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Mediastinal tumors VATS

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https://www.readbyqxmd.com/read/27846176/mediastinoscopy-assisted-transhiatal-esophagectomy-for-esophageal-cancer-a-single-institutional-cohort-study
#1
Tsutomu Nomura, Takeshi Matsutani, Nobutoshi Hagiwara, Itsuro Fujita, Yoshiharu Nakamura, Hiroshi Makino, Masao Miyashita, Eiji Uchida
We compared the therapeutic outcomes of mediastinoscopy-assisted transhiatal esophagectomy (MATHE) with transthoracic esophagectomy (TTE), and with video-assisted thoracoscopic esophagectomy (VATS-E) for the treatment of esophageal cancer. Twenty patients underwent MATHE in our institute from 2001 to 2005 were enrolled. We evaluated the therapeutic outcomes, including perioperative complications and long-term prognosis after surgery, and compared these with 15 patients who underwent TTE during the same time period and 15 who underwent VATS-E at a later date...
November 14, 2016: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/27807708/the-subxiphoid-approach-leads-to-less-invasive-thoracoscopic-thymectomy-than-the-lateral-approach
#2
Motoki Yano, Satoru Moriyama, Hiroshi Haneda, Katsuhiro Okuda, Osamu Kawano, Risa Oda, Ayumi Suzuki, Ryoichi Nakanishi, Hiroki Numanami, Masayuki Haniuda
OBJECTIVE: Video-assisted thoracic surgery (VATS) is widely used in thoracic surgery. This study investigated the usefulness of the subxiphoid approach in thymectomy using VATS techniques. METHODS: Sixty operations were performed using the lateral approach (n = 46) and subxiphoid approach (n = 14). Using the lateral approach, 39 partial thymectomies (PT), 5 total or subtotal thymectomies (TT), and 2 total or subtotal thymectomies with combined resection of the surrounding organs (or tissues) (CR) were performed...
November 2, 2016: World Journal of Surgery
https://www.readbyqxmd.com/read/27804931/-endoscopic-surgery-for-benign-diseases-and-injuries-of-the-esophagus-with-commentary
#3
V I Oskretkov, A A Gur'yanov, V A Gankov, G I Klimova, A R Andreasyan, D V Balatsky, V V Fedorov, S A Maslikova
AIM: To analyze the results of surgical treatment of patients with benign diseases and injuries of the esophagus. MATERIAL AND METHODS: We summarized the experience of different endoscopic interventions in 159 patients with various benign diseases and perforation of the esophagus. Patients with achalasia (72 cases) underwent videolaparoscopic Geller's esophagomyotomy with anterior hemiesophagofundoplication by Dor. Video-assisted thoracoscopic extirpation of the esophagus with simultaneous or delayed esophagocolo/gastroplasty was performed in 56 patients with post-ambustial cicatricial stenosis of the esophagus...
2016: Khirurgiia
https://www.readbyqxmd.com/read/27746997/efficacy-of-lymph-node-dissection-during-robotic-assisted-lobectomy-for-non-small-cell-lung-cancer-retrospective-review-of-159-consecutive-cases
#4
Frank O Velez-Cubian, Kathryn L Rodriguez, Matthew R Thau, Carla C Moodie, Joseph R Garrett, Jacques P Fontaine, Eric M Toloza
BACKGROUND: We investigated whether robotic-assisted surgery improves mediastinal lymph node dissection (MLND). METHODS: We analyzed patients (pts) who underwent robotic-assisted video-assisted thoracoscopic surgery (R-VATS) lobectomy for non-small cell lung cancer (NSCLC) over 36 months. Perioperative outcomes, tumor histology, numbers, locations, and status of all lymph nodes (LNs), and TNM (tumor, nodal, and metastasis) stage changes were analyzed. RESULTS: One hundred fifty-nine pts had mean tumor size 3...
