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Journal of Visualized Surgery

Luca Di Marco, Luigi Lovato, Giacomo Murana, Ciro Amodio, Francesco Buia, Roberto Di Bartolomeo, Davide Pacini
We present a case of a 48-year-old female patient with Marfan syndrome and previous open surgeries for Bentall procedure and arch replacement with frozen elephant trunk (FET) technique, who was admitted at our Department with a diagnosis of ascending aorta pseudoaneurysm at the anastomosis-site between composite valve graft and arch prosthesis treated by endovascular procedure because of she was considered to be at high-risk for a third open surgery and for the patient's favorable anatomy for endovascular closure of the pseudoaneurysm...
2018: Journal of Visualized Surgery
Hee Chul Yang, Garrett Coyan, Matthew Vercauteren, Neha Reddy, James D Luketich, Inderpal S Sarkaria
Robot-assisted surgery for anterior mediastinal mass resection has been increasingly adopted as an alternative method to open sternotomy and conventional video-assisted thoracic surgery. However, more evidence is needed to expand the indication of this technique to more complicated cases. We present a case of robot-assisted en bloc resection of a 7-cm anterior mediastinal mass with pericardium and adjacent lung for thymic squamous cell carcinoma, accompanied by reconstruction of pericardium with polytetrafluoroethylene patch...
2018: Journal of Visualized Surgery
Hany Hasan Elsayed, Ahmed Mostafa, Essam Fathy, Haytham S Diab, Ibrahim Mostafa Nofal, Osama Abbas AbdelHamid, Hatem Yazeed El-Bawab, Ahmed A ElNori
Background: Empyema is a well-known disease that significantly increases the morbidity and mortality associated with pneumonia. There are a number of treatment modalities available but recently video assisted thoracoscopic surgery (VATS) has been suggested as a reliable tool in management of empyema; particularly in early stages. The aim of this study is to assess the safety and effectiveness of using initial VATS for all surgically fit patients with early stages of empyema. Methods: Sixty-six patients with early stage empyema were prospectively studied between December 2013 and March 2016...
2018: Journal of visualized surgery
Marco Nardini, Joel Dunning, Marcello Migliore, Robert J Cerfolio
Aorto-pulmonary paraganglioma is an exceptionally rare condition, and its diagnosis and treatment are a challenge for the general thoracic surgeon. We describe the case of a 35 years old man who was incidentally diagnosed with a visceral mediastinal mass, deeply encased in the aorto-pulmonary window. To our knowledge this is the first case of its kind to be successfully treated with the adoption of a minimally invasive technique. We conclude that the dissection was made easier by the robotic instrumentation and by the camera system, and a minimally invasive approach would have been more difficult by traditional thoracoscopy...
2018: Journal of Visualized Surgery
(no author information available yet)
[This corrects the article DOI: 10.21037/jovs.2017.10.11.].
2018: Journal of Visualized Surgery
Andrea Dell'Amore, Alessio Campisi, Stefano Congiu, Domenica Giunta, Giampiero Dolci, Fabio Niro
Isolated unilateral pulmonary vein atresia (UPVA) is a rare congenital malformation and the management remains controversial. In adults, pneumonectomy is the treatment of choice when significant hemoptysis becomes life-threatening. We report a case of a 28-year-old male with isolated unilateral right atresia of the pulmonary vein who had life-threatening hemoptysis treated with bronchial arteries embolization followed by successful right pneumonectomy.
2018: Journal of Visualized Surgery
Ricardo Mingarini Terra, Alberto Jorge Monteiro Dela Vega
Malignant pleural effusion (MPE) is a very disabling condition that often affects patients with advanced neoplasm. Conservative approach, repeated thoracentesis, pleurodesis and use of indwelling pleural catheters (IPC) are the main methods to deal with this condition. The ideal treatment must focus on symptom relief and has to take into account patient underlying diseases, performance status and necessity of adequate tissue sample for diagnosis. In a video we show techniques to perform video assisted thoracic surgery (VATS) pleural biopsy and talc poudrage pleurodesis...
2018: Journal of Visualized Surgery
Alessandro Pardolesi, Luca Bertolaccini, Jury Brandolini, Piergiorgio Solli, Pierluigi Novellis, Giulia Veronesi
Numerous published articles have shown the safety and efficacy of robotic anatomic pulmonary resection, including lobectomy for non-small cell lung cancer. Several techniques have been described to perform a lung lobectomy robotically. Since the beginning of our experience, we adopted a four-arm robotic approach with the da Vinci Si System. More recently we have used the newer Xi model, that offers a simplified and "quicker" set-up and docking time. This article emphases specifically on the technical aspects of how to complete the hilar dissection during four-arm robotic lobectomy...
2018: Journal of Visualized Surgery
Saleem Jahangeer, Mohamad Bashir, Amer Harky, John Yap
An aneurysm of an aberrant subclavian artery is un usual prevalence of anomalies of aortic arch, with a literature reported prevalence of 2%. Timely elective intervention is of paramount. The advancement in stenting techniques has promoted this practice to be an alternative to conventional open surgical repair which is associated with high rates of perioperative complications including mortality outcomes. However, new faces of this old disease are emerging as we move to novelty and innovation era. We discuss in this review the advancements in this disease entity highlighting and collecting the world experiences...
2018: Journal of Visualized Surgery
Sara Ricciardi, Federico Davini, Carmelina Cristina Zirafa, Franca Melfi
No abstract text is available yet for this article.
2018: Journal of Visualized Surgery
Charing C N Chong
No abstract text is available yet for this article.
