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Journal of Visualized Surgery

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https://www.readbyqxmd.com/read/29682475/malperfusion-syndromes-in-type-a-aortic-dissection-what-we-have-learned-from-irad
#1
REVIEW
Paolo Berretta, Santi Trimarchi, Himanshu J Patel, Thomas G Gleason, Kim A Eagle, Marco Di Eusanio
Patients presenting with type A acute aortic dissection (TAAD) complicated by malperfusion syndromes represent one of the highest surgical risk cohorts for cardiovascular surgeons. In the setting of aortic dissection, end-organ ischemia may involve any of the major arterial side branches resulting in myocardial, cerebral, spinal cord, visceral and/or limb ischemia. In TAAD patients with malperfusion, notwithstanding continuous improvement in diagnostic and management strategies, surgical and clinical outcomes remain poor and the optimal therapy is controversial...
2018: Journal of Visualized Surgery
https://www.readbyqxmd.com/read/29682474/pancreaticoduodenectomy-minimizing-the-learning-curve
#2
Levan Tsamalaidze, John A Stauffer
Background: Pancreaticoduodenectomy outcomes improve as surgeon experience increases. We analyzed the outcomes of pancreaticoduodenectomy for any improvements over time to assess the learning curve. Methods: A retrospective study of patients undergoing consecutive pancreaticoduodenectomy by a single surgeon at the beginning of practice was performed. Operative factors and 90-day outcomes were examined and trends over the course of the 4-year time period were analyzed...
2018: Journal of Visualized Surgery
https://www.readbyqxmd.com/read/29682473/uniportal-thoracoscopic-resection-of-intralobar-and-extralobar-pulmonary-sequestration
#3
Andrea Dell'Amore, Domenica Giunta, Alessio Campisi, Stefano Congiu, Giampiero Dolci, Niccolò Antonino Barbera, Roberto Agosti, Francesco Buia
Pulmonary sequestration (PS) is a rare congenital malformation of the respiratory tract. Two main variants are described, the intralobar and the extralobar PS. Clinical manifestations vary from accidental findings to life threatening complications. Surgical resection is the definitive and indicated treatment of PS. The operation could be performed through an open thoracotomy or video-assisted thoracic surgery approach. We report the management of two patients with diagnosis of extralobar PS in the first case and intralobar PS in the second case...
2018: Journal of Visualized Surgery
https://www.readbyqxmd.com/read/29682472/adult-pulmonary-intralobar-sequestrations-changes-in-the-surgical-management
#4
Akram Traibi, Agathe Seguin-Givelet, Emmanuel Brian, Madalina Grigoroiu, Dominique Gossot
Background: Until now, the traditional procedure to treat intralobar pulmonary sequestration (ILS) in adults has been a lobectomy performed by open chest surgery. We have reviewed our data to determine whether the surgical management of these lesions has evolved over the last years. Methods: We retrospectively reviewed the records of patients who were operated on for an ILS by either posterolateral thoracotomy (PLT group), or by thoracoscopy (TS group) between 2000 and 2016...
2018: Journal of Visualized Surgery
https://www.readbyqxmd.com/read/29682471/hybrid-thoracoabdominal-aortic-aneurysm-repair-is-the-future-here
#5
REVIEW
Vicente Orozco-Sevilla, Scott A Weldon, Joseph S Coselli
Open surgical repair has been the gold standard for thoracoabdominal aortic aneurysm (TAAA) repair for more than 6 decades, but 2 additional options have emerged: total endovascular TAAA repair and a hybrid approach that combines open and endovascular repair. Despite the optimism for an endovascular approach, long-term results for these repairs are still lacking. Some of the issues with this emerging technology include the risk of paraplegia after extensive endovascular repair, the need for multiple reinterventions, continuous stent-graft surveillance, endograft branch stenosis, as well as the significant learning curve...
2018: Journal of visualized surgery
https://www.readbyqxmd.com/read/29682470/aortic-valve-insufficiency-in-aortic-root-aneurysms-consider-every-valve-for-repair
#6
REVIEW
Talal Al-Atassi, Munir Boodhwani
Aortic valve (AV) preservation and repair is emerging as an attractive alternative to AV replacement in younger patients with aortic insufficiency (AI) and aortic root aneurysms. AV repair mitigates some of the risks associated with prosthetic valves. More centers are reporting the safety of AV preservation and repair and favorable short- and long-term outcomes. However, further work is needed to improve long-term repair durability and dissemination of knowledge and technique to make AV repair the gold standard in this patient population...
