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Thoracoscopic surgery

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https://www.readbyqxmd.com/read/29033355/evaluation-of-the-effect-of-serratus-anterior-plane-block-for-pain-treatment-after-video-assisted-thoracoscopic-surgery
#1
Korgun Okmen, Burcu Metin Okmen
BACKGROUND: Analgesia following video-assisted thoracoscopic surgery (VATS) is important for the prevention of postoperative pulmonary complications. Various regional methods of anaesthesia are currently being used to achieve this goal. In our study, we aim to assess the effectiveness of SAPB on postoperative VATS analgesia in our study. METHODS: A total of 40 patients aged between 18 and 70 years, those who were in the Society of Anaesthesiologists (ASA) I-III class and underwent VATS were included in the study...
October 12, 2017: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/29026365/incidental-finding-of-bronchopulmonary-sequestration-in-a-64-year-old-female
#2
Pichapong Tunsupon, Ayesha Arshad, Sumit Patel, M Jeffery Mador
BACKGROUND: Bronchopulmonary sequestration is a congenital abnormality of the primitive foregut. In adults, the typical age at presentation is 20-25 years. CASE REPORT: A 64-year-old female was referred for evaluation of an 8 × 6-cm right lower lobe cystic lesion. Her medical history was significant for recurrent right lower lobe pneumonia requiring multiple hospitalizations. Her physical examination was significant for crackles at the right lung base. Computed tomography (CT) of the chest with contrast showed cystic changes with thickened septation of the medial segment of the right lower lobe lacking distinct visceral pleura and with arterial supply from the anomalous branch of the thoracic aorta arising near the celiac trunk...
2017: Ochsner Journal
https://www.readbyqxmd.com/read/29024718/a-randomized-controlled-trial-of-continuous-subpleural-bupivacaine-after-thoracoscopic-surgery
#3
Charles D Ghee, Daniel L Fortes, Chang Liu, Sandeep J Khandhar
OBJECTIVES: We seek to evaluate the merit of routine placement of a subpleural tunneled pain catheter delivering local anesthetic as measured by narcotic medication usage and subjective pain score analysis. METHODS: Eighty-six patients were randomized into the subpleural catheter or intraoperative incision site injection groups in a 1:1 fashion and underwent thoracoscopic surgery utilizing two incisions. All patients had standardized anesthetic delivery and postoperative pain control...
October 9, 2017: Seminars in Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/29019538/video-thoracoscopic-approach-without-suture-of-late-thoracic-esophageal-perforations
#4
Omar Moté Abou-Mourad, Filipe Moreira de Andrade, Luiz Felippe Júdice, Ângelo Júdice, Antonio Bento Costa Borges Carvalho, Maria Ribeiro Santos Morard, Rossano Kepler Alvim Fiorelli
OBJECTIVES: to evaluate the use of video-thoracoscopy, in the treatment of late perforations of the thoracic esophagus, without suture or organ resection. METHODS: retrospective analysis of patients with late diagnosis (> 12 hours) of thoracic esophageal perforation treated by video-thoracoscopy, without suture or organ resection, over a 15-year period. RESULTS: sixteen patients were operated on, ten men and six women, aged between 48 and 66 years, with time between the diagnosis of the perforation and the surgery ranging from 16 to 26 hours...
July 2017: Revista do Colégio Brasileiro de Cirurgiões
https://www.readbyqxmd.com/read/29019534/evaluation-of-the-quality-of-life-of-patients-with-primary-hyperhidrosis-submitted-to-videothoracoscopic-sympathectomy
#5
Sandoval Lage da Silva, Rossano Kepler Alvim Fiorelli, Maria Ribeiro Santos Morard
OBJECTIVE: to evaluate the quality of life of patients undergoing video-assisted thoracoscopy for primary hyperhidrosis. METHODS: we evaluated the patients who underwent thoracoscopic sympathectomy to treat primary hyperhidrosis by the team of thoracic surgery at the University Hospital Gaffrée and Guinle - UNIRIO between July 2004 and August 2013. It was applied a questionnaire about quality of life related to hyperhidrosis since preoperative period until one year after the surgery...
