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Lung thoracic chest trauma cancer

Hai-Qin Liao, Dan Zhou, Quan-Liang Shang, Yi-Fan Shi, Ming Zhang
Pneumopericardium is a rare clinical entity which is often complicated by trauma. Pneumoperdicardium resulting after esophagopericardial fistula is much rarer. We present a case of pneumopericardium as the complication of esophagopericardial fistula in a 53-year-old man. After undergoing radiotherapy for 26 times, the patient got a fever and an unspecified thoracic pain. Echocardiography showed the rectilinear echoes in the pericardium. Chest computed tomography revealed pneumopericardium, pericardial effusion, recurrence of lung cancer, and pneumonia in right lower and left lung...
May 2017: Echocardiography
Bode Falase, Michael Sanusi, Adeola Animasahun, Ogadinma Mgbajah, Adetinuwe Majekodunmi, Onyekwelu Nzewi, Jonathan Nwiloh, David Oke
BACKGROUND: Although the specialty of cardiothoracic surgery has been practiced in Nigeria for many years, open heart surgery (OHS) has only in the last decade become relatively more frequent, mainly through visiting foreign cardiac surgical teams. At this early phase of development it is faced with multiple challenges, especially financing and local skilled manpower for which solutions have to be identified in order to ensure sustainability and future growth. This study is aimed at highlighting these obstacles to growth of cardiothoracic surgery based on our own institutional experience at Lagos State University Teaching Hospital (LASUTH) and the current status of OHS activity in other cardiothoracic centers in Nigeria...
October 2016: Cardiovascular Diagnosis and Therapy
Maiko Atari, Yuki Nakajima, Mitsuro Fukuhara, Yoshihito Iijima, Hiroyasu Kinoshita, Yoshihiro Minamiya, Hidetaka Uramoto
In thoracic surgery, we occasionally encounter vessel anomalies. We herein report an extremely rare surgical case with the absence of the azygos vein. Mediastinal vascular abnormalities are said to be rare. The etiology of vascular abnormalities of the whole body, including the chest is known gene mutations, hormone abnormalities, infection, and trauma. But, many causes have been unknown. In thoracic surgery field, there is some reports and literature about pulmonary arteriovenous malformation, pulmonary sequestration, and partial anomalous pulmonary venous return...
January 2017: Surgical and Radiologic Anatomy: SRA
Andrea Imperatori, Annamaria Grande, Massimo Castiglioni, Laura Gasperini, Agnese Faini, Sebastiano Spampatti, Elisa Nardecchia, Lorena Terzaghi, Lorenzo Dominioni, Nicola Rotolo
OBJECTIVES: Kinesiology taping (KT) is a rehabilitative technique performed by the cutaneous application of a special elastic tape. We tested the safety and efficacy of KT in reducing postoperative chest pain after lung lobectomy. METHODS: One-hundred and seventeen consecutive patients, both genders, age 18-85, undergoing lobectomy for lung cancer between January 2013 and July 2015 were initially considered. Lobectomies were performed by the same surgical team, with thoracotomy or video-assisted thoracoscopic surgery (VATS) access...
August 2016: Interactive Cardiovascular and Thoracic Surgery
Wei Wang, Guilin Peng, Zhihua Guo, Lixia Liang, Qinglong Dong, Jianxing He, Weiqiang Yin
BACKGROUND: Presently, the clinical effect of radical video-assisted thoracic surgery (VATS) is equal to that of traditional open chest surgery and has received worldwide recognition of its advantages: less trauma and faster recovery. In the attempt to further the advancement of minimally invasive surgery the operative techniques of uniportal VATS and non-intubated anesthesia have been developed. These techniques have been widely applied in hospitals around the world, however there are few reports on the combined use of these techniques: non-intubated uniportal VATS...
December 2015: Journal of Thoracic Disease
H B Cai, Y X Li, Z Li
OBJECTIVE: To investigate the feasibility, safety and short term efficacy of video assisted thoracoscopic (VATS) lobectomy for patients with early-stage lung cancer. METHODS: We reviewed clinical data of 138 consecutive patients with early stage lung cancer who underwent lobectomy in the First People's Hospital of Jining during the January 2010 to May 2012. Of them, 71 cases were performed complete VATS, male 39 cases, female 32 cases, age (57.9 ± 10.6) years old; 67 cases were performed thoracotomy, male 36 cases, female 31 cases, age (60...