2018: Journal of Visualized Surgery
Dario Amore, Marcellino Cicalese, Roberto Scaramuzzi, Davide Di Natale, Dino Casazza, Carlo Curcio
Between April 2016 and October 2017, we retrospectively reviewed all patients undergoing excision of large mediastinal masses using a hybrid robotic thoracic approach at the Unit of Thoracic Surgery of Monaldi Hospital in Naples. The inclusion criteria for this approach were: evident unilateral predominance of the mass; absence of invasion to surrounding structures. Planned conversion to sternotomy was necessary in one patient for tenacious adhesions between the mediastinal goiter and the left innominate vein...
2018: Journal of Visualized Surgery
Andrea Dell'Amore, Alessio Campisi, Domenica Giunta, Stefano Congiu, Niccolò Daddi, Giampiero Dolci, Niccolò Barbera, Letizia Bacchi Reggiani
Background: Acute post-operative pain following thoracic surgery procedures is still an unresolved problem despite the introduction of minimally invasive procedures such as video assisted surgery. Until now it is never investigated if different surgical instruments could influence post-operative pain. The aim of our study is to investigate the role of different type of trocar on post-operative pain in minimally invasive thoracic surgery. Methods: This was a prospective randomized single center study...
2018: Journal of Visualized Surgery
Natalie N Merchant, Osita Onugha
We report an elderly patient with chronic obstructive pulmonary disease (COPD), Alzheimer's disease and early dementia who presented with multiple displaced rib fractures of left ribs 4 through 9 with flail segments of ribs 4 through 8 and an associated traumatic pneumatocele from rib puncture of the left upper lobe. The decision to treat this patient operatively was based on the presence of flail chest, the patient's age, baseline co-morbidities and limited physiological reserve. Surgical rib fixation is traditionally performed with a thoracotomy incision and open exposure for extra-thoracic rib fixation, however, this patient underwent chest wall stabilization using an extra-thoracic video-assisted thoracic surgery (VATS) technique...
2018: Journal of Visualized Surgery
Kamran I Muhammad, Georgianne C Tokarchik
Transcatheter aortic valve replacement (TAVR) has emerged as a viable, minimally-invasive and widely adopted approach for the treatment of severe symptomatic aortic stenosis in patients who are intermediate-risk or greater for surgical aortic valve replacement. Numerous studies have demonstrated favorable outcomes with TAVR in this population, particularly with transfemoral access TAVR. Transfemoral TAVR has been shown to be safer and associated less morbidity, shorter lengths of hospital stay and more rapid recovery as compared with traditional thoracic alternative-access TAVR (transapical or transaortic)...
2018: Journal of Visualized Surgery
Ziv Beckerman, Michael O Kayatta, LaRonica McPherson, Jose N Binongo, Yi Lasanajak, Bradley G Leshnower, Edward P Chen
Background: Bicuspid aortic valve (BAV) is a common cardiac anomaly that affects 0.5-2% of adults. Valve sparing root replacement (VSRR) in bicuspid aortopathy is gaining popularity. We discuss the technical aspects of the procedure as well as the mid- to long-term results of performing VSRR in the setting of a bicuspid valve. Methods: A single institutional database identified 280 patients who underwent VSRR from 2005-2016. Outcomes were analyzed in 60 consecutive patients undergoing a VSRR in the setting of a BAV with aortic regurgitation (AR)...
2018: Journal of Visualized Surgery
Johan van der Merwe, Filip Casselman, Frank Van Praet
The continuous evolution in robotic-, endoscopic- and trans-catheter cardiac interventions resulted in innovative techniques that simultaneously address left ventricular outflow tract obstruction (LVOTO) and concomitant atrioventricular valve (AVV) pathology in the context of hypertrophic obstructive cardiomyopathy (HOCM). We present our brief report of 13 consecutive HOCM patients with concomitant AVV disease, who underwent endoscopic left ventricular septal myomectomy (LVSM) and AVV surgery by Endoscopic Port AccessTM Surgery (EPAS) between March 1st 2010 and October 31st 2015...
2018: Journal of Visualized Surgery
Kristof De Brabandere, Jens-Uwe Voigt, Stephen Rex, Bart Meuris, Peter Verbrugghe
A 23-year-old man presented with acute onset of dyspnea on exert. Preoperative echocardiography showed a severe regurgitation of the bicuspid aortic valve (due to prolapse of the fused cusp) creating a jet directed through the defect in the anterior leaflet of the mitral valve. Both valves were repaired. Endocarditis was excluded with cultures and polymerase chain reaction (PCR). Postoperative course was uneventful.
2018: Journal of Visualized Surgery
Ziv Beckerman, Bradley G Leshnower, LaRonica McPherson, Jose N Binongo, Yi Lasanajak, Edward P Chen
Background: Biologic valved-conduits avoids the need for anticoagulation and can exploit the excellent hemodynamic performance of stentless valves. Incorporation of the sinuses of Valsalva into the neoaortic root can improve the function and longevity of stentless valves. We report our experience in performing the Bentall procedure with a self-prefabricated composite valved-conduit and review the published experience with the Valsalva graft. Methods: From Feb 2005 through Sep 2017, 428 patients underwent aortic root replacement utilizing a composite graft constructed from a 27-29-mm Freestyle MS valve (Medtronic) sutured into a 28-30-mm Gelweave Valsalva prosthesis (Sulzer Vascutek, Renfrewshire, Scotland)...
2018: Journal of Visualized Surgery
Marcello Migliore
No abstract text is available yet for this article.
2018: Journal of Visualized Surgery
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