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

Comprehensive Pain Control Strategy in Minimally Invasive Mitral Valve Repair. 微创二尖瓣修复的综合疼痛控制策略。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-06-20 Epub Date: 2021-12-07 DOI: 10.5761/atcs.oa.21-00131

Mitsuharu Hosono, Hiroshi Yasumoto, Shintaro Kuwauchi, Yoshino Mitsunaga, Uetsuki Tomohiko, Naoki Minato, Kohei Kawazoe

{"title":"Comprehensive Pain Control Strategy in Minimally Invasive Mitral Valve Repair.","authors":"Mitsuharu Hosono, Hiroshi Yasumoto, Shintaro Kuwauchi, Yoshino Mitsunaga, Uetsuki Tomohiko, Naoki Minato, Kohei Kawazoe","doi":"10.5761/atcs.oa.21-00131","DOIUrl":"https://doi.org/10.5761/atcs.oa.21-00131","url":null,"abstract":"Purpose: The effect of our comprehensive strategy to reduce pain after minimally invasive mitral valve repair through a right mini-thoracotomy was assessed retrospectively.Methods: Our comprehensive strategy constituted the following: planned rib cutting to avoid rib injury, sufficient intercostal muscle division to mobilize the cut rib, limiting the number of intercostal ports, avoiding nerve entrapment, continuous extra-pleural intercostal nerve block, and regular use of oral non-steroidal anti-inflammatory drugs. We compared patients treated with this comprehensive strategy (Group S, n = 13) and patients before this strategy was implemented (Group C, n = 13). We used a numerical rating scale (NRS) as a pain scale during the first 3 days postoperatively.Results: The average NRS was significantly lower in Group S (0.82 ± 0.49) than in Group C (2.40 ± 1.46) (P <0.01). The maximum NRS was also significantly lower in Group S (3.23 ± 1.17) than in Group C (5.69 ± 2.43) (P <0.01). The number of patients using additional single-dose analgesic were significantly less in Group S (23.1%) than in Group C (84.6%) (P <0.01).Conclusion: Our comprehensive pain control strategy effectively reduced postoperative pain in minimally invasive mitral valve repair.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2022-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b8/55/atcs-28-180.PMC9209889.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39816591","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

Bailout Solution for Hemostasis from Distal Anastomotic Site during Total Aortic Arch Repair. 全主动脉弓修复术中吻合口远端止血的救助方法。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-06-20 Epub Date: 2021-12-16 DOI: 10.5761/atcs.nm.21-00228

Takashi Yamauchi

引用次数: 0

Resection of Pulmonary Metastases 12 Years after Initial Surgery for a Benign Pheochromocytoma. 良性嗜铬细胞瘤初次手术12年后肺转移瘤的切除。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-06-20 Epub Date: 2020-10-16 DOI: 10.5761/atcs.cr.20-00162

Michiko Ueda, Fumihiro Shoji, Yuka Kozuma, Gouji Toyokawa, Koji Yamazaki, Seiya Momosaki, Sadanori Takeo

{"title":"Resection of Pulmonary Metastases 12 Years after Initial Surgery for a Benign Pheochromocytoma.","authors":"Michiko Ueda, Fumihiro Shoji, Yuka Kozuma, Gouji Toyokawa, Koji Yamazaki, Seiya Momosaki, Sadanori Takeo","doi":"10.5761/atcs.cr.20-00162","DOIUrl":"https://doi.org/10.5761/atcs.cr.20-00162","url":null,"abstract":"We describe a rare case of newly discovered pulmonary metastases and surgical confirmation 12 years after initial surgery for a pheochromocytoma. A 61-year-old asymptomatic man was referred because of an abnormal shadow in the right lung field upon chest radiography. Computed tomography (CT) showed two well-demarcated tumors in the basal segment of the right lung. Twelve years previously, he underwent right adrenalectomy and was pathologically diagnosed as having a benign pheochromocytoma. Thereafter, he received a medical check-up annually. To confirm the diagnosis of two pulmonary tumors, video-assisted thoracic surgery was done and wedge resection of the right lower lobe completed. Pathology studies revealed these tumors as pulmonary metastases from the pheochromocytoma, which indicated that the true diagnosis was a malignant pheochromocytoma. Patients with a benign pheochromocytoma should continue to undergo careful monitoring for a long time after the initial surgical procedure. Thoracic surgeons should be aware of the possibility of pulmonary metastases even if >10 years have passed since initial resection of a benign pheochromocytoma.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2022-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d2/66/atcs-28-232.PMC9209893.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38506863","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

