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

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-12-20 DOI: 10.5761/atcs.cr.21-00052

Akihiro Sasaki, Tatsuya Kato, Hideki Ujiie, Satoru Wakasa, Setsuyuki Otake, Keisuke Kikuchi, Koichi Ohno

引用次数: 3

Management of Malignant Pleural Effusions in U.S. Veterans: A Retrospective Review. 美国退伍军人恶性胸腔积液的处理:回顾性回顾。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-12-20 DOI: 10.5761/atcs.oa.22-00124

Zachary Mohs, Megan DeVillers, Stephanie Ziegler, Marc D Basson, William Newman

{"title":"Management of Malignant Pleural Effusions in U.S. Veterans: A Retrospective Review.","authors":"Zachary Mohs, Megan DeVillers, Stephanie Ziegler, Marc D Basson, William Newman","doi":"10.5761/atcs.oa.22-00124","DOIUrl":"https://doi.org/10.5761/atcs.oa.22-00124","url":null,"abstract":"Purpose: To compare malignant pleural effusion (MPE) treatment outcomes and complications among patients receiving indwelling pleural catheter (IPC), talc pleurodesis (TPS), or dual therapy. Outcomes were determined by measuring length of stay (LOS) and post-procedure dyspnea scores. Complications were measured by comparing intervention failures and adverse events.Methods: The Veterans Affairs' Corporate Data Warehouse was utilized to retrospectively review the charts of 314 MPE subjects. Dyspnea scores were estimated by researchers and LOS was determined by adding the duration of stay for all admissions post procedure. Complications were recorded through chart review.Results: IPC exhibited higher failure rates than the other approaches 1 year post intervention. Pneumonia/chest infection rate and lung entrapment were also more prevalent. There was no significant difference in dyspnea rates. LOS illustrated a significant difference between groups, with talc patients spending a median of 7 days in the hospital immediately post procedure, while IPC and IPC + TPS patients spent a median of 3 and 2 days, respectively.Conclusion: Patients receiving IPC or combination treatment spend fewer days in the hospital than TPS patients. However, IPC appears to be associated with more adverse events and higher long-term failure rates than other management strategies.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"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/34/76/atcs-28-420.PMC9763720.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10452259","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

The Predictive Value of Stair Climbing Test on Postoperative Complications in Lung Cancer Patients with Limited Pulmonary Function. 爬楼梯试验对肺功能受限肺癌患者术后并发症的预测价值。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-12-20 DOI: 10.5761/atcs.oa.22-00034

Fei Xiao, Weipeng Shao, Jin Zhang, Huanshun Wen, Yongqing Guo, Deruo Liu, Chaoyang Liang

{"title":"The Predictive Value of Stair Climbing Test on Postoperative Complications in Lung Cancer Patients with Limited Pulmonary Function.","authors":"Fei Xiao, Weipeng Shao, Jin Zhang, Huanshun Wen, Yongqing Guo, Deruo Liu, Chaoyang Liang","doi":"10.5761/atcs.oa.22-00034","DOIUrl":"https://doi.org/10.5761/atcs.oa.22-00034","url":null,"abstract":"Purpose: To evaluate the predictive value of stair climbing test (SCT) on postoperative complications in lung cancer patients with limited pulmonary function.Methods: A total of 727 hospitalized lung cancer patients with limited pulmonary function were retrospectively reviewed. Included in the cohort were 424 patients who underwent SCT preoperatively. Patients were grouped according to general condition, past medical history, surgical approach, pulmonary function test, and SCT results. Comparison of the postoperative cardiopulmonary complication rates was made and independent risk factors were identified.Results: A total of 89 cardiopulmonary-related complications occurred in 69 cases, accounting for 16.3% of the entire cohort. The postoperative cardiopulmonary complication rates were significantly different between groups stratified by smoking index, percentage of forced expiratory volume in one second, percentage of diffusion capacity for carbon monoxide, SCT results, excision extension, and anesthetic duration (p <0.05). Multivariate analysis showed that only height achieved (p <0.001), changes in heart rate (∆HR; p <0.001), and excision extension (p = 0.006) were independent risk factors for postoperative cardiopulmonary complications.Conclusions: The SCT could be used as a preoperative screening method for lung cancer patients with limited pulmonary function. For those patients who could only climb less than 6 floors or had ∆HR >30 bpm in the test, sublobar resection should be selected to reduce the postoperative cardiopulmonary complication rate.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"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/ac/7d/atcs-28-381.PMC9763715.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10503937","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

