Annals of Thoracic and Cardiovascular Surgery最新文献_第10页

Superdrainage Using the Cephalic Vein Due to Unsuitable Internal Thoracic Vein for Microvascular Anastomosis in Esophageal Reconstruction Using Pedicled Jejunum. 在使用带蒂空肠的食管重建术中，因胸内静脉不适合微血管吻合而使用头静脉进行超引流。

IF 1.1 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2021-10-20 Epub Date: 2019-05-14 DOI: 10.5761/atcs.cr.19-00041

Yutaka Miyawaki, Hiroshi Sato, Hideki Yokogawa, Shinichi Sakuramoto, Kojun Okamoto, Shigeki Yamaguchi, Isamu Koyama

{"title":"Superdrainage Using the Cephalic Vein Due to Unsuitable Internal Thoracic Vein for Microvascular Anastomosis in Esophageal Reconstruction Using Pedicled Jejunum.","authors":"Yutaka Miyawaki, Hiroshi Sato, Hideki Yokogawa, Shinichi Sakuramoto, Kojun Okamoto, Shigeki Yamaguchi, Isamu Koyama","doi":"10.5761/atcs.cr.19-00041","DOIUrl":"10.5761/atcs.cr.19-00041","url":null,"abstract":"The progress and popularization of microvascular surgical techniques may improve the outcomes of esophageal reconstruction using non-gastric tube (GT) grafts. A pedicled jejunum (PJ) with microvascular anastomoses is frequently selected as a reconstructed conduit for esophageal reconstruction when the GT is unavailable, and the internal thoracic (IT) vein is frequently selected as a recipient blood vessel for microvascular anastomosis. However, the IT vein may be inadequate for microvascular anastomosis because of its absence or underdevelopment. Since it is difficult to preoperatively predict such rare cases, it becomes necessary to urgently and rapidly prepare an alternative blood vessel. Herein, we present surgical procedures for superdrainage using the cephalic vein (CeV). Due the superficial nature of the CeV, it is both easy to identify and collect sufficient length. Thus, the CeV is very useful as an urgent substitute blood vessel when the IT vein is unavailable for microvascular anastomosis in esophageal reconstruction.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":"27 5","pages":"322-326"},"PeriodicalIF":1.1,"publicationDate":"2021-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0c/86/atcs-27-322.PMC8560539.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37244291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

True Aneurysm of the Left Main Trunk in a Marfan Syndrome Patient at Remote Period after Bentall Operation and Total Arch Replacement: A Case Report. 本特尔手术及全弓置换术后远期马凡氏综合征患者左主干真动脉瘤1例。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2021-10-20 Epub Date: 2019-05-09 DOI: 10.5761/atcs.cr.18-00081

Kenshi Yoshimura, Hideyuki Tanaka, Tomoyuki Wada, Takashi Shuto, Madoka Kawano, Hirofumi Anai, Shinji Miyamoto

{"title":"True Aneurysm of the Left Main Trunk in a Marfan Syndrome Patient at Remote Period after Bentall Operation and Total Arch Replacement: A Case Report.","authors":"Kenshi Yoshimura, Hideyuki Tanaka, Tomoyuki Wada, Takashi Shuto, Madoka Kawano, Hirofumi Anai, Shinji Miyamoto","doi":"10.5761/atcs.cr.18-00081","DOIUrl":"https://doi.org/10.5761/atcs.cr.18-00081","url":null,"abstract":"In 2002, a 37-year-old male with Marfan syndrome underwent the Bentall operation, total arch replacement, and aortobifemoral bypass for DeBakey type IIIb chronic aortic dissection, annuloaortic ectasia, and aortic regurgitation. In 2007, mild mitral regurgitation (MR) caused by mitral valve prolapse was identified. In April 2017, echocardiography revealed the worsening of MR and moderate tricuspid regurgitation (TR). Moreover, coronary angiography (CAG) revealed a coronary artery aneurysm in the left main trunk (LMT). In August 2017, the patient underwent mitral valve replacement (MVR), tricuspid annuloplasty (TAP), and coronary artery reconstruction. We reconstructed the LMT aneurysm using an artificial graft. True aneurysm of the coronary artery complicated with Marfan syndrome is a rare complication that has seldom been reported. This case highlights that it is essential to carefully follow-up patients with Marfan syndrome after the Bentall operation.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":"27 5","pages":"327-331"},"PeriodicalIF":1.3,"publicationDate":"2021-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5761/atcs.cr.18-00081","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37386275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Continuous Paravertebral Analgesia versus Continuous Epidural Analgesia after Video-Assisted Thoracoscopic Lobectomy for Lung Cancer: A Randomized Controlled Trial. 肺癌胸腔镜肺叶切除术后持续椎旁镇痛与持续硬膜外镇痛:一项随机对照试验。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2021-10-20 Epub Date: 2021-02-16 DOI: 10.5761/atcs.oa.20-00283