Pan-Driver-Negatives versus Epidermal Growth Factor Receptor Mutants for C-Stage IA Lung Adenocarcinoma with Ground-Glass Opacity 泛驱动阴性与表皮生长因子受体突变对c期IA型肺腺癌磨玻璃样混浊的影响

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-05-28 DOI: 10.5761/atcs.oa.22-00058

Ming Li, Junjie Xi, Huan Zhang, Xing Jin, Jianrong Zhang, M. Feng, C. Zhan, Qun Wang

{"title":"Pan-Driver-Negatives versus Epidermal Growth Factor Receptor Mutants for C-Stage IA Lung Adenocarcinoma with Ground-Glass Opacity","authors":"Ming Li, Junjie Xi, Huan Zhang, Xing Jin, Jianrong Zhang, M. Feng, C. Zhan, Qun Wang","doi":"10.5761/atcs.oa.22-00058","DOIUrl":"https://doi.org/10.5761/atcs.oa.22-00058","url":null,"abstract":"Purpose: We aimed to verify the prognosis of epidermal growth factor receptor (EGFR) mutation of clinical (c)-stage IA lung adenocarcinoma with the ground-glass opacity (GGO) component. Methods: We evaluated 226 cases of surgically resected c-stage IA lung adenocarcinoma with GGO component. Endpoints were overall survival (OS) and recurrence-free survival (RFS). Kaplan–Meier analysis and the log-rank test were used to estimate the survival differences. Prognostic factors were assessed using the univariable and multivariable Cox proportional hazards model. Results: Among the 226 cases, 177 cases harbored the EGFR-mutant adenocarcinoma with the GGO component. The mean duration of follow-up time was 54.4 ± 1.2 months. The 5-year OS and RFS did not differ significantly between the EGFR-mutant and wild-type groups (5-year OS 100% vs. 94.3%, hazard ratio [HR] 0.276, P = 0.168; 5-year RFS 94.7% vs. 95.7%, HR 0.873, P = 0.864). Multivariable Cox hazard model revealed that radiologically solid component size (P = 0.010) and pathological node-positive (P = 0.036) were significant predictors of an inferior RFS. Conclusion: EGFR-mutant was not a prognostic factor of OS and RFS for c-stage IA lung adenocarcinoma with the GGO component. Radiologically solid component size and pathological lymph node status were independent prognostic factors of worse RFS.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2022-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43050195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Durability of Bioprosthetic Valves in Patients on Dialysis 透析患者生物假体瓣膜的耐久性

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-05-10 DOI: 10.5761/atcs.oa.21-00093

T. Uzuka, Masanori Nakamura, Hirotaro Sugiyama, Mayo Kondo, J. Sakata

引用次数: 1

Efficacy of the Segment-Counting Method in Predicting Lung Function and Volume Following Stapler-Based Thoracoscopic Segmentectomy. 节段计数法预测吻合器胸腔镜肺节段切除术后肺功能和肺容量的效果。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-04-20 Epub Date: 2021-09-23 DOI: 10.5761/atcs.oa.21-00111

Nobuyuki Yoshiyasu, Fumitsugu Kojima, Hirotomo Takahara, Toru Bando

{"title":"Efficacy of the Segment-Counting Method in Predicting Lung Function and Volume Following Stapler-Based Thoracoscopic Segmentectomy.","authors":"Nobuyuki Yoshiyasu, Fumitsugu Kojima, Hirotomo Takahara, Toru Bando","doi":"10.5761/atcs.oa.21-00111","DOIUrl":"https://doi.org/10.5761/atcs.oa.21-00111","url":null,"abstract":"Purpose: To investigate the accuracy of a segment-counting method in predicting lung function and volume after stapler-based thoracoscopic segmentectomy in comparison with lobectomy.Methods: Between 2014 and 2018, patients who underwent these procedures were retrospectively reviewed. Thoracic computed tomography and spirometry data before and 1 year after the surgery were assessed. We evaluated the differences between the predicted values using a segment-counting method and the actual postoperative values for lung function and volume in each group. Sub-analyses were also performed to assess the impact of the number of staples and resected segments in predicting patient outcomes.Results: We included 116 patients (segmentectomy, 69; lobectomy, 47). Actual postoperative lung function and volume values matched the predicted values in the stapler-based segmentectomy group, and significantly exceeded the predictions in the lobectomy group (P <0.01). Sub-analyses revealed lower postoperative lung function values than predicted existed after single segmentectomy, with an odds ratio of 3.29 (95% confidence interval: 1.02-10.70, P = 0.04) in a multivariable analysis. The degree of predicted error regarding lung function was negligible.Conclusions: The segment-counting method was useful in predicting lung function after stapler-based thoracoscopic segmentectomy. Segmentectomy rarely yielded lower-than-predicted lung function and volume values.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2022-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d9/f0/atcs-28-121.PMC9081460.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39444883","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