July 2017: Revista do Colégio Brasileiro de Cirurgiões
https://www.readbyqxmd.com/read/28988020/management-of-mediastinal-parathyroid-adenoma-via-minimally-invasive-thoracoscopic-surgery-case-report
#6
Saulat Hasnain Fatimi, Hina Inam, Farida Karim Chagan, Usama Khalid Choudry
INTRODUCTION: The most common cause of chronic hypercalcemia is primary hyperparathyroidism (PHPT). However, owing to the diverse presentation of hypercalcemia, the diagnosis often goes unnoticed culminating as a continuum of recurrence of symptoms. Nephrolithiasis, decreased bone mineral density and peptic ulcer disease are the main clinical sequelae. Among the causes of PHPT 80% are caused by parathyroid adenomas (PA). However, only rarely, these adenomas are found ectopically. PRESENTATION OF CASE: We present the case of a 66-year-old female with a history of recurrent renal stones and peptic ulcer disease...
September 8, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28982516/robotic-assisted-thoracoscopic-transdiaphragmatic-adrenalectomy-ratta-for-metastatic-renal-cell-carcinoma
#7
Christopher M Russell, Simpa S Salami, Amir H Lebastchi, Kiran H Lagisetty, Rohit Mehra, Khaled S Hafez, Rishindra M Reddy, Alon Z Weizer
OBJECTIVE: Robotic-assisted thoracoscopic transdiaphragmatic adrenalectomy (RATTA) represents a novel surgical approach for the management of adrenal pathology in patients with a history of extensive transperitoneal or retroperitoneal procedures. METHODS: Here we report the first described case of RATTA in a 56-year-old woman with metastatic renal cell carcinoma to the left adrenal gland and right lung. With the assistance of cardiothoracic surgery, this patient underwent robotic-assisted thoracoscopic pulmonary wedge resection and RATTA...
July 2017: Urology
https://www.readbyqxmd.com/read/28977548/ribcage-kinematics-during-exercise-justifies-thoracoscopic-versus-postero-lateral-thoracotomy-lobectomy-prompt-recovery
#8
Antonella LoMauro, Andrea Aliverti, Melania Chiesa, Margherita Cattaneo, Emilia Privitera, Davide Tosi, Mario Nosotti, Luigi Santambrogio, Alessandro Palleschi
OBJECTIVES: The video-assisted thoracic surgery (VATS) approach is encouraged over postero-lateral thoracotomy (PLT) for lobectomy in lung cancer. We compare the ribcage kinematics during exercise before and after both procedures, assuming that VATS, being minimally invasive, could better preserve ribcage expansion. METHODS: Thirty-one patients undergoing lobectomy by means of VATS ( n  = 20) or PLT ( n  = 11) were compared presurgery, after chest drainage removal ( T 1 ) and 2 months post-surgery ( T 2 ) during quiet breathing and incremental exercise...
June 19, 2017: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/28977390/high-dose-methylprednisolone-in-video-assisted-thoracoscopic-surgery-lobectomy-a-randomized-controlled-trial
#9
Lars S Bjerregaard, Per F Jensen, Dennis R Bigler, René Horsleben Petersen, Hasse Møller-Sørensen, Kaj Gefke, Henrik J Hansen, Henrik Kehlet
OBJECTIVES: The optimal postoperative analgesic strategy after video-assisted thoracoscopic surgery lobectomy remains undetermined. We hypothesized that high-dose preoperative methylprednisolone (MP) would improve analgesia compared to placebo. METHODS: A total of 120 adult patients were randomized equally to 125 mg MP or placebo before the start of their elective video-assisted thoracoscopic surgery lobectomy. Group allocation was blinded to patients, investigators and caregivers, and all patients received standardized multimodal, opioid-sparing analgesia...
July 25, 2017: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/28977356/prolonged-intravenous-indocyanine-green-visualization-by-temporary-pulmonary-vein-clamping-real-time-intraoperative-fluorescence-image-guide-for-thoracoscopic-anatomical-segmentectomy
#10
Atsushi Ito, Motoshi Takao, Akira Shimamoto, Hideto Shimpo
The real-time endoscopic colour and fluorescence-merged imaging system, using intravenous injection of indocyanine green (ICG), allows a clear surgical view, which facilitates identification of the pulmonary inter-segmental plane in thoracoscopic surgery. However, the staining time is too short to mark and cut the intersegmental plane, because the mean washout time of ICG is only a few minutes in the clinical setting. To overcome this limitation, we have developed a new technique for prolongation of ICG staining time...
