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https://www.readbyqxmd.com/read/30074105/robot-assisted-mediastinoscopic-esophagectomy-for-esophageal-cancer-the-first-clinical-series
#1
Masaya Nakauchi, Ichiro Uyama, Koichi Suda, Susumu Shibasaki, Kenji Kikuchi, Shinichi Kadoya, Yoshinori Ishida, Kazuki Inaba
BACKGROUND: Radical esophagectomy for esophageal cancer is associated with high morbidity, especially with pulmonary complications. Mediastinoscopic esophagectomy via a small left neck incision combined with the esophageal hiatus, without using transthoracic approach, has been reported to reduce pulmonary complication; however, from technical point of view, this approach using non-articulating, straight, long forceps is extremely challenging, especially in the middle mediastinal area...
August 3, 2018: Esophagus: Official Journal of the Japan Esophageal Society
https://www.readbyqxmd.com/read/29997998/three-port-mediastino-laparoscopic-esophagectomy-tpmle-for-an-81-year-old-female-with-early-staged-esophageal-cancer-a-case-report-of-combining-single-port-mediastinoscopic-esophagectomy-and-reduced-port-laparoscopic-surgery
#2
Di Lu, Xiguang Liu, Mei Li, Siyang Feng, Xiaoying Dong, Xuezhou Yu, Hua Wu, Gang Xiong, Ruijun Cai, Guoxin Li, Kaican Cai
No abstract text is available yet for this article.
May 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29951982/mediastinoscopic-view-of-the-bronchial-arteries-in-a-series-of-surgical-cases-evaluated-with-three-dimensional-computed-tomography
#3
Kazuhiko Mori, Kenji Ino, Shuntaro Yoshimura, Susumu Aikou, Koichi Yagi, Masato Nishida, Takashi Mitsui, Yasuhiro Okumura, Yukinori Yamagata, Hiroharu Yamashita, Sachiyo Nomura, Yasuyuki Seto
BACKGROUND: We have routinely performed three-dimensional computed tomography (3-D CT) prior to video-assisted transmediastinal esophagectomy to evaluate the small arteries in the mediastinal operative field. This evaluation would be helpful in performing mediastinoscopic esophagectomy. METHODS: Thirty-one patients who underwent transmediastinal esophagectomy with preoperative evaluations by 3-D CT were the study subject. The bronchial arteries depicted by the 3-D CT were classified by their origin and laterality...
July 2018: Esophagus: Official Journal of the Japan Esophageal Society
https://www.readbyqxmd.com/read/29948479/histological-study-of-the-thin-membranous-structure-made-of-dense-connective-tissue-around-the-esophagus-in-the-upper-mediastinum
#4
Yutaka Tokairin, Yasuaki Nakajima, Kenro Kawada, Akihiro Hoshino, Takuya Okada, Tairo Ryotokuji, Masafumi Okuda, Yuichiro Kume, Yudai Kawamura, Kazuya Yamaguchi, Kagami Nagai, Keiichi Akita, Yusuke Kinugasa
BACKGROUND: The structure of the fascia in upper mediastinum has already been reported from gross anatomical viewpoints by Sarrazin. But it is necessary to understand meticulous anatomy for thoracoscopic or mediastinoscopic surgery. So herein, we investigate histologically the thin membranous structure made of dense connective tissues. METHODS: Semi-sequential transverse sections of the mediastinum were obtained from three cadavers. Hematoxylin and eosin staining, Elastica van Gieson staining, and Masson trichrome staining were performed to identify the presence and location of the thin membranous structure made of dense connective tissues...
October 2018: Esophagus: Official Journal of the Japan Esophageal Society
https://www.readbyqxmd.com/read/29863160/technical-details-of-video-assisted-transcervical-mediastinal-dissection-for-esophageal-cancer-and-its-perioperative-outcome
#5
Kazuhiko Mori, Susumu Aikou, Koichi Yagi, Masato Nishida, Takashi Mitsui, Yukinori Yamagata, Hiroharu Yamashita, Sachiyo Nomura, Yasuyuki Seto
To reduce pulmonary complications after esophagectomy, the transthoracic procedure should be shortened or totally avoided. Transcervical approach assisted by mediastinoscope for the upper mediastinum may be advantageous for this purpose. We carried out video-assisted transcervical mediastinal dissection (VATCMD) as part of totally non-transthoracic radical esophagectomy. A single-port laparoscopy device was adopted to a small cervical incision and the mediastinum was inflated with a positive pressure of 6 to 10 mmHg...