2018: Journal of Visualized Surgery
https://www.readbyqxmd.com/read/29682469/conservative-management-versus-endovascular-or-open-surgery-in-the-spectrum-of-type-b-aortic-dissection
#7
Xun Yuan, Andreas Mitsis, Mohammed Ghonem, Ilias Iakovakis, Christoph A Nienaber
Background: Type B aortic dissection is a life-threatening acute aortic condition often with acute ischemic signs or symptoms. With initial management focusing on alleviating malperfusion and pain, and avoiding propagation of dissection or rupture both systolic blood and pulse pressure should be reduced initially by an aggressive medical approach. In the setting of persistent signs of complications endovascular strategies have replaced open surgery and led to a fourfold increase in early survival and better long-term outcomes...
2018: Journal of visualized surgery
https://www.readbyqxmd.com/read/29682468/laparoscopic-repair-of-multiple-incisional-hernias-in-a-single-midline-incision-by-double-composite-mesh
#8
Xuefei Yang, Li Jiang, Yue Li, Jingsi Liu, Joe King-Man Fan
Laparoscopic repair of ventral incisional hernia with intraperitoneal onlay mesh (IPOM) technique by anti-adhesion mesh has been widely adopted. Due to clinical heterogenicity in location, quantity and size of abdominal incisional hernia, strategy of such repair can be challenging. We hereby present the video of a patient with multiple swiss-cheese hernias in a single long midline incision repaired with double anti-adhesion mesh by IPOM technique. Patient demographics, technical details and clinical tips & tricks are discussed...
2018: Journal of Visualized Surgery
https://www.readbyqxmd.com/read/29682467/extended-uniportal-video-assisted-thoracic-surgery-for-lung-cancer-is-it-feasible
#9
REVIEW
Iñigo Royo-Crespo, Arthur Vieira, Paula A Ugalde
Since the first description of uniportal video-assisted thoracic surgery (U-VATS) (or single-port) lobectomy, several centers in Asia and Europe rapidly adopted this technique as a standard approach for treatment of early stage non-small cell lung cancer (NSCLC). Despite the controversies regarding feasibility and completeness of resection, thoracic surgeons in high volume centers keep pushing the limits to perform very complex procedures also known as "extended resections" through minimally invasive surgery...
2018: Journal of Visualized Surgery
https://www.readbyqxmd.com/read/29682466/video-assisted-thoracoscopic-plasmajet-ablation-for-malignant-pleural-mesothelioma
#10
Periklis Perikleous, Nizar Asadi, Vladimir Anikin
The role of surgery in malignant pleural mesothelioma (MPM) remains debatable; nonetheless the relative advantages of different surgical approaches are frequently reassessed and reconsidered. While extensive operations and longer recovery periods can be justified for a group of carefully selected patients, many will present at an advanced stage of their disease or with associated co-morbidities which will exclude them from selection criteria for radical treatment. For these patients, minimally invasive video-assisted procedures may be considered, for purposes of cytoreduction and/or symptomatic relief...
2018: Journal of Visualized Surgery
https://www.readbyqxmd.com/read/29682465/uniportal-video-assisted-removal-of-a-right-paratracheal-pericardial-cyst-an-unusual-location
#11
Andrea Dell'Amore, Alessio Campisi, Domenica Giunta, Stefano Congiu, Giampiero Dolci, Roberto Agosti
Cystic lesions of the pericardium are a rare entity. Generally, they are congenital and located in the cardiophrenic angle. The right paratracheal location is unusual and differential diagnosis in particular with bronchogenic cyst is difficult even when using magnetic resonance imaging (MRI). The surgical indication exists in case of symptomatic patients or huge mass with compression of nearby structures. Different surgical approaches have been reported in literature to treat mediastinal cysts. We report a case of uniportal thoracoscopic removal of an unusual located right paratracheal pericardial cyst...
2018: Journal of Visualized Surgery
https://www.readbyqxmd.com/read/29682464/gastric-inflammatory-fibroid-polyp-tumor-with-acute-intestinal-obstruction-vanek-s-tumor-can-mimick-a-giant-gastrointestinal-stromal-tumor-or-a-gastric-lymphoma
#12
Francesco Fleres, Carmelo Mazzeo, Antonio Ieni, Maurizio Rossitto, Eugenio Cucinotta
An inflammatory fibroid polyp (IFP) is a solitary rare benign neoplasm of the gastrointestinal tract, frequently located in the gastric antrum. IFPs account for about 0.1% of all gastric polyps. We report a case of a giant gastric inflammatory polyp of 2.5 cm × 7 cm that determines a gastric outlet obstruction called "ball valve syndrome" mimicking a gastrointestinal stromal tumor (GIST) and a gastric lymphoma, with an intestinal obstruction of high origin. Therefore, due to acute presentation we have decided to submit the patient to a subtotal gastrectomy...