Tracheoplasty for Congenital Tracheal Stenosis with Bilateral Tracheal Bronchus. 先天性气管狭窄伴双侧气管支气管气管成形术。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-04-20 Epub Date: 2020-01-29 DOI: 10.5761/atcs.cr.19-00198

Masaya Yamoto, Koji Fukumoto, Naoto Urushihara

{"title":"Tracheoplasty for Congenital Tracheal Stenosis with Bilateral Tracheal Bronchus.","authors":"Masaya Yamoto, Koji Fukumoto, Naoto Urushihara","doi":"10.5761/atcs.cr.19-00198","DOIUrl":"https://doi.org/10.5761/atcs.cr.19-00198","url":null,"abstract":"Introduction: Congenital tracheal stenosis (CTS) with a bilateral tracheal bronchus (TB) has not been reported as a subtype of CTS. A novel technique to manage CTS in patients with a bilateral TB is described.Case report: An infant with tetralogy of Fallot underwent repair of cardiac anomaly at age 1 month. He experienced numerous cyanosis and episodes of transient respiratory arrest. Chest computed tomography (CT) demonstrated an aberrant bilateral upper lobe bronchus arising directly from the trachea and a stenotic trachea connecting the pseudo- carina to the true carina between the common right lower and left lower bronchus. On bronchoscopy, the diameter of the lumen of the narrowed segment was estimated to be less than 2 mm. Tracheal reconstruction was undertaken when he was 2 years of age. The surgical technique using a modified slide tracheoplasty for the correction of this anomaly are described. After surgery, the patient was extubated and has had no respiratory symptoms.Discussion and conclusion: The patient had unique anatomic considerations that made reconstruction challenging. Our technique of covering a stenotic section by normal trachea is a modification of the slide tracheoplasty technique and is useful for CTS with a unilateral and a bilateral TB.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2022-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5761/atcs.cr.19-00198","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37591271","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

Physical Function and Health-Related Quality of Life after Surgery for Nontuberculous Mycobacterial Pulmonary Disease: A Prospective Cohort Study. 非结核性分枝杆菌肺病术后的身体功能和健康相关生活质量:一项前瞻性队列研究

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-04-20 Epub Date: 2021-08-26 DOI: 10.5761/atcs.oa.21-00125

Yuki Kuroyama, Mitsuru Tabusadani, Shunya Omatsu, Miyako Hiramatsu, Yuji Shiraishi, Hiroshi Kimura, Hideaki Senjyu

{"title":"Physical Function and Health-Related Quality of Life after Surgery for Nontuberculous Mycobacterial Pulmonary Disease: A Prospective Cohort Study.","authors":"Yuki Kuroyama, Mitsuru Tabusadani, Shunya Omatsu, Miyako Hiramatsu, Yuji Shiraishi, Hiroshi Kimura, Hideaki Senjyu","doi":"10.5761/atcs.oa.21-00125","DOIUrl":"https://doi.org/10.5761/atcs.oa.21-00125","url":null,"abstract":"Purpose: To investigate the exercise capacity and health-related quality of life (HRQOL) of surgical patients with nontuberculous mycobacterial pulmonary disease (NTM-PD) preoperatively versus 6 months postoperatively.Methods: This prospective observational study included patients with NTM-PD and was conducted at a single center. The intervention was surgical resection plus perioperative and post-discharge physical therapy. The physical function was assessed preoperatively and 6 months postoperatively using the 6-minute walk test (6MWT). HRQOL was assessed preoperatively and 6 months postoperatively using the Short-Form 36 (SF-36) health survey questionnaire and St. George's Respiratory Questionnaire. The postoperative HRQOL was compared between patients with and without preoperative clinical symptoms.Results: In total, 35 patients were analyzed. The preoperatively symptomatic group had significantly lower preoperative HRQOL than the preoperatively asymptomatic group (p <0.05). Compared with preoperatively, there were significant improvements at 6 months postoperatively in the 6MWT (p <0.01) and HRQOL, mainly in the SF-36 mental component summary (p <0.01). The SF-36 mental component summary in the preoperatively symptomatic group was very significantly improved from preoperatively to 6 months postoperatively (p <0.05).Conclusion: The combination of surgical treatment and physical therapy for NTM-PD contributes to improvements in physical function and HRQOL.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2022-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b4/85/atcs-28-103.PMC9081461.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39343727","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

