Annals of Thoracic and Cardiovascular Surgery最新文献_第7页

A Novel Approach to Extensive Clarithromycin-Resistant Mycobacterium avium Complex Pulmonary Disease. 广泛耐克拉霉素鸟分枝杆菌复合肺部疾病的新方法

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-12-20 DOI: 10.5761/atcs.cr.21-00010

Takeo Togo, Jun Atsumi, Miyako Hiramatsu, Kiyomi Shimoda, Kozo Morimoto, Yuji Shiraishi

引用次数: 0

Early Sternal Bone Healing after Thermoreactive Nitinol Flexigrip Sternal Closure. 热活性镍钛诺软性胸骨闭锁术后早期胸骨愈合。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-12-20 DOI: 10.5761/atcs.oa.22-00150

Yoshiyuki Takami, Atsuo Maekawa, Koji Yamana, Kiyotoshi Akita, Kentaro Amano, Yusuke Sakurai, Yasushi Takagi

{"title":"Early Sternal Bone Healing after Thermoreactive Nitinol Flexigrip Sternal Closure.","authors":"Yoshiyuki Takami, Atsuo Maekawa, Koji Yamana, Kiyotoshi Akita, Kentaro Amano, Yusuke Sakurai, Yasushi Takagi","doi":"10.5761/atcs.oa.22-00150","DOIUrl":"https://doi.org/10.5761/atcs.oa.22-00150","url":null,"abstract":"Purpose: Thermoreactive nitinol Flexigrip has been developed to ensure better fixation than conventional wire closure. To verify the advantage of Flexigrip over the conventional wiring, we compared early sternal bone healing on computed tomography (CT).Methods: A prospective cohort study enrolled the first consecutive 80 patients with wiring and the second consecutive 44 patients undergoing Flexigrip sternal closure. The primary endpoint was sternal healing evaluated quantitatively using a 6-point scale and measured gaps/offsets of the sternal halves at 6 levels on CT scans on the 14th postoperative day. Secondary endpoints included pain scores and sternal complications 1 month after surgery.Results: Compared with the patients of wiring, those who received Flexigrips showed higher 6-point scores at most sternum levels, less frequent gaps (52% vs 70%, p = 0.04), lower offsets (3.3 ± 0.9 mm vs 4.3 ± 0.7 mm, p <0.001) at the manubrium, and less frequent gaps (25% vs 43%, p = 0.04) and offsets (2.3% vs 24%, p = 0.002) at the middle of sternum. The pain scores and sternal complication rates were similar between both groups.Conclusion: CT evaluation 2 weeks after surgery revealed that Flexigrip sternal closure showed less gaps and offsets of the sternal halves, suggesting faster sternal bone union when compared to the wiring.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":"28 6","pages":"429-437"},"PeriodicalIF":1.3,"publicationDate":"2022-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0b/22/atcs-28-429.PMC9763714.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10438140","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

Comment on Evaluating Giant Hydatid Cysts: Factors Affecting Mortality and Morbidity. 评价巨大包虫囊肿:影响死亡率和发病率的因素。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-10-20 Epub Date: 2021-09-16 DOI: 10.5761/atcs.lte.21-00031

Sami Akbulut, Tevfik Tolga Sahin

{"title":"Comment on Evaluating Giant Hydatid Cysts: Factors Affecting Mortality and Morbidity.","authors":"Sami Akbulut, Tevfik Tolga Sahin","doi":"10.5761/atcs.lte.21-00031","DOIUrl":"https://doi.org/10.5761/atcs.lte.21-00031","url":null,"abstract":"they have not given neoadjuvant albendazole treatment. The authors stated that they have used Student’s t-test, Mann–Whitney U test, and Kruskal–Wallis test for comparison of the continuous variables. Since there are no three or more groups for comparison, Kruskal– Wallis test could not have been performed. Further-more, the mean and standard deviation is very close to each other for the continuous variables which means they are not distributing normally. For this reason, Student’s t-test cannot be used and the continuous variables should be expressed as median (min-max) or median (interquartile range [IQR]). In the first sentence of the results section, the authors stated that “a total of 382 patients (145 females and 138 males) were included in the study.” Instead of 382, it should be corrected as “283 patients.” In the results section, the authors stated that “postop-erative recurrence occurred in eight patients (2.8%), all of whom had undergone thoracotomy. Recurrence was attributed to continued exposure to animals.” The main factor that causes a recurrence is remnant germinant membrane due to inadequate surgery. Therefore, this statement is not compatible with current literature. The authors should provide the studies that they have used to support their statement.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":"28 5","pages":"371-375"},"PeriodicalIF":1.3,"publicationDate":"2022-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b3/89/atcs-28-371.PMC9585339.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39419694","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