2018: Journal of Visualized Surgery
https://www.readbyqxmd.com/read/29682463/reasons-for-conversion-during-vats-lobectomy-what-happens-with-increased-experience
#13
REVIEW
Dario Amore, Davide Di Natale, Roberto Scaramuzzi, Carlo Curcio
Although controlled studies have demonstrated the benefits of a minimally invasive approach for pulmonary lobectomy over thoracotomy, reports have also documented that significant complications can occur during thoracoscopic lobectomy and sometimes require planned or emergent conversion to open surgery. Several authors have identified and reported causes and implications of intraoperative conversion to thoracotomy using different types of classification. The aim of this single centre retrospective review is to evaluate how the reasons for conversion change with increased experience, dividing patients who were converted to thoracotomy during video-assisted thoracic surgery (VATS) lobectomy, between 2011 and 2017, in two groups: those treated during learning curve (LC group) and those treated after learning curve (ALC group)...
2018: Journal of Visualized Surgery
https://www.readbyqxmd.com/read/29682462/james-d-luketich-future-for-esophageal-cancer-patients-is-bright-with-growing-technology-and-better-therapy
#14
Skylar Gao, Pengcheng Lee
No abstract text is available yet for this article.
2018: Journal of Visualized Surgery
https://www.readbyqxmd.com/read/29682461/capsaicin-patch-for-persistent-postoperative-pain-after-thoracoscopic-surgery-report-of-two-cases
#15
Nicola Tamburini, Giacomo Bollini, Carlo Alberto Volta, Giorgio Cavallesco, Pio Maniscalco, Savino Spadaro, Francesco Qurantotto, Riccardo Ragazzi
Effective postoperative pain control after thoracic surgery is a significant clinical issue because it reduces pulmonary complications and accelerates the pace of recovery. Persistent postoperative pain syndrome is a recognized and frequent complication after thoracoscopic surgery. The capsaicin 8% patch contains a high concentration of synthetic capsaicin approved for treatment of peripheral neuropathic pain in adults. Little clinical data exist on the use of capsaicin patch in thoracic persistent postoperative pain syndrome...
2018: Journal of Visualized Surgery
https://www.readbyqxmd.com/read/29682460/simple-retrograde-cerebral-perfusion-is-as-good-as-complex-antegrade-cerebral-perfusion-for-hemiarch-replacement
#16
Akiko Tanaka, Anthony L Estrera
Cerebral complication is a major concern after aortic arch surgery, which may lead to death. Thus, cerebral protection strategy plays the key role to obtain respectable results in aortic arch repair. Deep hypothermic circulatory arrest was introduced in 1970s to decrease the ischemic insults to the brain. However, safe duration of circulatory arrest time was limited to 30 minutes. The 1990s was the decade of evolution for cerebral protection, in which two adjuncts for deep hypothermic circulatory arrest were introduced: retrograde and antegrade cerebral perfusion (ACP) techniques...
2018: Journal of Visualized Surgery
https://www.readbyqxmd.com/read/29682459/con-debate-does-every-ascending-aorta-repair-require-at-least-an-open-distal-anastomosis-at-the-innominate-or-not
#17
Kenji Minatoya
No abstract text is available yet for this article.
2018: Journal of Visualized Surgery
https://www.readbyqxmd.com/read/29682458/robot-assisted-thoracoscopic-right-upper-bi-lobectomy-for-pulmonary-tuberculosis
#18
Piotr Yablonskii, Grigorii Kudriashov, Larisa Kiryukhina, Armen Avetisyan
Surgery is one of the current options in cases of pulmonary tuberculosis with failed medication treatment. Lobectomy and bi-lobectomy constitute up to one third of all surgical procedures in such cases. Nevertheless, fibrotic changes near the hilar structures and lymph nodes are limitation factors for spread of video-assisted thoracoscopic surgery (VATS) anatomical pulmonary resection. Robotic surgery can reduce some disadvantages of VATS. This is well illustrated by the large pulmonary resections. Current case report showed first robot-assisted thoracoscopic (RATS) bi-lobectomy for pulmonary tuberculosis with good results 1-year follow-up...
2018: Journal of Visualized Surgery
https://www.readbyqxmd.com/read/29682457/sternum-reconstruction-using-titanium-plates-matched-with-sandwich-gore-tex-meshes
#19
Marco Chiappetta, Francesco Facciolo
Chest wall reconstruction after extensive resection may be technically difficult, and which technique permits to obtain the right compromise between rigidity and plasticity of the chest wall is still argument of debate. Indeed, many techniques and materials have been proposed and tested to cover chest wall defects and to ensure correct respiratory movements, but unique results still miss. We herein report the case of a 55-years old woman with soft-tissue sarcoma involving the sternum treated with sternum and anterior ribs arch resection (from the second to the fourth)...
2018: Journal of Visualized Surgery
https://www.readbyqxmd.com/read/29682456/con-debate-short-circulatory-arrest-times-in-arch-reconstructive-surgery-is-simple-retrograde-cerebral-perfusion-or-hypothermic-circulatory-arrest-as-good-or-better-than-complex-antegrade-cerebral-perfusion-for-open-distal-involvement-or-hemi-arch
#20
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