September 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/27672105/port-site-implantation-of-type-a-masaoka-stage%C3%A2-i-thymoma-after-video-assisted-thoracic-surgery-a-case-report
#5
Naohiro Nose, Kazuhiro Higuchi, Eiichi Chosa, Takanori Ayabe, Masaki Tomita, Kunihide Nakamura
A 60-year-old woman was referred to our hospital with an anterior mediastinal tumor measuring 3.5 cm in diameter on computed tomography (CT). We performed tumor resection by video-assisted thoracic surgery (VATS) with three ports. The final diagnosis was Type A Masaoka Stage I thymoma. On follow-up CT performed 36 months after the operation, two pleural tumors were detected at the port sites through which the forceps and ultrasonic scalpel had passed repeatedly during the operation. We therefore performed a second operation and enucleated the tumors while preserving the ribs...
2016: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/27621890/uniportal-video-assisted-thoracic-surgery-right-upper-lobectomy-with-systemic-lymphadenectomy
#6
Ding-Pei Han, Jie Xiang, He-Cheng Li, Jun-Biao Hang
This video demonstrated a performance of uniportal video-assisted thoracoscopic surgery (VATS) right upper lobectomy with systemic lymphadenectomy. The patient had a malignant mass in his right upper lobe. The operator took a posterior to anterior approach to dissection the right upper lobe, the adjacent structures were clearly demonstrated after the entire dissection of mediastinal lymph nodes. Postoperative pathological report suggested the stage of the tumor was T1bN0M0 (stage IA).
August 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/27621889/vats-right-upper-lobe-bronchial-sleeve-resection
#7
Qianli Ma, Deruo Liu
BACKGROUND: The aim of this study is to discuss video-assisted thoracic surgery (VATS) sleeve bronchial lobectomy when handling the locally advanced central lung cancer (involving the trachea and/or main bronchus). METHODS: A 2.5 cm × 1.0 cm mass was found in the right upper lobe. Bronchoscopy demonstrated the tumor obstructing the right upper lobe bronchus and involved the right main bronchus and bronchus intermedius. Interrupted sutures were chosen for bronchial anastomosis...
August 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/27621880/tubeless-video-assisted-thoracoscopic-surgery-vats-under-non-intubated-intravenous-anesthesia-with-spontaneous-ventilation-and-no-placement-of-chest-tube-postoperatively
#8
Fei Cui, Jun Liu, Shuben Li, Weiqiang Yin, Xu Xin, Wenlong Shao, Jianxing He
BACKGROUND: To assess the feasibility and safety of tubeless video-assisted thoracoscopic surgery (VATS) under non-intubated, intravenous anesthesia with spontaneous ventilation and no placement of a chest tube postoperatively compared with VATS under intubated anesthesia with single-lung mechanical ventilation. METHODS: A total of 91 patients undergoing tubeless VATS (60 sympathectomies, 22 bullae resections, and 9 mediastinal tumor resections) between December 2012 and December 2015 were included...
August 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/27621876/initial-experience-of-single-port-video-assisted-thoracoscopic-surgery-sleeve-lobectomy-and-systematic-mediastinal-lymphadenectomy-for-non-small-cell-lung-cancer
#9
Hao Chen, Guobing Xu, Bin Zheng, Wei Zheng, Yong Zhu, Zhaohui Guo, Chun Chen
BACKGROUND: In this study, we evaluate the feasibility and safety of single-port video-assisted thoracoscopic surgery (VATS) sleeve lobectomy (SL) and systematic mediastinal lymphadenectomy and summarize our surgical experience. METHODS: From October 2014 to December 2015, eight cases of single-port VATS SL [seven male patients and one female patient, median age 56.0 (range, 38-63) years] were performed by a single group of surgeons in Fujian Medical University Fujian Union Hospital...
August 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/27494749/surgical-approaches-to-non-thyrogenic-and-non-thymic-mediastinal-tumors-of-the-thoracic-inlet
#10
Yu Liu, Tao Lu, Hong Fan, Songtao Xu, Jianyong Ding, Zongwu Lin, Qun Wang
Background Non-thyrogenic and non-thymic mediastinal tumors of the thoracic inlet are in close proximity to several important vessels and nerves. The narrow confines of the thoracic inlet make complete excision of these tumors difficult, and selecting the appropriate surgical approach is important to successful resection. Methods Records from 57 patients who presented to our department with non-thyrogenic and non-thymogenic tumors of the thoracic inlet from November 2004 to November 2015 were reviewed. All but one of the patients received surgical treatment...
