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https://www.readbyqxmd.com/read/29049856/is-left-upper-lobectomy-always-worthwhile-for-early-stage-lung-cancer-a-comparison-between-left-upper-lobectomy-trisegmentectomy-and-lingulectomy
#1
Vittorio Aprile, Pietro Bertoglio, Paolo Dini, Gerardo Palmiero, Alfredo Mussi, Marcello Carlo Ambrogi, Marco Lucchi
BACKGROUND AND OBJECTIVES: Lobectomy is the gold standard treatment for resectable Non-Small Cell Lung Cancer (NSCLC). We compared oncological outcomes of patients undergoing a "multi-segmentectomy" (trisegmentectomy or lingulectomy) and left upper lobectomy for early stage (T1-2, N0) NSCLC of the left upper lobe. METHODS: We retrospectively analyzed all patients with pathological early stage (T1-T2 N0) NSCLC located in left upper lobe who underwent a lobectomy, a trisegmentectomy, or a lingulectomy between 2006 and 2013, focusing on surgical and oncological outcomes...
October 19, 2017: Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29049826/bilateral-uniportal-video-assisted-thoracoscopic-lung-resections
#2
Firas Emad Abu Akar, Hui Zheng, Gaser Ali, Xiaogang Zhao
The introduction of uniportal video-assisted thoracoscopic surgery into the field of minimally invasive thoracic surgery has its revolutionary effect by bringing the surgical trauma to the minimum. As a result, less postoperative pain and complications may be achieved through this technology. This may convince us as thoracic surgeons to become more liberal and to extend the indications of performing 'single-staged' bilateral video-assisted thoracoscopic surgery. Herein, we described our technique in bilateral pulmonary resections...
July 12, 2017: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/29049609/usefulness-of-near-infrared-angiography-for-identifying-the-intersegmental-plane-and-vascular-supply-during-video-assisted-thoracoscopic-segmentectomy
#3
Sébastien Guigard, Frédéric Triponez, Benoit Bédat, Jordi Vidal-Fortuny, Marc Licker, Wolfram Karenovics
OBJECTIVES: Segmentectomy by video-assisted thoracoscopic surgery (VATS) permits anatomical resection for diagnosis and treatment of small lung nodules but requires that intersegmental planes and segmental vessels be identified accurately. Near-infrared angiography with systemic injection of indocyanine green (ICG) can precisely identify the intersegmental plane. The purpose of this study was to confirm the usefulness of ICG angiography during VATS segmentectomy. METHODS: We retrospectively reviewed the records of 22 consecutive patients who underwent VATS segmentectomy performed with near-infrared angiography between November 2014 and October 2015...
September 6, 2017: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/29048464/differences-in-postoperative-changes-in-pulmonary-functions-following-segmentectomy-compared-with-lobectomy
#4
Hiroaki Nomori, Atsushi Shiraishi, Yue Cong, Hiroshi Sugimura, Shuji Mishima
OBJECTIVES: To clarify differences in postoperative changes in systemic and regional pulmonary functions between segmentectomy and lobectomy in patients with lung cancer, we compared the 2 procedures using lung perfusion scintigraphy with a fusion image of single-photon emission computed tomography and computed tomography. METHODS: This study is a retrospective matched cohort study of consecutively acquired data. Pulmonary function tests and perfusion single-photon emission computed tomography/computed tomography were conducted before surgery and 6 months after surgery to measure changes in forced expiratory volume in 1 s of a whole lung, contralateral lung and a lobe...
October 18, 2017: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/29045224/is-segmentectomy-a-suitable-term-to-use-in-patients-undergoing-hepatic-segmental-90-y-radioembolization-for-the-treatment-of-hepatocellular-carcinoma-up-to-3-cm
#5
Olivier Seror, Jean-Charles Nault, Gisele N'Kontchou, Olivier Sutter, Pierre Nahon
No abstract text is available yet for this article.
November 2017: Radiology
https://www.readbyqxmd.com/read/29043687/-pleural-cavity-concerns
#6
I Simal, M A García-Casillas, J Cerdà, L Pérez, B Fernández, M De la Torre, M Fanjul, E Molina, J C De Agustín
INTRODUCTION: Persistent air leak (PAL) is a common problem. We asses our experience in the management of these patients. MATERIAL AND METHODS: Retrospective review of patients with chest tubes after bronchopulmonary pneumothorax (due to lung resections, spontaneous pneumothorax, necrotizing pneumonia) from 2010 to 2015. We studied clinical data, PAL incidence, risk factors and treatment, considering PAL ≥ 5 days. RESULTS: Thirty-seven cases (28 patients) between 0-16years: 26 lung resections, 11 pneumothorax...
