Rinsho kyobu geka = Japanese annals of thoracic surgery最新文献

Mediastinal Lymph Node Dissection 纵隔淋巴结清扫

Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 2020-02-08 DOI: 10.32388/2dglwt

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[Present status of IVOX device]. [IVOX设备的当前状态]。

Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-12-01

Y Terada

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[Surgical treatment of false aneurysms following Bentall's operation]. 本特尔手术后假性动脉瘤的外科治疗。

Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-12-01

S Aomi, A Hashimoto, H Koyanagi

{"title":"[Surgical treatment of false aneurysms following Bentall's operation].","authors":"S Aomi, A Hashimoto, H Koyanagi","doi":"","DOIUrl":"","url":null,"abstract":"Between January 1973 and June 1993, 157 patients had Bentall's operation and its modifications for the surgical treatment of annuloaortic ectasia and dissecting aneurysm in our institute. Reoperation for false aneurysms following Bentall technique were performed 10 patients. There were 8 males and 2 females. This ages ranged from 29 to 57 years with an average of 41. The interval between initial and subsequent operation was from 3.7 to 18.4 years (median, 8.2 years). Prior to a median sternotomy, femoro vein-femoral artery partial cardiopulmonary bypass was instituted occationaly. Operative technique of repair of coronary detachment were direct closure in 6 and interposition graft technique in 4 patients. There were 2 hospital death caused by rupture at median aternotomy and graft infection. The actuarial freedom from reoperation at 10 years according to technique of coronary reattachment, for the patients with one lane suture was 69%, for those with two lane suture was 95% (p < 0.01), and for those with interposition graft technique was 100%. In conclusions, it was very important for repair of false aneurysms following Bentall procedure to expose aneurysms safely through proper approach. Interposition graft technique was preferable to repair coronary detachment. Our recent surgical results of Bentall procedure improved by the modification of the coronary reimplantation method.","PeriodicalId":79253,"journal":{"name":"Rinsho kyobu geka = Japanese annals of thoracic surgery","volume":"14 6","pages":"467-70"},"PeriodicalIF":0.0,"publicationDate":"1994-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20350247","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}

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[Mitral valve surgery using combined superior-transseptal approach to the left atrium]. 二尖瓣手术采用上隔膜联合入路进入左心房。

Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-12-01

S Aoyagi, S Fukunaga, A Oryoji, K Kosuga, K Oishi

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[Redo operations for dissecting aortic aneurysm]. [重做夹层主动脉瘤手术]。

Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-12-01

T Ueda, R Yozu, S Kawada

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[Effects of subcutaneous administration of erythropoietin on autologous blood predonation in open heart surgery: Japanese multicenter double-blinded dose-study]. [皮下给药促红细胞生成素对心内直视手术自体血液捐献前的影响:日本多中心双盲剂量研究]。

Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-12-01

R Omoto, S Kyo, A Furuse, Y Hosoda, S Eguchi, H Matsuda, Y Kito, K Hirashima, N Ogawa

{"title":"[Effects of subcutaneous administration of erythropoietin on autologous blood predonation in open heart surgery: Japanese multicenter double-blinded dose-study].","authors":"R Omoto, S Kyo, A Furuse, Y Hosoda, S Eguchi, H Matsuda, Y Kito, K Hirashima, N Ogawa","doi":"","DOIUrl":"","url":null,"abstract":"The effects of subcutaneous administration of recombinant human erythropoietin (EPO) on harvesting autologous blood predonation (ABP) and decreasing homologous blood transfusion (HBT) in open-heart surgery were examined prospectively in 132 patients treated in a 32-institute multicenter study. Single doses of 6000, 12,000, 18,000 and 24,000 unit (IU) of EPO with intravenous iron (40 mg) were administered once a week for 3 weeks with ABP (400 ml/week) before surgery. ABP volume (ml), change of blood hemoglobin level (C-Hb), preoperative net blood hemoglobin increase (delta Hb [g/dl] including ABP, perioperative blood loss (ml), and HBT rate, were as follows; [table: see text] Preoperative reduction of Hb (C-Hb) was less in administration dose of 18,000 IU and 24,000 IU than 6000 IU (p < 0.05). The increase of delta Hb was highest in 18,000 IU and HBT rate was lowest in administration dose of 24,000 IU, however, there was no statistical difference. In conclusion, both 18,000 IU and 24,000 IU of EPO treatment is effective to minimize the progression of anemia according to ABP for open heart surgery.","PeriodicalId":79253,"journal":{"name":"Rinsho kyobu geka = Japanese annals of thoracic surgery","volume":"14 6","pages":"510-21"},"PeriodicalIF":0.0,"publicationDate":"1994-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20350884","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}

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[Pulmonary hamartoma: atypical cases and current concept of management]. 【肺错构瘤:不典型病例及当前治疗理念】。

Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-12-01

K Nagamatsu, A Iwasaki, D Matsuzoe, T Kume, Y Yoshinaga, T Yoneda, Y Yamashita, T Shirakusa