Endobronchial Seeding of Squamous Lung Carcinoma with Mediastinal Lymph Involvement Node after EBUS: A Case Report. 支气管内植癌合并纵隔淋巴结累及EBUS一例报告。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-10-20 Epub Date: 2021-05-08 DOI: 10.5761/atcs.cr.20-00271

Boris Duchemann, Ana Maria Portela, Pascal Joudiou, Olivia Freynet, Laurent Zelek, Emmanuel Martinod, Marianne Kambouchner

{"title":"Endobronchial Seeding of Squamous Lung Carcinoma with Mediastinal Lymph Involvement Node after EBUS: A Case Report.","authors":"Boris Duchemann, Ana Maria Portela, Pascal Joudiou, Olivia Freynet, Laurent Zelek, Emmanuel Martinod, Marianne Kambouchner","doi":"10.5761/atcs.cr.20-00271","DOIUrl":"https://doi.org/10.5761/atcs.cr.20-00271","url":null,"abstract":"In locally advanced non-small-cell lung cancer (NSCLC), mediastinal staging is the cornerstone of the therapeutic decision and echoendoscopy is the most practiced exam to assess the lymph node involvement. We describe a rare case of endobronchial involvement by cells originating from a metastatic lymph node after endobronchial ultrasound (EBUS). A 64-year-old man was diagnosed with a squamous cell lung cancer with mediastinal nodal involvement proven by EBUS. The patient received neoadjuvant chemotherapy with partial response and was scheduled for a lobectomy. Before surgery, a fibroscopy was performed which demonstrated a 1-cm polypoid lesion settled on the internal face of the main right bronchus corresponding to the EBUS puncture site. The histological analysis confirmed tumoral cell in this lesion. The patient was rejected for surgery and undergo chemoradiation. This case highlights the need for a careful endoscopic control before surgical resection in case of prior positive EBUS followed by an interval of time.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":"28 5","pages":"359-361"},"PeriodicalIF":1.3,"publicationDate":"2022-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/79/b1/atcs-28-359.PMC9585338.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38883724","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

Paraneoplastic Neuromyelitis Optica Spectrum Disorder Associated with Atypical Thymic Carcinoid: A Case Report. 非典型胸腺类癌伴视谱神经脊髓炎1例。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-10-20 Epub Date: 2021-04-27 DOI: 10.5761/atcs.cr.20-00354

Suguru Mitsui, Yugo Tanaka, Kenji Kimura, Naoe Jimbo, Norio Chihara, Yoshimasa Maniwa

引用次数: 2

Esophageal Cancer Surgery in Dialyzed Patients: A Single Institution Case Series. 透析患者的食管癌手术：单一机构病例系列。

IF 1.1 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-10-20 Epub Date: 2021-04-27 DOI: 10.5761/atcs.cr.20-00361

Masayuki Urabe, Masaki Ueno, Akikazu Yago, Hayato Shimoyama, Yu Ohkura, Shusuke Haruta, Harushi Udagawa

{"title":"Esophageal Cancer Surgery in Dialyzed Patients: A Single Institution Case Series.","authors":"Masayuki Urabe, Masaki Ueno, Akikazu Yago, Hayato Shimoyama, Yu Ohkura, Shusuke Haruta, Harushi Udagawa","doi":"10.5761/atcs.cr.20-00361","DOIUrl":"10.5761/atcs.cr.20-00361","url":null,"abstract":"We sought to evaluate the feasibility of esophageal carcinoma (EC) surgery in cases requiring dialysis. Among 250 consecutive patients undergoing surgical resection for EC, three on maintenance dialysis were identified. We retrospectively analyzed their clinical characteristics. The three dialyzed patients were all males, 39-77 years old at EC surgery. The operations were thoracoscopic esophagectomy with nodal clearance (Case 1), cervical esophageal resection without thoracic procedures (Case 2), and thoracoscopic esophagectomy without reconstruction, emergently conducted for tumor bleeding (Case 3). Reoperation had been required for postoperative abdominal hematoma in Case 1. Postoperative tracheostomy had been performed due to severe pneumonia in Case 2. EC surgery for dialyzed patients, despite appearing to be feasible, might be associated with a high risk of life-threatening morbidities. To minimize surgical risk, therapeutic decision-making for such cases should be based on the balance between radicality and safety.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":"28 5","pages":"366-370"},"PeriodicalIF":1.1,"publicationDate":"2022-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/eb/a2/atcs-28-366.PMC9585335.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38913613","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

