keyword
https://read.qxmd.com/read/38233903/value-of-preoperative-evaluation-of-fev-1-in-patients-with-destroyed-lung-undergoing-pneumonectomy-a-20-year-real-world-study
#21
JOURNAL ARTICLE
Wenbo Li, Jing Zhao, Changfan Gong, Ran Zhou, Dongjie Yan, Hongyun Ruan, Fangchao Liu
BACKGROUND: Clinical guidelines recommend a preoperative forced expiratory volume in one second (FEV1 ) of > 2 L as an indication for left or right pneumonectomy. This study compares the safety and long-term prognosis of pneumonectomy for destroyed lung (DL) patients with FEV1  ≤ 2 L or > 2 L. METHODS: A total of 123 DL patients who underwent pneumonectomy between November 2002 and February 2023 at the Department of Thoracic Surgery, Beijing Chest Hospital were included...
January 17, 2024: BMC Pulmonary Medicine
https://read.qxmd.com/read/38228980/closure-of-open-window-thoracostomy-due-to-mrsa-pyothorax-by-ews-bronchial-occlusion-and-modified-extraperiosteal-air-plombage-a-case-report
#22
JOURNAL ARTICLE
Masami Kuramochi, Mayumi Shinonaga, Setsuo Kuraoka
BACKGROUND: Refractory pyothorax caused by methicillin-resistant Staphylococcus aureus (MRSA) is a challenging clinical condition; complications such as bronchopleural fistulae can further hinder its treatment. To avoid a fatal state caused by aspirating pneumonia, open window thoracotomy is not only sometimes performed, but subsequent closure of the window can also be difficult. In this report, we describe the case of a patient with MRSA pyothorax with bronchopleural fistula in whom a successful closure of window thoracostomy was achieved by utilizing Endobronchial Watanabe Spigot (EWS; Novatech, La Ciotat, France) bronchial occlusion and a modified extraperiosteal air plombage technique...
January 17, 2024: Surgical Case Reports
https://read.qxmd.com/read/38220541/point-of-care-lung-ultrasound-diagnosis-of-concomitant-lung-abscess-and-pleural-empyema-due-to-a-bronchopleural-fistula
#23
JOURNAL ARTICLE
Adrien Rivory, Gary Duclos, Laurent Zieleskiewicz
No abstract text is available yet for this article.
January 13, 2024: Medicina intensiva
https://read.qxmd.com/read/38197104/experience-of-video-assisted-thoracic-surgery-treatment-of-congenital-pulmonary-airway-malformation-in-infants-less-than-3-months-of-age
#24
JOURNAL ARTICLE
Xiaolong Chen, Huaiqing Cai, Jia Li, Xiaobing Li, Rufang Zhang
BACKGROUND: Congenital pulmonary airway malformation (CPAM) is the most common type of congenital lung malformation, some children were born with serious respiratory and circulatory disorders, these children tend to have larger cystic lesions and emergency surgery should be taken after birth. This article aimed to explore the feasibility of video-assisted thoracic surgery (VATS) for CPAM in infants less than 3 months of age and analyze the early and mid-term postoperative outcomes. METHODS: A retrospective analysis was performed on 12 children with CPAM who were admitted to Shanghai Children's Hospital from January 2019 to December 2022...
December 26, 2023: Translational Pediatrics
https://read.qxmd.com/read/38157117/integrated-chinese-and-western-medicine-in-treatment-of-bronchopleural-fistula-with-mycobacterium-abscessus-a-case-report
#25
JOURNAL ARTICLE
Qian-Yun Wang, Miao Cheng, Cheng-Jun Ban, Li-Shan Zhang, Hong-Wu Wang, Bing Yang, Heng Zou, Ming-Zhe Wang
No abstract text is available yet for this article.
December 29, 2023: Chinese Journal of Integrative Medicine
https://read.qxmd.com/read/38149159/bronchopleural-fistula-management-with-an-amplatzer-duct-occluder-a-comprehensive-case-report-and-literature-review
#26
Vasileios Leivaditis, Hermann Braun-Lambur, Volker Windmüller, Athanasios Papatriantafyllou, Carmen Huwe, David Lang, Konstantinos Grapatsas, Efstratios N Koletsis, Francesk Mulita, Manfred Dahm
Bronchial stump insufficiency (BSI), also reported as bronchopleural fistula, following pneumonectomy is a rare but potentially devastating complication that can result in substantial morbidity and mortality. Despite advances in thoracic surgical techniques and perioperative care, bronchial stump dehiscence remains a challenging clinical scenario, especially when associated with severe infections and compromised patient conditions. Traditional surgical re-intervention to address this complication may carry significant risks and might be contraindicated in certain patients...