February 2015: Indian Journal of Cancer
Franca M A Melfi, Olivia Fanucchi, Federico Davini, Alfredo Mussi
Lobectomy with systematic lymph node sampling or dissection remains the mainstay of treatment of early stage non-small cell lung cancer. The use of video-assisted thoracic surgery (VATS) to perform lobectomy was first reported in 1992. Advantages of VATS include less trauma and pain, shorter chest drainage duration, decreased hospital stay, and preservation of short-term pulmonary function. However, VATS is characterized by loss of binocular vision and a limited maneuverability of thoracoscopic instruments, an unstable camera platform, and poor ergonomics for the surgeon...
May 2014: Thoracic Surgery Clinics
Clara I Bayarri, Antonio Cueto Ladron de Guevara, Antonio E Martin-Ucar
OBJECTIVES: En bloc pulmonary and chest wall resection is the preferred method of treatment for locally invasive lung carcinoma. However, it carries major trauma to the chest wall, especially in cases with chest wall involvement distant to the potential location of 'traditional' thoracotomies. We describe an alternative method of estimating the boundaries of chest wall resection employing video assisted thoracoscopic surgery (VATS) and hypodermic needles. METHODS: VATS delineation of boundaries of chest wall involvement by lung cancer has been performed in six patients who gave written consent...
July 2013: Interactive Cardiovascular and Thoracic Surgery
Sedat Ziyade, Nur Buyuk Pinarbasili, Nihan Ziyade, Osman Cemil Akdemir, Feyzi Sahin, Ömer Soysal, Alper Toker
BACKGROUND: Mediastinal lymph node dissection is an essential component of lung cancer surgery. Literature lacks established information regarding the number and size of the healthy lymph nodes. In this postmortem autopsy study, we aim to define the number, size and weight of the lymph nodes in each mediastinal lymph node station. To implement the data for the clinical practice, we analyzed the possible number of nodes to be dissected in a systematic mediastinal lymph node dissection from the right and left sides during lung cancer surgery...
2013: Journal of Cardiothoracic Surgery
Anupama Barua, James A Catton, Laura Socci, Anna Raurell, Munib Malik, Eveline Internullo, Antonio E Martin-Ucar
BACKGROUND: Synthetic materials have traditionally been used for tissue reconstruction in thoracic surgery. New biomaterials have been tested in other areas of surgery with good results. The aim of our study is to evaluate our initial experience using prostheses in extended thoracic surgery. METHODS: A review was performed of all patients who underwent extended surgical procedures requiring soft tissue reconstruction with bioprosthetic materials after thoracic surgery from August 2009 to August 2011...
November 2012: Annals of Thoracic Surgery
Majdi El Husseiny, Lamisse Karam, Fadia Haddad, Georges Tabet
Thoracic aortic perforation in the context of a minor trauma is extremely rare. In this article, we describe a case of an 80-year-old man who presented with an aortic perforation after a fall from his height during his hospitalization. The patient had previously undergone a left superior lobectomy, a partial chest wall resection, and reconstruction for a locally invasive lung cancer. He was directly transferred to the operating room, as he presented with hemodynamic instability. A 4-mm laceration in the descending thoracic aorta was identified and repaired...
May 2012: Annals of Vascular Surgery
Guanchao Jiang, Fan Yang, Xiao Li, Jun Liu, Jianfeng Li, Hui Zhao, Yun Li, Jun Wang
BACKGROUND: Video-assisted thoracoscopic surgery (VATS) lobectomy is a newly developed type of surgery for lung cancer and has been demonstrated obvious minimally-invasive advantages compared with traditional thoracotomy. Theoretically, that less trauma leads to quicker recovery and may facilitate administration of adjuvant chemotherapy. We tested this hypothesis in this study. METHODS: One hundred and ten NSCLC patients underwent lobectomy and adjuvant chemotherapy from June 2004 to June 2010 was analyzed...
2011: World Journal of Surgical Oncology
Prativa Jayasekera, Pradesh Kumar, Siobhan Gill, Khaled Hamdan
A 57-year-old woman presented with adhesional small bowel obstruction and required a laparotomy and adhesiolysis. The postoperative period was complicated by pulmonary embolism. In addition, computed tomography (CT) pulmonary angiogram also demonstrated several indeterminate pleural based pulmonary nodules suspicious of a primary malignancy. Review of this patient's past medical history revealed a road traffic collision 29 years previously which required a laparotomy, left nephrectomy, splenectomy, and repair of the left hemi-diaphragm...