Jielan Lai, Dongrong Situ, Manxiu Xie, Ping Yu, Junchao Wang, Hao Long, Renchun Lai

{"title":"Continuous Paravertebral Analgesia versus Continuous Epidural Analgesia after Video-Assisted Thoracoscopic Lobectomy for Lung Cancer: A Randomized Controlled Trial.","authors":"Jielan Lai, Dongrong Situ, Manxiu Xie, Ping Yu, Junchao Wang, Hao Long, Renchun Lai","doi":"10.5761/atcs.oa.20-00283","DOIUrl":"https://doi.org/10.5761/atcs.oa.20-00283","url":null,"abstract":"Background: Whether continuous thoracic epidural analgesia (TEA) and continuous paravertebral block (PVB) have similar analgesic effects in patients undergoing video-assisted thoracic surgery (VATS) lobectomy was compared in this study.Methods: In all, 86 patients undergoing VATS lobectomy were enrolled in the prospective, randomized clinical trial. Group E received TEA. Group P received PVB. The primary endpoint was postoperative 24-hour visual rating scale (VAS) on coughing. Side effects and postoperative complications were also analyzed.Results: Pain scores at rest or on coughing at 24 and 48 h postoperatively were significantly lower in group E than in group P (P <0.05). At 24 h postoperatively, more patients in group E suffered from vomiting (32.6% vs 11.6%, P = 0.019), dizziness (55.8% vs 12.9%, P = 0.009), pruritus (27.9% vs 2.3%, P = 0.002), and hypotension (32.6% vs 4.7%, P = 0.002) than those in group P. Patients in group E were more satisfied (P = 0.047). Four patients in group P and two patients in group E suffered from pulmonary complications (P >0.05). The length of hospital and intensive care unit (ICU) stays were not significantly different.Conclusions: Though TEA has more adverse events than PVB, it may be superior to PVB in patients undergoing VATS lobectomy.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":"27 5","pages":"297-303"},"PeriodicalIF":1.3,"publicationDate":"2021-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4a/6a/atcs-27-297.PMC8560537.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25381610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Randomized Phase II Study to Comparing Docetaxel/Nedaplatin versus Docetaxel for 5-Fluorouracil/Cisplatin Resistant Esophageal Squamous Cell Carcinoma. 多西紫杉醇/奈达铂与多西紫杉醇治疗5-氟尿嘧啶/顺铂耐药食管鳞状细胞癌的随机II期研究

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2021-08-20 Epub Date: 2021-01-06 DOI: 10.5761/atcs.oa.20-00294

Satoshi Yajima, Takashi Suzuki, Tatsuki Nanami, Yoko Oshima, Yoshinori Kikuchi, Kimihiko Funahashi, Hideaki Shimada

{"title":"Randomized Phase II Study to Comparing Docetaxel/Nedaplatin versus Docetaxel for 5-Fluorouracil/Cisplatin Resistant Esophageal Squamous Cell Carcinoma.","authors":"Satoshi Yajima, Takashi Suzuki, Tatsuki Nanami, Yoko Oshima, Yoshinori Kikuchi, Kimihiko Funahashi, Hideaki Shimada","doi":"10.5761/atcs.oa.20-00294","DOIUrl":"https://doi.org/10.5761/atcs.oa.20-00294","url":null,"abstract":"Purpose: To compare efficacy and safety of dual docetaxel/nedaplatin treatment versus docetaxel alone as second-line chemotherapy for advanced esophageal cancer.Methods: In all, 36 patients with metastatic and/or recurrent esophagus squamous cell carcinoma resistant to first-line chemotherapy (fluorouracil/cisplatin) were recruited from 2011 to 2018 and randomized into two groups. Treatment response and survival were compared between the docetaxel/nedaplatin (60/80 mg/m2/day) group and docetaxel (70 mg/m2/day) group. Treatment was repeated every 3 weeks until tumor progression. Patients were followed up until March 2019 or death.Results: The frequency of Grade 3 or higher adverse events in the docetaxel/nedaplatin group (58.8%) was higher compared with the docetaxel group (26.3%) (P = 0.090). We found a treatment response rate of 52.9% and 36.8% and a median survival of 8.9 and 7.0 months in the docetaxel/nedaplatin-treated and docetaxel-treated group, respectively (P = 0.544).Conclusion: No significant survival advantage was found for docetaxel/nedaplatin-treated patients, although there was an increased frequency of high-grade adverse events compared to docetaxel-treated patients. Because of the limited cohort size, a Phase III study based on our findings is not warranted to assess the clinical impact of docetaxel/nedaplatin treatment. This trial is registered with the University Hospital Medical Information Network (UMIN 000005877).","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":"27 4","pages":"219-224"},"PeriodicalIF":1.3,"publicationDate":"2021-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7b/1d/atcs-27-219.PMC8374090.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38789956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Impact on Mechanical Properties of 10 versus 20 Minute Treatment of Human Pericardium with Glutaraldehyde in OZAKI Procedure. 在OZAKI程序中，戊二醛治疗10分钟和20分钟对人心包力学性能的影响。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2021-08-20 Epub Date: 2021-02-03 DOI: 10.5761/atcs.nm.20-00125