{"title":"[Pulmonary hamartoma: atypical cases and current concept of management].","authors":"K Nagamatsu, A Iwasaki, D Matsuzoe, T Kume, Y Yoshinaga, T Yoneda, Y Yamashita, T Shirakusa","doi":"","DOIUrl":"","url":null,"abstract":"Twenty seven cases of surgically excised pulmonary hamartomas were reviewed. Patient's ages varied from twenty eight year-old to seventy seven year-old with an average of fifty three year-old. Of twenty seven cases, seventeen cases were man, seventeen cases has mass on right lung, and twenty six cases has solitary mass. While twenty five cases were asymptomatic, one case had cough, and the other cases had a history of hemoptysis (Case 3). Medical treatment for pulmonary tuberculosis had been continued unless the confirmed diagnosis on two cases. On one case followed as tuberculosis for twelve years, size of tumor shadow grew to two times bigger on chest X-ray films (Case 1). One of 27 cases showed multiple mass (Case 2). Histopathologically, twenty six cases were chondromatous hamartoma, and one case was non-chondromatous hamartoma. Pulmonary hamartoma is a benign tumor, and majority of cases are asymptomatic and not growing. On cases with presumed pulmonary hamartoma, less invasive thoracoscopic surgery seemed valuable for both therapeutic and diagnostic purpose to avoid continuous non-rational treatment and mental pressure of patient by prolonged follow up with unconfirmed diagnosis since complete differentiation from malignant neoplasm should not satisfactory on many cases.","PeriodicalId":79253,"journal":{"name":"Rinsho kyobu geka = Japanese annals of thoracic surgery","volume":"14 6","pages":"535-9"},"PeriodicalIF":0.0,"publicationDate":"1994-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20350888","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}

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[Experience of reoperations followed by repairs of abdominal aortic aneurysms]. 腹主动脉瘤再手术后修复的经验。

Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-12-01

K Yasuda, T Murashita, T Takigami, H Yamauchi, N Shiiya, S Sasaki, Y Matsui, M Sakuma

{"title":"[Experience of reoperations followed by repairs of abdominal aortic aneurysms].","authors":"K Yasuda, T Murashita, T Takigami, H Yamauchi, N Shiiya, S Sasaki, Y Matsui, M Sakuma","doi":"","DOIUrl":"","url":null,"abstract":"We experienced 8 cases who required reoperations, including 2 re-redo operations, after repairs of infrarenal abdominal aortic aneurysms. Of 8 patients, one patient developed a new aneurysm due to atherosclerosis in thoraco-abdominal aorta involving all visceral arteries and other 7 patients had aneurysmal formations at proximal anastomotic sites, including 3 suprarenal, 2 juxtarenal and 2 infrarenal aortic lesions. Etiology at initial operation in patients who subsequently developed anastomotic aneurysms included vasculo-Behçet disease in 4, atherosclerosis in 2 and dissecting aortic aneurysms type III due to Marfan syndrome in 1. At reoperation, all who had vasculo-Behçet disease had ruptures of anastomotic sites and 2 patients underwent repairs of dehiscent patch, 1 extra-anatomic bypass between ascending and abdominal aorta and 1 interposition of graft. One patient who had graft infection after repair of abdominal aortic aneurysm required axillo-femoral bypass with removal of infected graft. A patient who had dehiscence of proximal anastomosis after repair of aortoiliac occlusive disease required interposition of graft. Two patients, Marfan syndrome and aneurysm in thoraco-abdominal aorta, underwent graft replacement of thoraco-abdominal aorta concomitant with reconstruction of all visceral arteries. There were 8 patients who required reoperations for aneurysms at distal anastomotic sites after repairs of abdominal aortic aneurysms. Five patients underwent repairs of new aneurysms, including replacement of total arch in 3, descending aorta in 1 and iliac artery in 1. In all cases, no hospital death was noted, however, late deaths were occurred in vasculo-Behçet disease, Marfan syndrome and graft infection. Thus, late result depends on etiology of disease. Although patients who requires reoperation after repair of abdominal aortic aneurysms have higher operative risk factors, early and late results are satisfactory compared to initial operations.","PeriodicalId":79253,"journal":{"name":"Rinsho kyobu geka = Japanese annals of thoracic surgery","volume":"14 6","pages":"480-5"},"PeriodicalIF":0.0,"publicationDate":"1994-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20350250","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}

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[Early and long-term results of 233 heart transplant patients in University Bordeaux in France: quality of life following heart transplantations]. [法国波尔多大学233名心脏移植患者的早期和长期结果:心脏移植后的生活质量]。

Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-12-01

E M Baudet, X F Roques, M N Laborde, M A Billes, N Uchida, N Mitsui, S Wada, S Mukai, T Sueda, Y Matsuura

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[A case report of ruptured dissecting aneurysm with thrombosed false lumen]. [夹层动脉瘤破裂伴假腔血栓1例报告]。

Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-12-01

A Nabuchi, T Ichihara

{"title":"[A case report of ruptured dissecting aneurysm with thrombosed false lumen].","authors":"A Nabuchi, T Ichihara","doi":"","DOIUrl":"","url":null,"abstract":"A successful surgical repair was experienced for a 75 year old female patient with ruptured dissecting aneurysm at the descending aorta. She presented with severe chest pain and advancing anemia. CT scan showed haemorrhage from the descending aorta into the pleural cavity. Diffused and circumferrential thickening of the descending aorta was shown but those area was not enhanced by dye injection. An \"ulcer like formation\" was shown at the descending aorta by aortogram done before surgery. Surgical repair was done subsequently by left thoracotomy with cardiopulmonary bypass. Only a small intimal wall leakage at the bottom of the crater with size of 20 mm and organized (old) thrombi were seen by intraoperative observation. Other part of intima was thickened but had no damage. Replacement was done for the descending aorta by 8 cm length with woven dacron graft successfully. Microscopic finding of resected aortic tissue showed severe atherosclerotic change. In this case, dissection was initiated from the part of crater which had most severe degeneration by atherosclerotic change and oozing started there, too. Atherosclerotic change, dissection, and oozing rupture were occurred at the same part in this patient, which is quite instructive.","PeriodicalId":79253,"journal":{"name":"Rinsho kyobu geka = Japanese annals of thoracic surgery","volume":"14 6","pages":"544-7"},"PeriodicalIF":0.0,"publicationDate":"1994-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20350890","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}

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