July 20, 2017: Cirugía Pediátrica: Organo Oficial de la Sociedad Española de Cirugía Pediátrica
https://www.readbyqxmd.com/read/29033013/clinical-prognosis-of-superior-versus-basal-segment-stage-i-non-small-cell-lung%C3%A2-cancer
#7
Yoshinori Handa, Yasuhiro Tsutani, Norifumi Tsubokawa, Keizo Misumi, Hideaki Hanaki, Yoshihiro Miyata, Morihito Okada
BACKGROUND: Despite its extensive size, variations in the clinicopathologic features of tumors in the lower lobe have been little studied. The present study investigated the prognostic differences in tumors originating from the superior and basal segments of the lower lobe in patients with non-small cell lung cancer. METHODS: Data of 134 patients who underwent lobectomy or segmentectomy with systematic nodal dissection for clinical stage I, radiologically solid-dominant, non-small cell lung cancer in the superior segment (n = 60) or basal segment (n = 74) between April 2007 and December 2015 were retrospectively reviewed...
October 12, 2017: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29026878/robotic-assisted-live-donor-ileal-segmentectomy-for-intestinal-transplantation
#8
Guosheng Wu, Qianjing Li, Qingchuan Zhao, Weizhong Wang, Hai Shi, Mian Wang, Jianyong Zheng, Mengbing Li, Daiming Fan
BACKGROUND: Every effort should be made to optimize surgical techniques and to minimize potential morbidity rates associated with live donor operations. Advances in a minimally invasive approach by robotic surgery to donor nephrectomy have raised the possibility of applying this technique to live donor bowel resections for intestinal transplantation. METHODS: We report the first 5 consecutive cases of a robotic-assisted live donor ileal segmentectomy. We describe the technical aspects of the procedure, discuss the rationale for considering this option, and evaluate potential advantages of this approach...
October 2017: Transplantation Direct
https://www.readbyqxmd.com/read/28994013/outcomes-safety-and-feasibility-of-video-assisted-thoracic-surgery-in-lung-cancer-patients-on-hemodialysis-a-case-series
#9
Yuji Otsuki, Hiroaki Kuwahara, Hirofumi Konn
OBJECTIVE: The rate of surgical resection of lung cancer in patients on hemodialysis is expected to increase due to the development of hemodialysis, improved diagnosis of lung cancer, and increases in the number and age of patients. However, studies assessing outcomes of lung resection in these patients are limited. In this retrospective case series, we investigated the safety and efficacy of video-assisted thoracic surgery (VATS) for lobectomy or segmentectomy for lung cancer in patients on hemodialysis...
October 9, 2017: General Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28986040/segmentectomy-of-the-left-superior-segment-s-6-4-years-after-segmentectomy-of-the-left-dorsobasal-segment-s-10
#10
Kimihiro Shimizu, Seshiru Nakazawa, Akira Mogi, Hiroyuki Kuwano
No abstract text is available yet for this article.
September 13, 2017: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28982549/achieving-a-3-star-society-of-thoracic-surgery-lobectomy-ranking-by-using-continuing-process-improvement-lean-methodology-and-root-cause-analysis
#11
Robert J Cerfolio, Douglas J Minnich, Benjamin Wei, Caroline Watson, Malcolm M DeCamp
Our purpose is to identify the metrics used by the Society of Thoracic Surgeons (STS) to rank lobectomy and to show our process to improve. This is a review of our STS data for lobectomy and our results using the process of root cause analysis and lean methodology to improve our outcomes. The STS metrics are 30-day mortality, pneumonia, adult respiratory distress syndrome, bronchopleural fistula, pulmonary embolus, initial ventilator support greater than 48 hours, reintubation and respiratory failure, tracheostomy, myocardial infarction, or unexpected return to the operating room...