September 2017: Annals of gastroenterological surgery
https://www.readbyqxmd.com/read/29541462/multidisciplinary-therapy-for-metastatic-primary-malignant-melanoma-of-the-esophagus-a-case-report
#6
Ken Sasaki, Yasuto Uchikado, Itaru Omoto, Masahiko Amatatsu, Koichi Megumi, Hiroshi Okumura, Kosei Maemura, Shoji Natsugoe
Standard treatment strategies have not yet been established for primary malignant melanoma of the esophagus (PMME), and far much less for recurrent disease. There are no reports of anti-programmed death-1 antibody treatment of recurrent PMME. A 60-year-old Japanese man was diagnosed with a primary malignant melanoma in the lower esophagus. The patient underwent mediastinoscope-assisted subtotal esophagectomy, and two nodal involvements were detected in the lymph nodes (LN)s along the left gastric artery. Paclitaxel and oral fluoropyrimidine were administered for 2 months as adjuvant treatment based on results of a histoculture drug response assay...
April 2018: Molecular and Clinical Oncology
https://www.readbyqxmd.com/read/29426329/efficacy-comparison-of-transcervical-video-assisted-mediastinoscopic-lymphadenectomy-combined-with-left-transthoracic-esophagectomy-versus-right-transthoracic-esophagectomy-for-esophageal-cancer-treatment
#7
COMPARATIVE STUDY
Xu Li, Wenxiang Wang, Yong Zhou, Desong Yang, Jie Wu, Baihua Zhang, Zhining Wu, Jinming Tang
BACKGROUND: This study aimed to propose a new surgical strategy, i.e., the transcervical video-assisted mediastinoscopic lymphadenectomy (VAMLA) with esophagectomy via the left transthoracic approach for patients with esophageal cancer (EC), and to compare the outcomes with those of esophagectomy via the right thoracic approach. METHODS: From December 2014 to March 2016, 49 cases were enrolled in this non-randomized concurrent control study. Twenty-eight patients with EC who underwent transcervical VAMLA with esophagectomy via the left transthoracic approach were assigned into the study group, while 21 EC patients undergoing esophagectomy via the right transthoracic approach during the same period were enrolled into the control group...
February 9, 2018: World Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29384599/combination-video-assisted-mediastinoscopic-lymphadenectomy-and-transcervical-thoracoscopy
#8
Juan Carlos Trujillo-Reyes, Elisabeth Martínez-Téllez, Ramón Rami-Porta, Carme Obiols, Sergi Call, Josep Belda-Sanchis
Surgical staging of lung and pleural cancers is crucial for planning treatment and assessing prognosis. In some cases, we need to explore both the mediastinum and the pleural cavity to confirm or rule out tumor dissemination. The combination of video-assisted mediastinoscopic lymphadenectomy (VAMLA) and thoracoscopy through a single transcervical incision allows the surgeon to widen the range of the exploration and improve the staging for lung and pleural cancers.  VAMLA consists of complete removal of the mediastinal fat and lymph nodes of the subcarinal space, the right paratracheal and pretracheal areas, and the left paratracheal space...
January 18, 2018: Multimedia Manual of Cardiothoracic Surgery: MMCTS
https://www.readbyqxmd.com/read/29110950/validity-of-the-updated-european-society-of-thoracic-surgeons-staging-guideline-in-lung-cancer-patients
#9
Akif Turna, Hüseyin Melek, H Volkan Kara, Burcu Kılıç, Ezel Erşen, Kamil Kaynak
OBJECTIVE: The European Society of Thoracic Surgeons (ESTS) has proposed a revised preoperative lymph node staging guideline for patients with potentially resectable non-small cell lung cancer (NSCLC). We aimed to assess the validity of this revised ESTS guideline and survival results in our patient cohort. METHODS: A total of 571 patients with potentially resectable NSCLC seen between January 2004 and November 2013 were included in the study. The preoperative mediastinal staging was performed by video-assisted cervical mediastinoscopy or video-assisted mediastinoscopic lymphadenectomy in all patients except those with peripheral cT1N0 nonadenocarcinoma tumors...