Unexpected Histopathological Diagnosis of Placental Transmogrification of the Lung after Bullectomy for Recurrent Spontaneous Pneumothorax: A Case Report and Literature Review. 复发性自发性气胸大球切除后肺胎盘变形的意外组织病理学诊断:1例报告及文献复习。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-12-20 DOI: 10.5761/atcs.cr.21-00005

Jin Shiraishi, Takaki Akamine, Seiya Kato, Naoko Miura, Takuro Kometani, Yasunori Shikada, Takuo Hayashi

{"title":"Unexpected Histopathological Diagnosis of Placental Transmogrification of the Lung after Bullectomy for Recurrent Spontaneous Pneumothorax: A Case Report and Literature Review.","authors":"Jin Shiraishi, Takaki Akamine, Seiya Kato, Naoko Miura, Takuro Kometani, Yasunori Shikada, Takuo Hayashi","doi":"10.5761/atcs.cr.21-00005","DOIUrl":"https://doi.org/10.5761/atcs.cr.21-00005","url":null,"abstract":"We report a 33-year-old man who presented with recurrent right pneumothorax. Computed tomography (CT) showed the presence of a large bulla with a maximum diameter of 8 cm in the right middle lobe; he subsequently underwent bullectomy. Histopathology revealed that pulmonary parenchyma adjacent to the bulla represented nodular proliferation of clear cells characterized by a papillary structure resembling placental chorionic villi. Immunohistochemically, clear cells were positive for CD10, suggesting placental transmogrification of the lung (PTL). We reviewed 36 surgical cases of PTL, and only 2 cases (5.6%), including our case, were operated for spontaneous pneumothorax. Bullous lesions secondary to PTL tend to appear as unilateral large cystic masses in non-upper lobes, which is atypical for primary spontaneous pneumothorax (PSP). Although PTL is considered a very rare cause of secondary pneumothorax, we must carefully differentiate this condition.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"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/bb/9b/atcs-28-438.PMC9763717.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10501843","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

Acquired Benign Tracheoesophageal Fistula: An Alternative Tracheoplastic Technique. 获得性良性气管食管瘘:一种可选择的气管整形技术。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-12-20 DOI: 10.5761/atcs.nm.22-00077

Dario Amore, Dino Casazza, Marco Rispoli, Cristiano Cesaro, Emanuele Muto, Pasquale Imitazione, Carlo Curcio

引用次数: 2

Effects of Different Treatment Regimens on Primary Spontaneous Pneumothorax: A Systematic Review and Network Meta-Analysis. 不同治疗方案对原发性自发性气胸的影响:系统综述和网络荟萃分析。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-12-20 DOI: 10.5761/atcs.oa.22-00113

Muredili Muhetaer, Keriman Paerhati, Qingchao Sun, Desheng Li, Liang Zong, Haiping Zhang, Liwei Zhang