Luca Koechlin, Giuseppe Isu, Vladislav Borisov, Diana Robles Diaz, Friedrich S Eckstein, Anna Marsano, Oliver Reuthebuch

{"title":"Impact on Mechanical Properties of 10 versus 20 Minute Treatment of Human Pericardium with Glutaraldehyde in OZAKI Procedure.","authors":"Luca Koechlin, Giuseppe Isu, Vladislav Borisov, Diana Robles Diaz, Friedrich S Eckstein, Anna Marsano, Oliver Reuthebuch","doi":"10.5761/atcs.nm.20-00125","DOIUrl":"https://doi.org/10.5761/atcs.nm.20-00125","url":null,"abstract":"Purpose: The aim of this study was to analyze the effects of 10-minute (standard term) versus 20-minute treatment with glutaraldehyde (GA) on mechanical stability and physical strength of human pericardium in the setting of the OZAKI procedure.Methods: Leftover pericardium (6 patients) was bisected directly after the operation, and one-half was further fixed for 10 additional minutes. Uniaxial tensile tests were performed and ultimate tensile strength (UTS), ultimate tensile strain (uts), and collagen elastic modulus were evaluated.Results: Both treatments resulted in similar values of uniaxial stretching-generated elongations at rupture (10 minutes 25 ± 7 % vs. 20 minutes: 22 ± 5 %; p = 0.05), UTS (5.16 ± 2 MPa vs. 6.54 ± 3 MPa; p = 0.59), and collagen fiber stiffness (elastic modulus: 31.80 ± 15.05 MPa vs. 37.35 ± 15.78 MPa; p = 0.25).Conclusion: Prolongation of the fixation time of autologous pericardium has no significant effect on its mechanical stability; thus, extending the intraoperative treatment cannot be recommended.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":"27 4","pages":"273-277"},"PeriodicalIF":1.3,"publicationDate":"2021-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5c/70/atcs-27-273.PMC8374088.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25329899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Thoracoscopic Bronchial Artery Resection for Multiple Bronchial Artery Aneurysms. 胸腔镜支气管动脉切除术治疗多发性支气管动脉瘤。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2021-08-20 Epub Date: 2019-03-11 DOI: 10.5761/atcs.cr.18-00275

Haruhiko Shiiya, Yasuhiro Suzuki, Shigeo Yamazaki, Kichizo Kaga

引用次数: 2

Long-Term Outcomes of Cadaveric Lobar Lung Transplantation: An Important Surgical Option. 尸体大叶肺移植的长期预后:一个重要的手术选择。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2021-08-20 Epub Date: 2021-01-20 DOI: 10.5761/atcs.oa.20-00237

Ilhan Inci, Mace M Schuurmans, Claudio Caviezel, Sven Hillinger, Isabelle Opitz, Didier Schneiter, Walter Weder