2009: BMJ Case Reports
Takeshi Mori, Makoto Suzuki
Primary chest wall tumors consist of 5% of all thoracic tumors and 0.04% of all primary tumors. Almost half of primary chest wall tumors are benign. Over half are metastases from distant malignancies or direct invasions from adjacent malignancies such as breast cancer, lung cancer, mesothelioma and mediastinal tumor. Chest wall mass can form from trauma and infection. So it is important to take a medical history including past trauma and infection. Past history of cancer and radiation is also important. While diagnostic imaging such as computed tomography (CT) and magnetic resonance imaging (MRI) is valuable in determining boundary of tumor and detecting invasion to the nerves and vessels, biopsy should be performed to confirm diagnosis...
July 2011: Kyobu Geka. the Japanese Journal of Thoracic Surgery
Marlos de Souza Coelho, Ruy Fernando Kuenzer Caetano da Silva
OBJECTIVE: To increase the knowledge of research activity in Thoracic Surgery in Brazil. METHODS: We carried out a prospective observational study of the abstracts published in the Annals of the Brazilian Congress of Thoracic Surgery - Thorax 2009, to quantitatively and qualitatively assess the geographic distribution and type of home institutions of abstracts, the types of studies and themes addressed. RESULTS: We published 182 abstracts, 174 (95...
December 2010: Revista do Colégio Brasileiro de Cirurgiões
Tamas F Molnar
Thoracoscopic surgery without or with video assistance (VATS) is simpler and easier to learn as it seems to be. Potential benefits of the procedure in rural surgical environment are outlined while basic requirements and limitations are listed. Thoracoscopy kit, thoracotomy tray at hand, patient monitoring, proper drainage system, pain control and access to chest physiotherapy are the basic requirements. Having headlight, bronchoscope, Ligasure and mechanical staplers offer clear advantages but they are not indispensable...
October 2007: Journal of Minimal Access Surgery
Teruaki Mizobuchi, Naomichi Iwai, Hiromasa Kohno, Nao Okada, Tomoki Yoshioka, Hiroki Ebana
We report a case of late presentation of traumatic rupture of the diaphragm discovered incidentally on chest radiography (CXR) during an annual medical checkup. A 60-year-old man suffered severe blunt trauma from heavy steel frames collapsing against his back, resulting in pelvic and femoral fractures as well as pulmonary contusions. The patient recovered, but 10 months later CXR performed for lung cancer surveillance during an annual medical checkup revealed a traumatic rupture of the diaphragm. Video-assisted thoracic surgery was performed with reduction of the intestine and primary closure of the diaphragmatic defect...
August 2009: General Thoracic and Cardiovascular Surgery
Ori Efrati, Udi Sadeh-Gornik, Dalit Modan-Moses, Asher Barak, Amir Szeinberg, Amir Vardi, Gidon Paret, Amos Toren, Daphna Vilozni, Yaacov Yahav
OBJECTIVE: The use of flexible bronchoscopy (FOB) and bronchoalveolar lavage (BAL) in investigating pediatric patient with airway abnormalities and pulmonary infiltrates are indispensable and are now a routine procedure in many centers. Immunocompromised and cancer patients, especially after bone marrow transplantation, and children who have undergone surgery for congenital heart disease (CHD) are at high risk for pulmonary disease. Our aim was to study the diagnostic rate, safety, and clinical yield of FOB in critically ill pediatric patients...
January 2009: Pediatric Critical Care Medicine
Wen-long Shao, Lun-xu Liu, Jian-xing He, Yun-you Yang, Han-zhang Chen, Zhe-fan Wu, Bing Wei, Wei-qiang Yin, De-kang Yang
OBJECTIVE: To evaluate the efficacy and practicability between bronchial sleeve resection or reconstruction of the pulmonary artery by video-assisted thoracic small incision and routine posterolateral incision for lung cancer. METHODS: The clinic data was analyzed retrospectively, including 139 cases in our hospital underwent sleeve lobectomy and bronchoplasty by video-assisted thoracic small incision surgery for lung cancer from January 1995 to July 2007 and 99 cases in the HUAXI Hospital of SICHUAN University underwent routine posterolateral incision from April 2000 to December 2005...
November 15, 2007: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
Zhi-hao Xu, Chun-fu Wang, Yue-qin Zhang, Hua-hao Shen, Feng Xu
Chylothorax is an uncommon disease where fatty fluid accumulates within the chest cavity. Conservative management, including repeated thoracentesis or pleurodesis, seems to be suitable to most cases. Herein, we present a case of efficacious pleurodesis by intrapleural injection of Sapylin, a streptococcus preparation, for the treatment of chylothorax. A 52-year-old non-smoking female farmer was diagnosed as idiopathic chylothorax after we ruled out possible causes including chest trauma, lymphoma, lung cancer, filariasis, tuberculosis, and etc...
December 2007: Journal of Zhejiang University. Science. B
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