{"title":"Effects of Different Treatment Regimens on Primary Spontaneous Pneumothorax: A Systematic Review and Network Meta-Analysis.","authors":"Muredili Muhetaer, Keriman Paerhati, Qingchao Sun, Desheng Li, Liang Zong, Haiping Zhang, Liwei Zhang","doi":"10.5761/atcs.oa.22-00113","DOIUrl":"https://doi.org/10.5761/atcs.oa.22-00113","url":null,"abstract":"Purpose: The best treatment strategy for primary spontaneous pneumothorax is controversial and varies widely in practice.Methods: Literatures were searched from databases till 24 August 2021. A Bayesian network meta-analysis was conducted to compare the outcomes of various treatments with the following endpoints: recurrence rate, postoperative chest tube duration, postoperative air leakage duration, length of hospital stay, and complications rate.Results: In all, 7210 patients of 20 randomized controlled trials and 17 cohort studies were included. Surgery had a significantly lower recurrence rate compared to other treatments. Besides, bullectomy (BT) combined with chemical pleurodesis (CP), mechanical pleurodesis, or staple line coverage (SLC) can reduce the recurrence rate compared to BT alone, but none of them were statistically significant. In terms of reducing chest tube duration, BT with tubular Neoveil outperformed BT + pleural abrasion (mean difference [MD], 95% confidence interval [CI]: -2.5 [-4.63, -0.35]) and BT + apical pleurectomy (MD, 95% CI: -2.72 [-5.16, -0.27]).Conclusions: Surgical methods were superior to manual aspiration (MA), chest tube drainage (CTD), and conservative treatment in terms of recurrence reduction. There was no significant difference between MA and CTD in reducing the recurrence rate. Among surgical methods, CP is more effective than mechanical pleurodesis and SLC among the additional procedures based on BT.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"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/9b/2f/atcs-28-389.PMC9763716.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10447010","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

Positive Intrapleural Pressure with Carbon Dioxide May Limit Intraoperative Pulmonary Arterial Bleeding: Verification by Animal Model. 胸腔内二氧化碳正压可限制术中肺动脉出血:动物模型验证。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-12-20 DOI: 10.5761/atcs.oa.22-00104

Momoko Asami, Eiichi Kanai, Yoshikane Yamauchi, Yuichi Saito, Noriyuki Matsutani, Masafumi Kawamura, Yukinori Sakao

{"title":"Positive Intrapleural Pressure with Carbon Dioxide May Limit Intraoperative Pulmonary Arterial Bleeding: Verification by Animal Model.","authors":"Momoko Asami, Eiichi Kanai, Yoshikane Yamauchi, Yuichi Saito, Noriyuki Matsutani, Masafumi Kawamura, Yukinori Sakao","doi":"10.5761/atcs.oa.22-00104","DOIUrl":"https://doi.org/10.5761/atcs.oa.22-00104","url":null,"abstract":"Purpose: Intraoperative complications, especially unexpected bleeding, are of great concern in the safety of thoracoscopic surgery. We investigated the hemostatic efficacy and safety of positive intrapleural pressure (PIP) with carbon dioxide insufflation by assessing the amount of blood loss in a pulmonary arterial hemorrhage model.Methods: An ex vivo experimental model of saline flow into a swine vessel was created in a container simulating a chest cavity. From the results, in vivo experiments (swine model) were conducted to compare the pulmonary arterial bleeding volume while applying PIP.Results: In the ex vivo experiment, regardless of the incision type, the outflow volumes did not significantly differ at flow pressures of 20, 30, and 40 mmHg. At each flow pressure, the outflow volumes at 10, 15, and 20 mmHg of positive pressure in the container were significantly smaller than those of the control (p = 0.027, p = 0.002, and p = 0.005, respectively). Similarly, the in vivo experiments showed that bleeding decreased as intrapleural pressure increased (slope = -0.22, F = 55.13, p <0.0001).Conclusion: It may be possible to temporarily suppress pulmonary arterial bleeding by increasing the intrapleural pressure to 10 to 20 mmHg using carbon dioxide insufflation. This method may be an adjunctive hemostatic maneuver for intraoperative bleeding.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"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/ab/bc/atcs-28-403.PMC9763713.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10447011","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

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":null,"pages":null},"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":null,"pages":null},"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