Exacerbation of Secondary Pulmonary Hypertension by Flat Chest after Lung Transplantation. 肺移植术后平胸加重继发性肺动脉高压的研究。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-08-20 Epub Date: 2020-11-03 DOI: 10.5761/atcs.cr.20-00230

Haruhiko Shiiya, Masaaki Sato, Aya Shinozaki-Ushiku, Chihiro Konoeda, Kentaro Kitano, Jun Nakajima

引用次数: 3

Evaluation of Short-Term Outcomes and the Learning Curve Wherein a Thoracic Resident Doctor Performed Video-Assisted Thoracoscopic Anatomical Lung Resection for Lung Cancer. 一名胸外科住院医师对肺癌进行电视胸腔镜解剖肺切除术的短期疗效和学习曲线的评估。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-08-20 Epub Date: 2022-01-29 DOI: 10.5761/atcs.oa.21-00216

Tomohiro Fujita, Shigeyuki Morino, Akihiro Nakamura

{"title":"Evaluation of Short-Term Outcomes and the Learning Curve Wherein a Thoracic Resident Doctor Performed Video-Assisted Thoracoscopic Anatomical Lung Resection for Lung Cancer.","authors":"Tomohiro Fujita, Shigeyuki Morino, Akihiro Nakamura","doi":"10.5761/atcs.oa.21-00216","DOIUrl":"https://doi.org/10.5761/atcs.oa.21-00216","url":null,"abstract":"Purpose: The surgical approach for anatomical lung resection includes open thoracotomy, video-assisted thoracoscopic surgery, and robot-assisted thoracoscopic surgery. We evaluated the short-term outcomes and the learning curve wherein a thoracic resident doctor consecutively performed video-assisted thoracoscopic anatomical lung resection for lung cancer.Methods: We retrospectively reviewed 91 cases of consecutive video-assisted thoracoscopic anatomical lung resections for lung cancer performed by a thoracic resident doctor between November 2017 and March 2020. The thoracic resident doctor had no previous experience performing video-assisted thoracoscopic or open anatomical lung resection.Results: Lobectomy was performed in 80 cases. Simple segmentectomy was performed in 11 cases. No cases required intraoperative conversion to open thoracotomy. The median operative time and blood loss were 148 min and 10 ml, respectively. There were no serious postoperative complications or deaths 30 days after surgery. The learning curve was examined using the cumulative sum method with operative time as a factor, and it took 21 cases to attain experience.Conclusion: Our resident doctor safely performed video-assisted thoracoscopic anatomical lung resections and it took 21 cases to stabilize the surgical technique. The surgical technique was possibly stabilized earlier than previously reported, although this was a study of a single resident doctor.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":"28 4","pages":"249-254"},"PeriodicalIF":1.3,"publicationDate":"2022-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/26/a3/atcs-28-249.PMC9433889.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39871840","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

Extended Bronchoplasty Anastomosed between the Left Main and the Superior Segmental Bronchi for Locally Advanced Left Upper Lobe Lung Cancer with Invasion of the Basal Segment. 局部晚期左上肺叶肺癌基底段浸润的扩展支气管成形术

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-08-20 Epub Date: 2020-11-03 DOI: 10.5761/atcs.cr.20-00215

Keisuke Yokota, Katsuhiro Okuda, Ichiro Fukai, Ryoichi Nakanishi

引用次数: 2

Perioperative Bypassing Agent Therapy for Pulmonary Pleomorphic Carcinoma with Acquired Hemophilia. 肺多形性癌合并获得性血友病围手术期分流剂治疗。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-08-20 Epub Date: 2021-01-20 DOI: 10.5761/atcs.cr.20-00257

Takashi Sakai, Yoko Azuma, Atsushi Sano, Sota Sadamoto, Naobumi Tochigi, Daisuke Nagase, Akira Iyoda

引用次数: 0