{"title":"Long-Term Outcomes of Cadaveric Lobar Lung Transplantation: An Important Surgical Option.","authors":"Ilhan Inci, Mace M Schuurmans, Claudio Caviezel, Sven Hillinger, Isabelle Opitz, Didier Schneiter, Walter Weder","doi":"10.5761/atcs.oa.20-00237","DOIUrl":"https://doi.org/10.5761/atcs.oa.20-00237","url":null,"abstract":"Background: Cadaveric lobar lung transplantation (L-LTx) is developed to overcome donor-recipient size mismatch. Controversial short- and long-term outcomes following L-LTx have been reported compared to full-sized lung transplantation (F-LTx). This study reports long-term outcomes after L-LTx.Methods: We reviewed patients undergoing lung transplantation (LTx) between 2000 and 2016. The decision to perform L-LTx was made based mainly on donor-recipient height discrepancy and visual assessment of donor lungs. Predicted donor-recipient total lung capacity (TLC) ratio was calculated more recently. Primary outcome was overall survival.Results: In all, 370 bilateral LTx were performed during the study period, among those 250 (67%) underwent F-LTx and 120 (32%) underwent L-LTx, respectively. One- and 5-year survival rates were 85% vs. 90% and 53% vs. 63% for L-LTx and F-LTx, respectively (p = 0.16). Chronic lung allograft dysfunction (CLAD)-free survival at 5 years was 48% in L-LTx vs. 51% in F-LTx recipients (p = 0.89), respectively. Age, intraoperative extracorporeal membrane oxygenation (ECMO) use, intensive care unit (ICU) stay, and postoperative renal replacement therapy (RRT) were significant prognostic factors for survival using multivariate analysis.Conclusions: Overall survival and CLAD-free survival following L-LTx were comparable to F-LTx. Given the ongoing donor organ shortage, cadaveric L-LTx remains as an important resource in LTx.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":"27 4","pages":"244-250"},"PeriodicalIF":1.3,"publicationDate":"2021-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/29/ea/atcs-27-244.PMC8374092.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38841018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Early Outcomes of Left Subclavian Artery Revascularization Using Castor Single-Branched Stent-Graft in the Treatment of Type B Aortic Dissection or Intramural Hematoma. 左锁骨下动脉血运重建术治疗B型主动脉夹层或壁内血肿的早期疗效

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2021-08-20 Epub Date: 2020-12-18 DOI: 10.5761/atcs.oa.20-00166

Changcun Fang, Chen Wang, Kai Liu, Xinyan Pang

{"title":"Early Outcomes of Left Subclavian Artery Revascularization Using Castor Single-Branched Stent-Graft in the Treatment of Type B Aortic Dissection or Intramural Hematoma.","authors":"Changcun Fang, Chen Wang, Kai Liu, Xinyan Pang","doi":"10.5761/atcs.oa.20-00166","DOIUrl":"https://doi.org/10.5761/atcs.oa.20-00166","url":null,"abstract":"Background: More evidence was required to guide the management of left subclavian artery (LSA) during thoracic endovascular aortic repair (TEVAR). The present study aimed to compare the outcomes of LSA coverage with LSA revascularization. Another purpose of this study was to share our experience of LSA revascularization with castor single-branched stent-graft.Methods: From January 2016 to December 2019, 134 patients with type B aortic dissection (TBAD) or intramural hematoma (IMH) were enrolled and divided into two groups, the LSA-covered group (n = 61) and the LSA-revascularized group (with castor single-branched stent-graft, n = 73). The results, such as in-hospital and 30-day mortality, stroke, paraplegia, left arm ischemia, operation time, endoleak, were compared between the two groups.Results: The incidence of 30-day stroke in the LSA-covered group (8.2%) was significantly higher compared with the LSA-revascularized group (0%, P = 0.018). 30-day ischemia of left arm occurred in more patients in the LSA-covered group (11.5%, P = 0.003). No statistical difference was found in the incidences of paraplegia, endoleak, in-hospital mortality, and 30-day mortality.Conclusions: LSA should be revascularized during TEVAR to reduce the incidences of stroke and left arm ischemia. Castor single-branched stent-graft was feasible and safe for treating TBAD or IMH.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":"27 4","pages":"251-259"},"PeriodicalIF":1.3,"publicationDate":"2021-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/dc/52/atcs-27-251.PMC8374093.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38730290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 15

Selection of Pathological N0 (pN0) in Clinical IA (cIA) Lung Adenocarcinoma by Imaging Findings of the Main Tumor. 根据主要肿瘤影像学表现选择临床IA (cIA)肺腺癌病理N0 (pN0)。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2021-08-20 Epub Date: 2020-12-18 DOI: 10.5761/atcs.oa.20-00240

Yasuyuki Kanamoto, Yukinori Sakao, Hiroaki Kuroda, Noriaki Sakakura, Momoko Asami, Yuichi Saito, Masafumi Kawamura

