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Thoracic surgery

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https://www.readbyqxmd.com/read/30007292/can-definitive-chemoradiotherapy-be-an-alternative-to-surgery-for-early-stage-oesophageal-cancer
#1
Han-Yu Deng, Gang Li, Jun Luo, Guha Alai
A best evidence topic in thoracic surgery was written according to a structured protocol. The question addressed was: Can definitive chemoradiotherapy (CRT) be an alternative to surgery for early-stage oesophageal cancer? A total of 622 papers were found using the reported search, of which 5 cohort studies represented the best evidence to answer the clinical question. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of these papers are tabulated...
July 10, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/30005429/-3-d-optics-for-thoracoscopic-vertebral-body-replacement-essential-technical-progress-or-just-nice-to-have
#2
Cornelius Jacobs, Milena Maria Ploeger, Sebastian Scheidt, Philip Peter Rößler, Rahel Bornemann, Collin Jacobs, Christof Burger, Dieter Christian Wirtz, Fridjof Trommer, Frank Alexander Schildberg
BACKGROUND: Three-dimensional (3-D) endoscopic optics use 2 cameras to simulate the different perspectives of the right and left eye, creating the illusion of spatial depth. Optimised orientation as well as improved hand-eye coordination compared to 2-D-optics could be proven in standardised test setups (black box) and in laparoscopic use. This retrospective study examines whether these results can also be applied to thoracoscopic vertebral body replacement at the thoracolumbar junction...
July 13, 2018: Zeitschrift Für Orthopädie und Unfallchirurgie
https://www.readbyqxmd.com/read/30004267/gastroesophageal-reflux-disease-in-obese-patients
#3
Antono C Valezi, Fernando A M Herbella, Francisco Schlottmann, Marco G Patti
Gastroesophageal reflux disease (GERD) and obesity coexist in many patients in the Western population. The association is not coincidental, since GERD pathophysiology is, in part, linked to obesity. Visceral adipose tissue secretes hormones, which increase the risk of GERD. Obesity increases esophageal motor disorders and higher number of transient lower esophageal sphincter relaxations. Central obesity increases abdominal-thoracic pressure gradient and disrupts the gastroesophageal junction by inducing hiatal hernia formation...
July 13, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/29998450/the-real-world-cost-effectiveness-of-coronary-artery-bypass-surgery-versus-stenting-in-high-risk-patients-propensity-score-matched-analysis-of-a-single-centre-experience
#4
Thathya V Ariyaratne, Zanfina Ademi, Molla Huq, Franklin Rosenfeldt, Stephen J Duffy, Bonny Parkinson, Cheng-Hon Yap, Julian Smith, Baki Billah, Bryan P Yan, Angela L Brennan, Lavinia Tran, Christopher M Reid
BACKGROUND: There are limited economic evaluations comparing coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI) for multi-vessel coronary artery disease (MVCAD) in contemporary, routine clinical practice. OBJECTIVE: The aim was to perform a cost-effectiveness analysis comparing CABG and PCI in patients with MVCAD, from the perspective of the Australian public hospital payer, using observational data sources. METHODS: Clinical data from the Melbourne Interventional Group (MIG) and the Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) registries were analysed for 1022 CABG (treatment) and 978 PCI (comparator) procedures performed between June 2009 and December 2013...
July 12, 2018: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/29998377/impact-of-nesiritide-infusion-on-early-postoperative-recovery-after-total-cavopulmonary-connection-surgery
#5
Yajuan Zhang, Yabing Duan, Jun Yan, Qiang Wang, Shoujun Li, Haitao Xu
OBJECTIVE: The purpose of the study is to compare the effects of nesiritide on the discharge time and pleural effusion in children with total cavopulmonary connection (TCPC), and to provide a more reasonable clinical method for these children. METHODS: Forty-four who children underwent cavopulmonary connection between January 2016 and 2017 were retrospectively collected, and 5 children were excluded from analysis due to postoperative thrombosis or second Fontan surgery due to high pulmonary hypertension...