August 18, 2017: Seminars in Thoracic and Cardiovascular 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
#12
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/28975070/paracetamol-instead-of-ketorolac-in-post-video-assisted-thoracic-surgery-pain-management-a-randomized-trial
#13
Alireza Jahangiri Fard, Behrooz Farzanegan, Ali Khalili, Nejatali Ebrahimi Ahmadabad, Abolghasem Daneshvar Kakhaki, Tahereh Parsa, Maziyar Mahjoobifard, Mohammad Khabiri, Majid Golestani Eraghi
BACKGROUND: Video-assisted thoracic surgery (VATS) is a minimally invasive procedure that is growing more common around the world. Despite causing less pain compared open thoracic surgery, postoperative pain management is still important. OBJECTIVES: The aim of the present study was to compare the analgesic effects of paracetamol and ketorolac in VATS patients. METHODS: This was a double-blinded randomized clinical trial conducted on 70 patients undergoing lobectomy or segmentectomy due to lung masses, using video-assisted methods...
December 2016: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/28969898/unplanned-procedures-during-thoracoscopic-segmentectomies
#14
Dominique Gossot, Jon Andri Lutz, Madalina Grigoroiu, Emmanuel Brian, Agathe Seguin-Givelet
BACKGROUND: Thoracoscopic sublobar resections (TSLRs) are gaining popularity, but are challenging. However, despite technical difficulties, the reported rate of adverse events, complications, and unplanned procedures is low. To understand this paradox, we have studied our series of TSLRs. METHODS: We reviewed our prospective and intention-to-treat database on videothoracoscopic anatomical resections and extracted all planned thoracoscopic segmentectomies from January 2007 to July 2016...
September 29, 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
#15
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/28962711/uniportal-video-assisted-thoracoscopic-surgery-segmentectomy
#16
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/28958107/-trimodal-therapy-for-stage-iiia-b-nsclc-involving-high-dose-neoadjuvant-chemoradiotherapy-is-surgery-a-rational-option
#17
Aris Koryllos, Corinna Ludwig, Walburga Engel-Riedel, Michaela Hammer-Helmig, Erich Stoelben
Introduction Stage III non-small cell lung cancer (NSCLC) and its possible multimodal therapy present a challenge to the responsible oncologist, chest surgeon and radiologist. The aim of the present retrospective study was to analyse and evaluate the treatment algorithm in our hospital for patients with stage III NSCLC (intention to treat). We compared an aggressive treatment regime with primary trimodal therapy (high dose radiochemotherapy and resection), independently of "multilevel" N2 or "single level" N3 status...
September 2017: Zentralblatt Für Chirurgie
https://www.readbyqxmd.com/read/28953945/incidence-and-clinical-features-of-the-incidentally-found-vascular-stump-thrombus-during-routine-follow-up-after-oncologic-lung-surgery
#18
Mi Hyoung Moon, Kyongmin Sarah Beck, Young Kyu Moon, Jae Kil Park, Sook Whan Sung
OBJECTIVES: We aimed to evaluate the incidence and clinical features of vascular stump thrombus after oncologic lung surgery. METHODS: A retrospective analysis of records from our institutional database dated between 2009 and 2016 was performed. Data regarding demographics, clinical presentation, medication use, operative findings, pathology, and radiologic findings were retrieved. RESULTS: The study cohort consisted of 648 oncologic surgeries for primary lung cancer...
2017: PloS One
https://www.readbyqxmd.com/read/28951232/discussions-in-cardiothoracic-treatment-care-technical-aspects-of-segmentectomy-and-lobectomy-including-novel-methods-for-vessel-transection
#19
Moishe Liberman, Faiz Bhora, Stephen Cassivi, Todd Demmy
No abstract text is available yet for this article.
September 22, 2017: Seminars in Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28950357/novel-perspective-to-evaluate-the-safety-of-segmentectomy-clinical-significance-of-lobar-and-segmental-lymph-node-metastasis-in-ct1n0m0-lung-adenocarcinoma
#20
Fei Xiao, Qiduo Yu, Zhenrong Zhang, Deruo Liu, Yongqing Guo, Chaoyang Liang, Bei Wang, Hongliang Sun
OBJECTIVES: The regularity of intrapulmonary lobar and segmental lymph node (LSN) metastasis in cT1N0M0 stage lung adenocarcinoma remains unclear. Thus, segmentectomy with uncertain LSN metastatic status remains a potential oncological risk. We aimed to facilitate more accurate determination of N staging and filter more suitable cases for segmentectomy. METHODS: A prospective study was performed from March 2014 to September 2016. A total of 196 patients diagnosed with cT1N0M0 stage lung adenocarcinoma were enrolled and received lobectomy together with mediastinal lymph node dissection...
July 4, 2017: European Journal of Cardio-thoracic Surgery
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