August 5, 2016: Thoracic and Cardiovascular Surgeon
https://www.readbyqxmd.com/read/27358509/reduced-port-thoracoscopic-surgery-for-mediastinal-and-pleural-disease-experiences-in-a-single-institution
#11
Masaya Tamura, Yosuke Shimizu, Yasuo Hashizume
The purpose of this study was to present our current experience with reduced port thoracoscopic surgery (RPTS) for the treatment of mediastinal and pleural disease and thereafter discuss its indications and technical challenges. A total of 11 patients underwent surgery by the RPTS approach for the following conditions: thymoma (n = 2), bronchogenic cyst (n = 2), metastatic pleural tumor, thymic cyst, solitary fibrous tumor, pulmonary sequestration, pericardial cyst, neurinoma, and malignant lymphoma (n = 1)...
June 2016: Indian Journal of Surgery
https://www.readbyqxmd.com/read/27134836/single-port-vats-mediastinal-tumor-resection-taiwan-experience
#12
Ching-Yang Wu, Ming-Ju Heish, Ching-Feng Wu
BACKGROUND: To present the technique of single-port video-assisted thoracoscopic mediastinal tumor resection, which includes limited thymectomy, extended thymectomy, cyst excision and posterior mediastinal tumor excision, and the early results of resection with the use of this technique. METHODS: Forty patients with mediastinal tumors were treated with single-port thoracoscopic mediastinal resection at Chang Gung Memorial Hospital between April 2014 and September 2015...
March 2016: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/27076954/complete-video-assisted-thoracoscopic-surgery-vats-bronchial-sleeve-lobectomy
#13
Jun Huang, Shuben Li, Zhexue Hao, Hanzhang Chen, Jiaxi He, Xin Xu, Yuan Qiu, Qinglong Dong, Lixia Liang, Hui Pan, Jianxing He
BACKGROUND: To explore the effectiveness of video-assisted thoracoscopic surgery (VATS) bronchial sleeve resection and reconstruction. METHODS: The clinical data of patients who had received VATS bronchial sleeve lobectomy in our center from January 2008 to February 2015 were retrospectively analyzed. RESULTS: Totally 118 patients (105 men and 13 women) received the VATS bronchial sleeve lobectomy. The procedures included sleeve resection of right upper lobe (n=59), right middle lobe (n=7), right lower lobe (n=8), left upper lobe (n=34), and left lower lobe (n=10)...
March 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/26943686/cavernous-hemangioma-in-the-thymus-a-case-report
#14
Naoko Ose, Yuko Kobori, Yukiyasu Takeuchi, Yoshiyuki Susaki, Seiji Taniguchi, Hajime Maeda
Cavernous hemangioma is not a neoplasm, but rather a congenital venous malformation with the potential to develop in all parts of the body, though it is very rarely seen in the thymus. We report a case of cavernous hemangioma in the thymus partially resected. A 71-year-old woman presented with pericardial discomfort, and chest computed tomography (CT) showed a left lateral mediastinal mass which was 2.0 × 1.2 × 1.8 cm in size, with border regularity and without calcification. Its interior was partially enhanced...
December 2016: Surgical Case Reports
https://www.readbyqxmd.com/read/26822625/robotic-surgery-for-thoracic-disease
#15
Shin-Ichi Yamashita, Yasuhiro Yoshida, Akinori Iwasaki
Robotic surgeries have developed in the general thoracic field over the past decade, and publications on robotic surgery outcomes have accumulated. However, controversy remains about the application of robotic surgery, with a lack of well-established evidence. Robotic surgery has several advantages such as natural movement of the surgeon's hands when manipulating the robotic arms and instruments controlled by computer-assisted systems. Most studies have reported the feasibility and safety of robotic surgery based on acceptable morbidity and mortality compared to open or video-assisted thoracic surgery (VATS)...
