 2019. These included 13,493 pulmonary procedures, 1,075 esophageal procedures, 969 mediastinal procedures, 66 tracheal procedures, 2 lung transplantations, and 59 other procedures. The rate of minimally invasive surgeries among all procedures was 91.1%, including 721 robotic-assisted thoracic surgeries, both of which increased from the year before. In addition, the average length of hospital stay continuously decreased, being only 3.82 days after pulmonary surgery and 10.96 days after esophageal surgery. Meanwhile, the quality of thoracic surgery has improved, with continuously lower rates of perioperative complications and an in-hospital mortality rate of only 0.14%. Conclusions: The services provided and progress made in 2020 by the thoracic surgery team of the Shanghai Chest Hospital were reviewed in this annual report, reflecting a consistent effort to help our patients with high-standard services and state-of-the-art surgical techniques. © 2022 Shanghai Chest. All rights reserved.","PeriodicalId":74794,"journal":{"name":"Shanghai chest","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46844907","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

Lymphocyte predominant exudative pleural effusions: a narrative review 淋巴细胞为主的渗出性胸腔积液:叙述回顾

Shanghai chest Pub Date : 2022-01-01 DOI: 10.21037/shc-21-11

Chang Li, F. Kazzaz, Joanna M. Scoon, R. Estrada-Y.-Martin, S. Cherian

引用次数: 0

Video-assisted thoracoscopic tracheal tumor resection with acupuncture drug compound non-intubated anesthesia: a case report 电视胸腔镜下针药复合非插管麻醉下气管肿瘤切除术1例

Shanghai chest Pub Date : 2022-01-01 DOI: 10.21037/shc-21-12

Zhuoqi Jia, Weiru Zhou, Bingyu Liu, Jian Wen, Qiang Wang, Guangjian Zhang, Junke Fu

引用次数: 0

Core needle biopsy for screening detected lung cancer—does it capture all in light of tumor heterogeneity?—a narrative review 核心穿刺活检用于筛查已发现的肺癌——它能捕捉到肿瘤异质性的所有特征吗?-叙述回顾

Shanghai chest Pub Date : 2021-07-09 DOI: 10.21037/shc-21-1

Carina Binder, F. Oberndorfer, L. Müllauer