{"title":"Selection of Pathological N0 (pN0) in Clinical IA (cIA) Lung Adenocarcinoma by Imaging Findings of the Main Tumor.","authors":"Yasuyuki Kanamoto, Yukinori Sakao, Hiroaki Kuroda, Noriaki Sakakura, Momoko Asami, Yuichi Saito, Masafumi Kawamura","doi":"10.5761/atcs.oa.20-00240","DOIUrl":"https://doi.org/10.5761/atcs.oa.20-00240","url":null,"abstract":"Objectives: We would like to clarify the imaging findings of the main tumor that may omit the requirement for lymph node dissection in clinical IA (cIA) lung adenocarcinoma.Methods: A total of 336 patients with cIA lung adenocarcinomas with normal preoperative carcinoembryonic antigen (CEA) who underwent surgical resection were analyzed. We investigated the association between various computed tomography (CT) imaging findings or the maximum standardized uptake value (SUVmax) of fluorodeoxyglucose-position emission tomography (FDG-PET) and lymph node metastasis. The maximum tumor diameter was calculated from the CT images using both the lung window setting (LD) and mediastinal window setting (MD). The diameter of the solid component (CD) was defined as consolidation diameter in lung window setting. The solid component ratio (C/T) was defined as CD/LD.Results: SUVmax, MD, and C/T were independent factors related to lymph node metastasis, but CD was not (p = 0.38). The conditions required for the positive predictive value (PPV) to reach 100% were 10.6 mm for MD, 12.5 mm for CD, and 0.55 for C/T. SUVmax did not reach 100%.Conclusions: In cIA lung adenocarcinoma with CEA in the normal range, we found that it may be possible for lymph node dissection to be omitted by MD, CD, and C/T.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":"27 4","pages":"230-236"},"PeriodicalIF":1.3,"publicationDate":"2021-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/18/7a/atcs-27-230.PMC8374089.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38730291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Lobe-Specific Node Dissection Can Be a Suitable Alternative to Systematic Lymph Node Dissection in Highly Selective Early-Stage Non-Small-Cell Lung Cancer Patients: A Meta-Analysis. 在高度选择性的早期非小细胞肺癌患者中，叶特异性淋巴结清扫可能是系统淋巴结清扫的合适替代方法:一项meta分析。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2021-06-20 Epub Date: 2020-12-07 DOI: 10.5761/atcs.oa.20-00136

Zihuai Wang, Zhuoran Qi, Diou Cheng, Xiaohu Hao, Qiang Pu, Lunxu Liu

{"title":"Lobe-Specific Node Dissection Can Be a Suitable Alternative to Systematic Lymph Node Dissection in Highly Selective Early-Stage Non-Small-Cell Lung Cancer Patients: A Meta-Analysis.","authors":"Zihuai Wang, Zhuoran Qi, Diou Cheng, Xiaohu Hao, Qiang Pu, Lunxu Liu","doi":"10.5761/atcs.oa.20-00136","DOIUrl":"https://doi.org/10.5761/atcs.oa.20-00136","url":null,"abstract":"Purpose: Whether the lobe-specific lymph node dissection is an alternative to systematic lymph node dissection for early-stage non-small-cell lung cancer remains controversial. An elaborate meta-analysis was conducted to evaluate the effects of lobe-specific lymph node dissection in early-stage patients.Methods: A systematic literature search was conducted up to February 19, 2020 in PubMed, Ovid, Web of Science, and China National Knowledge Infrastructure databases. The outcomes including overall survival (OS), complications, and recurrence rate were extracted and analyzed.Results: Nine studies including one randomized controlled trial (RCT) and eight retrospective cohort studies with 8499 non-small-cell lung cancer patients were included. The results indicated that lobe-specific lymph node had a lower rate of postoperative complication (relative risk [RR]: 0.83, 95% confidence interval [CI]: 0.72-0.95, P = 0.006). No significant difference was observed between lobe-specific lymph node and systematic lymph node dissection in OS (hazard rate = 1.12, 95% CI: 0.81-1.54, P = 0.501) with high heterogeneity (I2 = 71.9%).Conclusion: Lobe-specific lymph node can reach a comparable long-term prognosis in some highly selected patients. However, these results should be viewed cautiously with the existence of high heterogeneity. Due to the high heterogeneity, a strict patient selection process by experienced thoracic surgeons was recommended before validating lobe-specific lymph node.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":"27 3","pages":"143-150"},"PeriodicalIF":1.3,"publicationDate":"2021-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ab/c9/atcs-27-143.PMC8343035.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38679322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6