July 12, 2018: Pediatric Cardiology
https://www.readbyqxmd.com/read/29998303/prevalence-of-preoperative-opioid-use-and-characteristics-associated-with-opioid-use-among-patients-presenting-for-surgery
#6
Paul E Hilliard, Jennifer Waljee, Stephanie Moser, Lynn Metz, Michael Mathis, Jenna Goesling, David Cron, Daniel J Clauw, Michael Englesbe, Goncalo Abecasis, Chad M Brummett
Importance: Patterns of preoperative opioid use are not well characterized across different surgical services, and studies in this patient population have lacked important self-reported data of pain and affect. Objectives: To assess the prevalence of preoperative opioid use and the characteristics of these patients in a broadly representative surgical cohort. Design, Setting, and Participants: Cross-sectional, observational study of patients undergoing surgery at a tertiary care academic medical center...
July 11, 2018: JAMA Surgery
https://www.readbyqxmd.com/read/29997976/an-alternative-chest-tube-placement-after-uniportal-video-assisted-thoracic-surgery
#7
Alessandro Palleschi, Paolo Mendogni, Alessio Vincenzo Mariolo, Mario Nosotti, Lorenzo Rosso
No abstract text is available yet for this article.
May 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29997959/video-assisted-thoracic-surgery-for-tiny-pulmonary-nodules-with-real-time-image-guidance-in-the-hybrid-theatre-the-initial-experience
#8
Peter S Y Yu, Cheuk Man Chu, Rainbow W H Lau, Innes Y P Wan, Malcolm J Underwood, Simon C H Yu, Calvin S H Ng
Background: Localization of tiny lung nodules during video-assisted thoracic surgery (VATS) resection can be challenging. Real-time image-guided hookwire localization of the target lesions immediately followed by VATS lung resection in the hybrid operating theatre setting is an emerging approach. Methods: We retrospectively reviewed our experience with this form of hybrid operating theatre image-guided VATS (iVATS) for lung nodules 1.5 cm or less, or soft in consistency...
May 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29997958/three-field-versus-two-field-lymph-node-dissection-for-thoracic-esophageal-squamous-cell-carcinoma-a-propensity-score-matched-comparison
#9
Longlong Shao, Ting Ye, Longfei Ma, Dong Lin, Hong Hu, Yihua Sun, Yawei Zhang, Jiaqing Xiang, Haiquan Chen
Background: For the surgery of esophageal cancer, cervical, mediastinal, and abdominal lymph node dissection (three-field lymph node dissection, 3FLND) is still controversial in most countries. This study aims to provide additional evidence of this procedure comparing with mediastinal-abdominal lymph node dissection (two-field lymph node dissection, 2FLND) from a high volume center in China, and also attempts to identify routes to reduce postoperative complications associated with 3FLND...
May 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29997955/risk-factors-of-neuropathic-pain-after-thoracic-surgery
#10
Takahiro Homma, Yoshinori Doki, Yutaka Yamamoto, Toshihiro Ojima, Yoshifumi Shimada, Naoya Kitamura, Naoki Yoshimura
Background: This study aimed to clarify the incidence and risk factors of neuropathic pain after thoracic surgery, focusing especially on patients who underwent complete video-assisted thoracoscopic surgery (VATS). Methods: We retrospectively identified 185 patients who underwent thoracic surgery at our hospital over a 2-year period. Logistic regression analysis was used to analyze the association of various factors with postoperative neuropathic pain. Results: Forty-eight (25...
May 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29997949/management-of-lung-nodules-in-brazil-assessment-of-realities-beliefs-and-attitudes-a-study-by-the-brazilian-society-of-thoracic-surgery-sbct-the-brazilian-thoracic-society-sbpt-and-the-brazilian-college-of-radiology-cbr
#11
Maria Teresa Ruiz Tsukazan, Ricardo Mingarini Terra, Frank Detterbeck, Ilka Lopes Santoro, Bruno Hochhegger, Gustavo de Souza Portes Meirelles, Gustavo Fortunato, Gustavo Faibischew Prado
Background: Pulmonary nodules are common; some are inconsequential while others are malignant. Management of solitary pulmonary nodule (SPN) in Brazil appears to be highly variable, potentially leading to suboptimal outcomes. Assessment of the variability and the association with the degree of availability of resources can provide a foundation for development of clinical guidelines for management of SPN specific for the Brazilian setting. Methods: A web-based survey was developed by thoracic surgeons, pulmonologists and radiologists to evaluate SPN perception and management...