November 2023: Curēus
https://read.qxmd.com/read/38138859/mesenchymal-stromal-cell-therapy-for-thoracic-surgeons-an-update
#27
REVIEW
Francesco Petrella, Enrico Mario Cassina, Lidia Libretti, Emanuele Pirondini, Federico Raveglia, Antonio Tuoro
Stem cells are undifferentiated cells presenting extensive self-renewal features and the ability to differentiate "in vitro" and "in vivo" into a range of lineage cells, like chondrogenic, osteogenic and adipogenic lineages when cultured in specific inducing media. Two major domains of clinical applications of stem cells in thoracic surgery have been investigated: regenerative medicine, which is a section of translational research in tissue engineering focusing on the replacement, renewal or regeneration of cells, tissues and organs to re-establish damaged physiologic functions; drug loading and delivery, representing a new branch proposing stem cells as carriers to provide selected districts with anti-cancer agents for targeted treatments...
November 22, 2023: Journal of Personalized Medicine
https://read.qxmd.com/read/38132394/anastomosis-complications-after-bronchoplasty-incidence-risk-factors-and-treatment-options-reported-by-a-referral-cancer-center
#28
JOURNAL ARTICLE
Lara Girelli, Luca Bertolaccini, Monica Casiraghi, Francesco Petrella, Domenico Galetta, Antonio Mazzella, Stefano Donghi, Giorgio Lo Iacono, Andrea Cara, Juliana Guarize, Lorenzo Spaggiari
BACKGROUND: Sleeve lobectomy with bronchoplasty is a safe surgical technique for the management of lung cancer and endobronchial localization of extrapulmonary cancers. However, anastomotic complications can occur, and treatment strategies are not standardized. METHODS: Data from 280 patients subjected to bronchoplasty were retrospectively analyzed, focusing on surgical techniques, anastomotic complications, and their management. Multivariate analysis was performed, and Kaplan-Meier curves were used to determine survival...
December 12, 2023: Current Oncology
https://read.qxmd.com/read/38130119/tuberculous-bronchopleural-fistula-a-rare-and-life-threatening-disease
#29
JOURNAL ARTICLE
Lefika Bathobakae, Aneeqa Shahid, Tyler Wilkinson, Devina Adalja, Jessimar Sanchez, Michael Agnelli, Jin Suh, Roberto Solis
Tuberculous bronchopleural fistula (BPF) is a rare and potentially life-threatening complication of pulmonary tuberculosis, in which abnormal connections form between the bronchial tree and the pleural space. These abnormal connections allow air and secretions to pass from the lungs into the pleural space, causing a range of symptoms from benign cough to acute tension pneumothorax. The management of tuberculous BPF requires an individualized approach based on the patient's condition and response to treatment...
2023: Journal of Investigative Medicine High Impact Case Reports
https://read.qxmd.com/read/38090305/bronchopleural-fistula-after-lobectomy-who-is-at-risk-in-the-modern-era
#30
EDITORIAL
Panagiotis Tasoudis, Gita N Mody
No abstract text is available yet for this article.
November 30, 2023: Journal of Thoracic Disease
https://read.qxmd.com/read/38090251/nil-intervention-is-at-times-the-best-intervention-benign-emptying-of-pneumonectomy-space
#31
Pratap Upadhya, Muniza Bai, Veeraraghavan Gunasekaran, Dharm P Dwivedi, M P Shahana
A sudden drop of air-fluid level in the pneumonectomy space in the absence of a bronchopleural fistula and pleural infection is termed benign emptying of the pneumonectomy space (BEPS). We report a 28-year-old female patient who presented to a tertiary care referral centre, in Pondicherry, India in 2020 with multiple episodes of vomiting. Subsequent to a left-sided pneumonectomy due to tuberculosis, she was diagnosed with BEPS. Generally, patients with BEPS are clinically stable, afebrile with no fluid expectoration and have a normal white blood cell count...