July 17, 2017: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/28965258/low-voltage-coagulation-polyglycolic-acid-sheets-and-fibrin-glue-to-control-air-leaks-in-lung-surgery
#11
Norikazu Kawai, Takeshi Kawaguchi, Shuko Suzuki, Motoaki Yasukawa, Takashi Tojo, Shigeki Taniguchi
OBJECTIVE: We evaluated the efficacy of low-voltage coagulation (LVC) with polyglycolic acid (PGA) sheets (Neoveil, GUNZE Ltd., Japan) and fibrin glue to control intraoperative alveolar air leaks after lung surgery. METHODS: We included 176 patients with non-small cell lung cancer who underwent thoracoscopic lobectomies. When alveolar air leak was confirmed after lung resection, we applied LVC system to the pleural defect followed by layers of PGA sheets and fibrin glue (n = 40)...
September 30, 2017: General Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28964422/thoracoscopic-decortication-of-stage-iii-tuberculous-empyema-is-effective-and-safe-in-selected-cases
#12
Arvind Kumar, Belal B Asaf, Vijay C Lingaraju, Sai Yendamuri, Mohan V Pulle, Jayashree Sood
BACKGROUND: Open decortication of advanced tuberculous empyema remains standard of care. As with other aspects of thoracic surgery, minimally invasive approaches are making inroads into procedures traditionally performed open. In this retrospective analysis, we sought to examine feasibility, efficacy, and outcomes of thoracoscopic decortication of stage III tuberculous empyema in our experience. METHODS: The records of all patients in whom thoracoscopic decortication of stage III tuberculous empyema was performed between March 2012 and December 2015 were examined...
September 27, 2017: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/28963659/squamous-cell-carcinoma-of-the-lung-showing-a-ground-glass-nodule-on-high-resolution-computed-tomography-associated-with-pneumoconiosis-a-case-report
#13
Yuriko Terada, Masaaki Sato, Hiroyuki Abe, Hideki Kuwano, Kazuhiro Nagayama, Jun-Ichi Nitadori, Masaki Anraku, Jun Nakajima
BACKGROUND: Adenocarcinoma with lepidic growth pattern presents as a ground glass nodule (GGN) on high resolution computed tomography (CT), whereas peripheral pulmonary squamous cell carcinoma (SCC) usually presents as a solid nodule. We herein report a rare case of pulmonary SCC extending along the alveolar lumen representing as a GGN on a CT scan in a patient with pneumoconiosis. CASE PRESENTATION: A 77-year-old man with pneumoconiosis was found to have a gradually enlarging GGN in the right lower lobe of the lung on CT...
September 29, 2017: Surgical Case Reports
https://www.readbyqxmd.com/read/28962820/high-nrf2-expression-in-alveolar-type-i%C3%A2-pneumocytes-is-associated-with-low-recurrences-in-primary-spontaneous-pneumothorax
#14
Yu-Wen Chen, Wen-Chin Chiu, Shah-Hwa Chou, Yu-Han Su, Ying-Fong Huang, Yen-Lung Lee, Shyng-Shiou F Yuan, Yi-Chen Lee
Recurrent primary spontaneous pneumothorax (PSP) is a troublesome problem and a major concern for the patients. This study examined whether nuclear factor erythroid 2-related factor 2 (Nrf2) expression in alveolar type I pneumocytes was associated with the clinical manifestations of PSP patients including disease recurrence. Eighty-eight PSP patients who were managed with needlescopic video-assisted thoracoscopic surgery (NVATS) were included in this study. Immunohistochemistry (IHC) was assessed to determine Nrf2 expression in resected lung tissues and the results were correlated with clinicopathological characteristics by the chi-square or the Fisher's exact test...
October 2017: Kaohsiung Journal of Medical Sciences
https://www.readbyqxmd.com/read/28962713/uniportal-video-assisted-thoracic-surgery-esophagectomy
#15
REVIEW
Sekhniaidze Dmitrii, Kononets Pavel
Several minimally invasive approaches for esophagectomy have been described, including robot-assisted esophagectomy and hybrid techniques, total transhiatal laparoscopic approach, esophagectomy using right thoracoscopy, combined laparoscopic and right thoracoscopic esophagectomy, and esophageal resection through mediastinoscopy. However, very few publications have focused on the uniportal video-assisted thoracic surgery (VATS) approach. The authors describe their technique of the minimally invasive esophagectomy using uniportal VATS as the thoracic step...