February 2018: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/29078513/mediastinoscope-and-laparoscope-assisted-esophagectomy
#10
Hitoshi Fujiwara, Atsushi Shiozaki, Hirotaka Konishi, Eigo Otsuji
BACKGROUND: Mediastinoscope-assisted transhiatal esophagectomy (MATHE) is a minimally invasive option for thoracic esophageal cancer with the potential benefit of decreasing pulmonary complications by avoiding one-lung ventilation or a transthoracic procedure. However, the conventional MATHE procedure is less radical than transthoracic esophagectomy due to operative view limitations and insufficient mediastinal lymphadenectomy. In upper mediastinal dissection, the conventional MATHE procedure only provides esophageal mobilization with or without lymph node sampling...
2016: Journal of Visualized Surgery
https://www.readbyqxmd.com/read/29052783/anatomical-study-of-the-left-superior-mediastinal-lymphatics-for-tracheal-branches-of-left-recurrent-laryngeal-nerve-preserving-mediastinoscope-assisted-surgery-in-esophageal-cancer
#11
Yutaka Nakajima, Yutaka Tokairin, Yasuaki Nakajima, Kenro Kawada, Kagami Nagai, Kumiko Yamaguchi, Keiichi Akita, Tatsuyuki Kawano
PURPOSE: Curative treatment of esophageal cancer requires meticulous superior mediastinal lymphadenectomy, in addition to esophagectomy, because superior mediastinal lymph node metastases are common in esophageal cancer. When preserving the tracheal branches of the left recurrent laryngeal nerve (RLN), good anatomical understanding is required for confirmation of the positional relationships between the courses of lymphatic vessels, lymph node distribution, and the left RLN and its tracheal branches...
March 2018: Surgery Today
https://www.readbyqxmd.com/read/28861738/a-surgical-case-of-radiotherapy-induced-esophageal-perforation-accompanying-pyogenic-spondylodiscitis-a-case-report
#12
Shuntaro Yoshimura, Kazuhiko Mori, Koichiro Kawasaki, Asami Tanabe, Susumu Aikou, Koichi Yagi, Masato Nishida, Hiroharu Yamashita, Sachiyo Nomura, Masayoshi Fukushima, Hideomi Yamashita, Yasuhiro Yamauchi, Yasuyuki Seto
BACKGROUND: Stereotactic body radiotherapy has been a treatment choice for lung cancer, especially in medically inoperable patients. However, the acute and late toxicity to adjacent organs have been reported as an uncommon but severe adverse effect. CASE PRESENTATION: A 65-year-old male was presented with his back pain and pyrexia. He had been followed up for non-small-cell lung cancer, which was treated by the stereotactic body radiotherapy 4 years prior to the current visit...
August 31, 2017: Surgical Case Reports
https://www.readbyqxmd.com/read/28859387/perioperative-outcomes-of-single-port-mediastinoscope-assisted-transhiatal-esophagectomy-for-thoracic-esophageal-cancer
#13
H Fujiwara, A Shiozaki, H Konishi, T Kosuga, S Komatsu, D Ichikawa, K Okamoto, E Otsuji
We developed an en bloc lymphadenectomy method in the upper mediastinum with a single-port mediastinoscopic cervical approach. This study was designed to evaluate the safety and efficacy of single-port mediastinoscope-assisted transhiatal esophagectomy for thoracic esophageal cancer. The perioperative outcomes of 60 patients with thoracic esophageal cancer who underwent this operation between March 2014 and June 2016 were retrospectively analyzed. The upper mediastinal dissection including lymphadenectomy along the left recurrent laryngeal nerve, using a left cervical approach, was performed with a single-port mediastinoscopic technique, which was used to improve the visibility and handling in the deep mediastinum around the aortic arch...
October 1, 2017: Diseases of the Esophagus: Official Journal of the International Society for Diseases of the Esophagus
https://www.readbyqxmd.com/read/28747963/review-of-sarcoidosis-in-a-province-of-south-korea-from-1996-to-2014
#14
Min-Seok Kim, Cheol-Kyu Park, Hong-Joon Shin, Hyeong-Won Seo, Jinsun Chang, Seong Ahn, Tae-Ok Kim, Jung-Hwan Lim, In-Jae Oh, Yong-Soo Kwon, Yu-Il Kim, Sung-Chul Lim, Young-Chul Kim
BACKGROUND: Since the introduction of endobronchial ultrasound (EBUS)-guided transbronchial needle aspiration (TBNA) of mediastinal lymph nodes, the incidence of histopathologically-confirmed sarcoidosis has increased. METHODS: The electronic medical records of Chonnam National University (CNU) Hospital and CNU Hwasun Hospital (CNUHH) were searched for confirmed cases of sarcoidosis diagnosed between 1996 and 2014. Cases were selected using a combination of clinical, radiological, and pathological evidence...