November 2023: Sultan Qaboos University Medical Journal
https://read.qxmd.com/read/38074004/a-clinical-encounter-with-intrathoracic-extrapulmonary-hydatid-disease
#32
Souvik Sarkar, Pankaj Wagh, Ulhas Jadhav, Babaji Ghewade
Intrathoracic extrapulmonary hydatid disease is an uncommon variant of hydatidosis. In this report, we describe a rare case of a 53-year-old female who presented with a left-side massive hydropneumothorax, initially treated as tubercular empyema and later came out to be intrathoracic extrapulmonary hydatid disease, with no signs of primary lesion in the lung. This case was managed with an intercostal drain insertion followed by a thoracoscopic-guided excision of the cyst, which on histopathological examination confirmed the diagnosis...
November 2023: Curēus
https://read.qxmd.com/read/38065200/individualised-perioperative-open-lung-ventilation-strategy-during-one-lung-ventilation-iprove-olv-a-multicentre-randomised-controlled-clinical-trial
#33
JOURNAL ARTICLE
Carlos Ferrando, Albert Carramiñana, Patricia Piñeiro, Lucia Mirabella, Savino Spadaro, Julián Librero, Fernando Ramasco, Gaetano Scaramuzzo, Oriol Cervantes, Ignacio Garutti, Ana Parera, Marta Argilaga, Gracia Herranz, Carmen Unzueta, Marc Vives, Kevin Regi, Marta Costa-Reverte, María Sonsoles Leal, Jesús Nieves-Alonso, Esther García, Aurelio Rodríguez-Pérez, Roberto Fariña, Sergio Cabrera, Elisabeth Guerra, Lucia Gallego-Ligorit, Alba Herrero-Izquierdo, J Vallés-Torres, Silvia Ramos, Daniel López-Herrera, Manuel De La Matta, Sertcakacilar Gokhan, Evrim Kucur, Ana Mugarra, Marina Soro, Laura García, José Alfonso Sastre, Pilar Aguirre, Claudia Jimena Salazar, María Carolina Ramos, Diego Rolando Morocho, Ramón Trespalacios, Félix Ezequiel-Fernández, Angella Lamanna, Leonarda Pia Cantatore, Donato Laforgia, Soledad Bellas, Carlos López, Ricard Navarro-Ripoll, Samira Martínez, Jordi Vallverdú, Adriana Jacas, María José Yepes-Temiño, Francisco Javier Belda, Gerardo Tusman, Fernando Suárez-Sipmann, Jesús Villar
BACKGROUND: It is uncertain whether individualisation of the perioperative open-lung approach (OLA) to ventilation reduces postoperative pulmonary complications in patients undergoing lung resection. We compared a perioperative individualised OLA (iOLA) ventilation strategy with standard lung-protective ventilation in patients undergoing thoracic surgery with one-lung ventilation. METHODS: This multicentre, randomised controlled trial enrolled patients scheduled for open or video-assisted thoracic surgery using one-lung ventilation in 25 participating hospitals in Spain, Italy, Turkey, Egypt, and Ecuador...
December 5, 2023: Lancet Respiratory Medicine
https://read.qxmd.com/read/38056854/-management-of-postoperative-surgical-site-infection-and-empyema-after-thoracic-surgery
#34
JOURNAL ARTICLE
Takashi Ohtsuka
Surgical site infections (SSI)[wound infection, empyema] after thoracic surgery can lead to severe complications. Targeted antibiotic treatment and drainage are the keys. For the treatment of postoperative empyema without bronchopleural fistula, chest tube thoracostomy and irrigation with normal saline is effective. For postoperative empyema with bronchopleural fistula, open window thoracotomy is a good treatment option. Since the condition of empyema is different in each patient, treatment should be individualized depending on the patient's condition...
September 2023: Kyobu Geka. the Japanese Journal of Thoracic Surgery
https://read.qxmd.com/read/38056852/-risk-factors-prevention-diagnosis-and-treatment-of-bronchopleural-fistula-after-lung-resection
#35
JOURNAL ARTICLE
Makoto Suzuki
Postoperative bronchopleural fistula (BPF) is a rare but severe and sometimes life-threatening complication that needs immediate and proper treatment. Thoracic surgeons should strictly manage the comorbidities such as diabetes mellitus for BPF prevention. Also, coverage of the bronchial stump with pericardial fat tissue will prevent BPF, or at least prevent the turning severe of BPF. However, when BPF occurs, we must promptly determine whether to perform conservative treatment or invasive treatment such as fenestration...