November 2017: Thoracic Surgery Clinics
https://www.readbyqxmd.com/read/28962712/nonintubated-awake-anesthesia-for-uniportal-video-assisted-thoracic-surgery-procedures
#16
REVIEW
Hui Zheng, Xue-Fei Hu, Ge-Ning Jiang, Jia-An Ding, Yu-Ming Zhu
Nonintubated video-assisted thoracic surgery (VATS) strategies are gaining popularity. This review focuses on noninutbated VATS, and discusses advantages, indications, anesthetic techniques, and approaches to intraoperative crisis management. Advances in endoscopic, endovascular, and robotic techniques have expanded the range of surgical procedures that can be performed in a minimally invasive fashion. The nonintubated thoracoscopic approach has been adapted for use with major lung resections. The need for general anesthesia and endotracheal intubation has been reexamined, such that regional or epidural analgesia may be sufficient for cases where lung collapse can be accomplished with spontaneous ventilation and an open hemithorax...
November 2017: Thoracic Surgery Clinics
https://www.readbyqxmd.com/read/28962711/uniportal-video-assisted-thoracoscopic-surgery-segmentectomy
#17
REVIEW
Hyun Koo Kim, Kook Nam Han
This article addresses technical details of uniportal VATS segmentectomy by lung segments, suggesting available techniques for lesion localization and identification of the intersegmental plane. Long-term results and superiority have not yet been characterized in standard VATS for lung malignancy. Indications include almost all thoracic procedures currently performed by conventional multiport VATS. We review our experience and published literature on the feasibility of uniportal VATS segmentectomy.
November 2017: Thoracic Surgery Clinics
https://www.readbyqxmd.com/read/28962710/subxiphoid-uniportal-video-assisted-thoracoscopic-surgery-procedure
#18
REVIEW
Takashi Suda
In recent years, the subxiphoid approach has been used to avoid intercostal nerve damage in the field of thoracic surgery. A subxiphoid single-port thymectomy does not require sternotomy; it is associated with lesser pain because there is no intercostal nerve damage; and it provides excellent cosmetic outcomes. Furthermore, in 2014, the author and colleagues reported synchronous resection of bilateral pulmonary metastases by bilateral lung-wedge resection for bilateral metastatic lung tumors with a single 3-cm subxiphoid incision...
November 2017: Thoracic Surgery Clinics
https://www.readbyqxmd.com/read/28962708/important-technical-details-during-uniportal-video-assisted-thoracoscopic-major-resections
#19
REVIEW
Diego Gonzalez-Rivas, Alan D L Sihoe
Since it was first performed in 2010, lobectomy via a single port-uniportal video-assisted thoracoscopic surgery (VATS)-has become increasingly popular among surgeons. However, this most minimally invasive surgical approach requires a different skill set compared with even conventional multiportal VATS. For those beginning to learn uniportal VATS, the technical challenges can seem considerable. This article shares some tips and tricks from experienced uniportal VATS practitioners that will help those wishing to learn the approach, and covers the principles of operative setup and instrumentation as well as specific pointers on surgery for each lung lobe...
November 2017: Thoracic Surgery Clinics
https://www.readbyqxmd.com/read/28962707/hybrid-theater-and-uniportal-video-assisted-thoracic-surgery-the-perfect-match-for-lung-nodule-localization
#20
REVIEW
Ze-Rui Zhao, Rainbow W H Lau, Calvin S H Ng
Cone-beam computed tomography provides unparalleled real-time imaging of the patient within the hybrid theater, which can be used for simultaneously diagnosing and localizing small pulmonary lesions for resection. Hybrid theater can guide more precise placement of electromagnetic navigation bronchoscopy tools, thereby increasing the diagnostic yield in biopsy procedures while reducing diffusion artifact in dye marking for nodule localization. Furthermore, hook-wires implantation that is widely used to assist in lesion localization for uniportal thoracoscopic surgery can take place in the hybrid suite, eliminating the common complications and discomfort associated with the conventional workflow carried out in the radiology suite...
November 2017: Thoracic Surgery Clinics
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