July 2017: Tuberculosis and Respiratory Diseases
https://www.readbyqxmd.com/read/28415940/thymoma-metastatic-to-liver-and-pancreas-case-report-and-review-of-the-literature
#15
Nicola Passuello, Gioia Pozza, Stella Blandamura, Michele Valmasoni, Cosimo Sperti
A 71-year-old man presented with a thymic mass involving the superior vena cava. A mediastinoscopical biopsy initially suggested a diagnosis of type A thymoma. After neoadjuvant chemotherapy, the patient underwent en-bloc thymectomy and vascular resection for a pathology-confirmed type B3 thymoma involving the superior vena cava, the left brachiocephalic vein and the distal part of the right brachiocephalic vein. Adjuvant radiotherapy was administered. Two years after the primary surgery, abdominal computed tomography (CT) and whole body fluorodeoxyglucose (18-FDG) positron emission tomography (PET) scans showed a single hepatic lesion that was treated with wedge liver resection...
April 2017: Journal of International Medical Research
https://www.readbyqxmd.com/read/28259393/-dissolvable-and-extended-release-antibiotic-beads-in-mediastinoscopic-management-of-mediastinitis-after-heart-transplantation
#16
LETTER
Luis Raúl Meza-López, José Angel Cigarroa-López, Silvia Hernández-Meneses, David Arturo Castán-Flores, Genaro Hiram Mendoza-Zavala, José Antonio Barragán-Zamora, Arturo Carrillo-Muñoz, Daniel Alejandro Munguía-Canales
No abstract text is available yet for this article.
April 2017: Archivos de Cardiología de México
https://www.readbyqxmd.com/read/27772612/ultrasound-guided-video-assisted-mediastinoscopic-biopsy-a-novel-approach
#17
Jinbai Miao, Mei Li, Yili Fu, Xiaoxing Hu, Bin Hu, Hui Li
Video-assisted mediastinoscopy (VAM) is the most commonly used invasive method for the preoperative mediastinal staging of lung cancer and for the diagnosis of other mediastinal diseases. However, VAM has the risk of causing life-threatening bleeding consequent to the specific mediastinal anatomy. We adopted the ultrasonic technique for VAM biopsies that can easily distinguish the lymph nodes from the surrounding great vessels and thus makes the procedure easier and safer.
November 2016: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/27755780/endobronchial-ultrasound-guided-transbronchial-needle-aspiration-and-its-role-in-non-small-cell-lung-cancer-diagnostic-impact-and-limitations
#18
REVIEW
Sebastian Dango, Jutta Guenter, Bernward Passlick
A diagnostic work-up to evaluate possible mediastinal lymph node involvement in patients with non-small cell lung cancer (NSCLC) should be performed once suspected as a result of computed tomography. Cytological/histological verification is always compulsory. In recent years, diagnostic tools for mediastinal evaluation have made great technical progress with the introduction of endosonographic real-time ultrasound techniques such as endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA)...
July 2010: Thoracic Cancer
https://www.readbyqxmd.com/read/27179334/minimally-invasive-complete-resection-of-intrathoracic-mediastinal-lesions-with-a-linder-dahan-spreadable-blade-video-mediastinoscope-system-a-report-of-two-cases
#19
Hideki Itano, Takayuki Takeda, Hideto Nakahara, Yoshihiro Kubota, Osamu Nakai
INTRODUCTION: Cervical mediastinoscopy can provide a minimally invasive access to the paratracheobronchial mediastinum within its reachable range, but its operability is substantially limited because of its small operative field, poor visualisation, and one-handed operation. PRESENTATION OF CASES: Patient 1, a 56-year-old woman, presented with a 22×17mm, non-symptomatic, (18)F-fluorodeoxy glucose (FDG)-avid, solid schwannoma originating from the vagus nerve trunk in the right upper paratracheal space...
2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/26952925/mediastinoscopic-tracheal-resection-and-reconstruction-under-spontaneous-breathing-anesthesia
#20
Wenlong Shao, Jianfei Shen, Weiqiang Ying, Jianxing He
No abstract text is available yet for this article.
June 2016: Journal of Thoracic and Cardiovascular Surgery
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