May 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29997926/long-term-survival-of-the-middle-and-lower-thoracic-esophageal-cancer-patients-after-surgical-treatment-through-left-or-right-thoracic-approach
#12
Ding Yang, You-Sheng Mao, Jie He, Shu-Geng Gao, Ke-Lin Sun, Ju-Wei Mu, Qi Xue, Da-Li Wang, Yu-Shun Gao, Jun Zhao, Xiang-Yang Liu, De-Kang Fang, Jian Li, Yong-Gang Wang, Liang-Ze Zhang, Jin-Feng Huang, Bing Wang
Background: Esophageal cancer is one of the most prevalent malignancies with a high incidence and mortality in China, the main treatment for esophageal cancer at present is still surgery-based multimodality treatment, and surgery is still the most effective measure. However, the modes of surgical treatment for esophageal cancer have been diverse. The surgical approaches can be mainly divided into the left thoracic approach and right thoracic approach in China. The long-term survival of the patients treated through right approach was reported better than that through left thoracic approach, but until now no statistically significant difference was found between two approaches, especially, for those with middle and lower thoracic esophageal cancer without suspected upper mediastinal lymph node metastasis in preoperative examinations, no definite conclusion have been made on selection of the approach, therefore, this studies try to compare the long-term survival between two approaches ...
May 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29997085/-evaluation-of-the-performance-of-a-minimally-invasive-thoracic-drainage-tube-in-a-rabbit-model-of-hemothorax
#13
Jia-Qing Zhang, Rui-Hong Ju, Kun-Tang Chen, Bao-Qin Ruan, Ting-Ting Xing
OBJECTIVE: To assess the performance of a minimally invasive thoracic drainage tube (14 F) made of polyurethane (PU) in a rabbit model of hemothorax in comparison with the conventional 28 F chest tube (CCT). METHODS: Thirty New Zealand rabbits were divided into experimental chest tube (ECT) group (n=9), CCT group (n=6), and blood provider group (n=15). Blood samples (20 mL) collected from the blood providing rabbits were injected into the chest cavity of the rabbits in the other two groups, and the time taken for closed drainage of the thoracic cavity was recorded...
June 20, 2018: Nan Fang Yi Ke da Xue Xue Bao, Journal of Southern Medical University
https://www.readbyqxmd.com/read/29995980/intercostal-neurolysis-for-the-treatment-of-postsurgical-thoracic-pain-a-case-series
#14
Alberto M Cappellari, Francesca Tiberio, Gianfranco Alicandro, Diego Spagnoli, Nadia Grimoldi
INTRODUCTION: We investigated the possible role of intercostal surgical neurolysis in relieving chronic neuropathic pain refractory to other non-surgical treatments in patients with postsurgical thoracic pain. METHODS: We retrospectively collected clinical data on patients referred to the Neurosurgery Unit of Policlinic Hospital of Milan. Ten patients (age range: 20-68 years) suffering from neuropathic pain for at least two months following thoracic surgery underwent intercostal neurolysis...
July 11, 2018: Muscle & Nerve
https://www.readbyqxmd.com/read/29995807/a-retrospective-controlled-clinical-study-of-cobb-angle-distribution-of-the-main-thoracic-curve-in-adolescent-idiopathic-scoliosis
#15
Jian Zhao, Jianping Fan, Yuanyuan Chen, Changwei Yang, Gengwu Li, Ming Li
To compare the characteristics of Cobb angle distribution of the main thoracic curve (MTC) in patients with Lenke 1 adolescent idiopathic scoliosis (AIS) and differences in fulcrum-bending flexibility, correction rate, and correction index between different segments.Included in this study were 40 consecutive patients with Lenke 1 AIS who received posterior correction and fusion with pedicle screws. Cobb angle based on the proximal (T5-T7 or T6-T8), apical (T7-T9 or T8-T10), and distal (T9-T11 or T10-T12) segments in the fulcrum-bending position was measured before and after surgery...