2016: Annals of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/26762224/video-assisted-thoracic-surgery-for-primary-myelolipoma-of-the-posterior-mediastinum
#16
Naoya Himuro, Takao Minakata, Yutaka Oshima, Yuri Tomita, Daisuke Kataoka, Shigeru Yamamoto, Mitsutaka Kadokura
BACKGROUND: Myelolipoma is an uncommon tumor comprising adipose tissue and normal hematopoietic cells and mainly occurs in the adrenal cortex. Mediastinal myelolipoma is very rare; we report a case of posterior mediastinal myelolipoma that required surgical resection. CASE PRESENTATION: A 56-year-old male was diagnosed with a posterior mediastinal tumor by computed tomography. The tumor was originally noted in 2005, and during follow-up in March 2014, it was found to have increased in size...
2016: Journal of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/26693150/video-assisted-thoracic-surgery-vats-for-recurrent-thymoma
#17
Giuseppe Marulli, Giovanni Maria Comacchio, Federico Rea
Between 10-30% of patients that undergo a radical operation for thymoma develop a recurrence in a variable range of time. The surgical treatment of thymoma relapses is an established and effective therapeutic approach, particularly for a single intrathoracic recurrence; however, no agreement has been reached on the best surgical approach and the extent of surgical resection, particularly in the most common event of pleural relapses. In the era of minimally invasive approach for most thoracic pathologies, the role of the video assisted thoracic surgery (VATS) approach for thymoma recurrence resection is still unclear and controversial: to date, only few authors have reported in their series a thoracoscopic resection of pleuro-pulmonary relapses, mostly when a single lesion was present...
November 2015: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/26652015/sarcoidosis-misdiagnosed-as-malignant-tumors-a-case-report
#18
Zuosheng Li, Xin Li, Zuoqing Song, Jinghao Liu, Ming Dong, Tao Shi, Dian Ren, Song Xu, Jun Chen
BACKGROUND: Sarcoidosis is a rare condition that is often misdiagnosed as malignant tumors due to the similar clinical manifestations and imaging findings. CASE PRESENTATION: We encountered a 56-year-old Chinese woman who had a chief complaint of a persistent cough. The chest computer tomography (CT) revealed mediastinal and bilateral hilar lymph node enlargement, and positron emission tomography-computer tomography (PET-CT) revealed abnormal fluorodeoxyglucose (FDG) uptake in the lymph nodes of the chest and abdomen...
2015: World Journal of Surgical Oncology
https://www.readbyqxmd.com/read/26623132/potentially-disseminated-solitary-fibrous-tumor-of-the-pleura-a-case-report
#19
Tomoyuki Nakano, Shunsuke Endo, Hiroyoshi Tsubochi, Kenji Tetsuka, Mitsuhiro Nokubi
We report a case involving a female patient with frequent relapse, pleural dissemination, and port site recurrence (PSR) of a pleural solitary fibrous tumor (SFT). At the age of 55 years, she underwent tumor resection via video-assisted thoracoscopic surgery (VATS). The tumor arose from the mediastinal pleura; it was 7 cm in diameter and well demarcated. Histological examination showed neither hemorrhage nor necrosis, but moderate cellularity was present, and the Ki-67 labeling index was 15%. Despite complete resection, the tumor relapsed in the ipsilateral thoracic cavity 3 years postoperatively, and thoracoscopic complete tumor resection was performed; however, pleural lavage cytology (PLC) showed the presence of tumor cells...
October 2015: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/26623113/left-lower-sleeve-lobectomy-and-systematic-lymph-node-dissection-by-single-incision-video-assisted-thoracic-surgery
#20
Junqiang Fan, Qi Wang, Jie Yao, Zhibo Chang
Sleeve lobectomy for selected cases of intratracheal tumor has better parenchyma preservation compared to pneumonectomy. And the left lower sleeve lobectomy is considered one of the most complex resections. Thanks to the advancement of equipment and accumulation of skills, video-assisted thoracic surgery (VATS) sleeve lobectomy has become safe and feasible. Typically, 3-4 ports are used, but the surgery can also be completed through one incision. A 51-year-old male patient with left lower central lung cancer underwent sleeve lobectomy and systematic mediastinal lymphadenectomy by single-incision VATS and recovered uneventfully...
October 2015: Journal of Thoracic Disease
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