September 2023: Kyobu Geka. the Japanese Journal of Thoracic Surgery
https://read.qxmd.com/read/37969259/the-review-of-the-management-and-prevention-methods-of-bronchopleural-fistula-in-thoracic-surgery
#36
EDITORIAL
Piotr Jerzy Skrzypczak, Mariusz Kasprzyk, Cezary Piwkowski
No abstract text is available yet for this article.
October 31, 2023: Journal of Thoracic Disease
https://read.qxmd.com/read/37942045/lesson-of-urgent-bilateral-lobar-lung-transplantation-for-acute-fibrinous-and-organizing-pneumonia-a-case-report
#37
Bing Ye, Chun Chen, Lin Huang, Jingyu Chen, Qinyong Weng, Weidong Wu
BACKGROUND: Acute fibrinous and organizing pneumonia (AFOP) is one of acute expiratory diseases, which occurs rarely with a difficult diagnosis. AFOP is related to an idiopathic cause or autoimmune disease, drug use, infection, cancer, or transplantation. Variation of treatment depends on different institutions. To date, no evidence shows that lobar lung transplantation is applied in an urgent situation such as AFOP. CASE DESCRIPTION: A 33-year-old female patient experienced fever, cough, and dyspnea four days prior to admission...
2023: AME Case Reports
https://read.qxmd.com/read/37924339/risk-factors-for-bronchopleural-fistula-based-on-surgical-procedure-and-sex-in-4794-consecutive-patients-undergoing-anatomical-pulmonary-resection
#38
JOURNAL ARTICLE
Takeshi Matsunaga, Kenji Suzuki, Aritoshi Hattori, Mariko Fukui, Kazuya Takamochi
PURPOSE: Bronchopleural fistula (BPF) is a lethal complication, even in the modern era. Therefore, we investigated the details of patients with BPF to select an appropriate surgical strategy. METHODS: This retrospective study included 4794 consecutive patients who underwent anatomical pulmonary resection between 2008 and 2022. We evaluated the predictors of BPF using a multivariable analysis and investigated the mortality and clinical course after BPF in detail...
November 4, 2023: Surgery Today
https://read.qxmd.com/read/37915293/efficacy-and-safety-of-radiofrequency-ablation-in-the-treatment-of-inoperable-patients-with-pulmonary-malignant-nodules
#39
JOURNAL ARTICLE
Peng Qie, Xuejiao Xun, Xiaodong Nie, Qifan Yin, Hongshang Cui, Lijun Liu, Huien Wang
BACKGROUND: Radiofrequency ablation (RFA) has been recently applied as an alternative treatment in the patients with pulmonary malignancies. The aim of our study was to assess the incidence of complications and survival rate of RFA for malignant lung nodules, and evaluate the efficacy and safety of RFA in the treatment of inoperable patients with pulmonary malignant nodules. METHODS: The clinical data of 50 patients with primary and metastatic lung malignant nodules treated with RFA from June 2015 and July 2017 in Hebei General Hospital were considered, and the characteristics and clinical data of these patients were analysed...
November 1, 2023: ANZ Journal of Surgery
https://read.qxmd.com/read/37906105/surgical-interventions-in-coronavirus-disease-2019-pleural-and-pulmonary-complications-a-case-series-of-the-tertiary-thoracic-surgery-center-experience
#40
JOURNAL ARTICLE
Mojtaba Mokhber Dezfuli, Azizollah Abbasi Dezfuli, Fariba Ghorbani, Mahshad Razaghi, Salman Soleimani, Moein Daneshmand, Ali Sheikhy, Kambiz Sheikhy
Background: In most cases of pulmonary or pleural post-coronavirus disease 2019 (COVID-19) complications, surgical interventions are performed to treat these complications, but the method of the surgery and its outcome in these patients is not clearly defined. We present 40 patients with pulmonary and pleural complications after COVID-19 who required surgical intervention. Patients and Methods: In this case series, patients' data were prospectively collected from April to August 2022 at Masih Daneshvari Hospital...
October 31, 2023: Surgical Infections
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