July 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29995762/a-case-report-of-purulent-pericarditis-caused-by-candida-albicans-delayed-complication-forty-years-after-esophageal-surgery
#16
Joowhan Sung, Irving Enrique Perez, Addi Feinstein, David Kidd Stein
RATIONALE: Candida pericarditis is a rare condition with high mortality. Risk factors include thoracic surgery and immunosuppression. We report a case of candida pericarditis which developed forty-years after esophageal reconstruction surgery. PATIENT CONCERNS: A 42-year-old female presented with nausea, abdominal discomfort, and chest pain, and was found to have a cardiac tamponade secondary to candida pericarditis. Her notable risk factor was colonic interposition done during her infancy for esophageal atresia...
July 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29994937/is-epidural-analgesia-still-a-viable-option-for-enhanced-recovery-after-abdominal-surgery
#17
Raphael Weiss, Daniel M Pöpping
PURPOSE OF REVIEW: Although thoracic epidural analgesia (TEA) is considered often as gold standard in multimodal analgesia with regard to major abdominal surgery, there is an ongoing debate if it is still a viable option for enhanced recovery because of its potential severe complications. RECENT FINDINGS: In addition to the unsurpassed analgesic quality, a TEA offers several advantages. Studies have shown that a TEA does have a positive effect on perioperative morbidity and mortality, bowel function, the occurrence of ileus and patient mobility...
July 9, 2018: Current Opinion in Anaesthesiology
https://www.readbyqxmd.com/read/29992904/one-year-outcomes-of-patients-with-severe-aortic-stenosis-and-an-sts-prom-of-less-than-three-percent-in-the-surtavi-trial
#18
Patrick W Serruys, Rodrigo Modolo, Michael Reardon, Yosuke Miyazaki, Stephan Windecker, Jeffrey Popma, Yanping Chang, Neal S Kleiman, Scott Lilly, Hafid Amrane, Piet W Boonstra, Arie Pieter Kappetein, Yoshinobu Onuma, Lars Sondegaard, Nicolas van Mieghem
AIMS: The indication for transcatheter valve implantation (TAVI) has evolved from inoperable patients to patients at increased surgical risk. In low risk patients, surgical aortic valve replacement (SAVR) remains the standard of care. To explore the outcomes of TAVI and SAVR in patients with a Society of Thoracic Surgery (STS) predicted risk of mortality (PROM) score below 3% in the SURTAVI trial. METHODS AND RESULTS: In SURTAVI, patients at intermediate surgical risk based on heart team consensus were randomized to TAVI or SAVR...
July 10, 2018: EuroIntervention
https://www.readbyqxmd.com/read/29991367/epidemiology-and-risk-factors-associated-with-surgical-site-infection-following-surgery-on-thoracic-aorta
#19
K Morikane
Surgical site infection (SSI) following cardiovascular surgery has been well documented, possibly owing to its highly invasive nature, but SSI following surgery on the thoracic aorta has not. This study aimed to describe the epidemiology and assess risk factors associated with the latter in Japan using a national database for SSI. Data on surgery on thoracic aorta performed between 2012 and 2014 were extracted from the Japan Nosocomial Infections Surveillance (JANIS) database. Risk factors were assessed initially by univariate analysis, and then entered into a logistic regression model for final evaluation...
July 11, 2018: Epidemiology and Infection
https://www.readbyqxmd.com/read/29991248/intra-and-interrater-reliability-of-sagittal-spinopelvic-parameters-on-full-spine-radiographs-in-adults-with-symptomatic-spinal-disorders
#20
Kati Kristiina Kyrölä, Järvenpää Salme, Järviluoma Tuija, Irmola Tero, Kauppinen Eero, Häkkinen Arja
Objective: To evaluate the intra- and interrater reliability (I-IR) of sagittal spinopelvic parameters from digital full-spine plain radiographs with basic software tools in an unselected adult population with degenerative spinal complaints who were evaluated for surgery. Methods: Forty-nine adult full-spine digital radiographs were measured twice by 3 independent observers, including an experienced spine surgeon, an experienced radiologist, and a resident orthopedic surgeon...
June 2018: Neurospine
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