The Association of Vacuum-Assisted Closure Therapy with Dynamic Volume Change of a Muscle Flap Transposed in an Empyema Cavity for Chronic Empyema: A Case Report. 真空辅助关闭治疗与慢性脓胸腔内转位肌瓣动态体积变化的关系:1例报告。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-04-20 DOI: 10.5761/atcs.cr.19-00235

Kensuke Kojima, Tetsuki Sakamoto, Teiko Sakurai, Yuriko Yagi, Tomoki Utsumi, Hyungeun Yoon

{"title":"The Association of Vacuum-Assisted Closure Therapy with Dynamic Volume Change of a Muscle Flap Transposed in an Empyema Cavity for Chronic Empyema: A Case Report.","authors":"Kensuke Kojima, Tetsuki Sakamoto, Teiko Sakurai, Yuriko Yagi, Tomoki Utsumi, Hyungeun Yoon","doi":"10.5761/atcs.cr.19-00235","DOIUrl":"https://doi.org/10.5761/atcs.cr.19-00235","url":null,"abstract":"A 62-year-old woman with a history of lung resection for lung cancer was admitted to our hospital due to cough, which became progressively more severe. She was diagnosed with chronic empyema with bronchopleural fistula (BPF) of the right upper bronchial stump. Although a pedicled muscle flap was transposed to the empyema cavity, the fistula remained. We used a vacuum-assisted closure system after open-window thoracotomy and observed the cavity reduction with expansion of the transposed muscle flap. We quantitatively evaluated the dynamics of the cavity change using a three-dimensional image analysis system. A reduction of the volume of the muscle flap by prolonged empyema and expansion of the muscle flap was observed immediately after vacuum-assisted management. However, expansion of the right residual lung was not recognized. Pedicled muscle flap transposition followed by vacuum-assisted management after open-window thoracotomy may be effective for treating chronic empyema caused by BPF.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2022-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5761/atcs.cr.19-00235","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10245310","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

Preoperative Low Serum Calcium Levels Predict Poor Prognosis for Patients with Esophageal Cancer. 术前低血钙水平预测食管癌患者预后不良。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-04-20 Epub Date: 2021-09-23 DOI: 10.5761/atcs.oa.21-00167

Fumiaki Shiratori, Takashi Suzuki, Satoshi Yajima, Yoko Oshima, Tatsuki Nanami, Kimihiko Funahashi, Hideaki Shimada

{"title":"Preoperative Low Serum Calcium Levels Predict Poor Prognosis for Patients with Esophageal Cancer.","authors":"Fumiaki Shiratori, Takashi Suzuki, Satoshi Yajima, Yoko Oshima, Tatsuki Nanami, Kimihiko Funahashi, Hideaki Shimada","doi":"10.5761/atcs.oa.21-00167","DOIUrl":"https://doi.org/10.5761/atcs.oa.21-00167","url":null,"abstract":"Purpose: Hypercalcemia has been reported as a poor prognostic factor in malignant tumors. However, no report has shown the clinical impact of serum calcium levels on patients with esophageal cancer. We evaluated the prognostic impact of preoperative serum calcium levels on patients with esophageal cancer.Methods: We evaluated 240 patients (197 men, 43 women; mean age, 66 years; age range, 34-85 years) with esophageal cancer who underwent radical surgery between September 2008 and December 2017. After assigning the patients to two groups (high calcium group, 8.8 mg/dL or more and low calcium group, 8.7 mg/dL or less), we compared the groups' overall survival and the clinicopathological features. The clinicopathological and prognostic significance of preoperative serum calcium levels were evaluated in a univariate and multivariate analysis.Results: The patients with deep tumors showed low serum calcium levels significantly more frequently (P <0.05). The low calcium group showed a significantly worse prognosis than the high calcium group (P <0.05). However, low serum calcium level was not an independent poor prognostic factor.Conclusions: Preoperative low serum calcium levels were associated with advanced tumors. Low serum calcium might be associated with esophageal cancer progression.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2022-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/62/68/atcs-28-096.PMC9081468.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39444885","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