21,731 results match your criteria thoracoscopic surgery

Indocyanine green is a sensitive adjunct in the identification and surgical management of local and metastatic hepatoblastoma.

Cancer Med 2021 Jun 12. Epub 2021 Jun 12.

Division of Pediatric General and Thoracic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.

Background: Hepatoblastoma is the most common primary pediatric liver malignancy. Indocyanine green (ICG) has been described as an adjunct to resection in small series. Its utility remains undefined in larger cohorts. Read More

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Survival Comparison Between Open and Thoracoscopic Upfront Esophagectomy in Patients with Esophageal Squamous Cell Carcinoma.

Ann Surg 2021 Jun 10. Epub 2021 Jun 10.

Division of Thoracic Surgery, Department of Surgery, Changhua Christian Hospital, Taiwan School of Medicine, Chung Shan Medical University, Taichung, Taiwan School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan Institute of Genomics and Bioinformatics, National Chung Hsing University, Taichung, Taiwan Ph.D. Program in Translational Medicine, National Chung Hsing University, Taichung, Taiwan Center for General Education, Ming Dao University, Changhua, Taiwan Division of Chest Medicine, Department of Internal Medicine, Changhua Christian Hospital, Taiwan Institute of Health and Welfare Policy, National Yang Ming Chiao Tung University, Taipei, Taiwan Department of Health Care Administration, Chang Jung Christian University.

Background: The survival outcomes of patients with esophageal squamous cell carcinoma (ESCC) after open or thoracoscopic upfront esophagectomy remained unclear.

Objective: The aim of this retrospective study was to compare overall survival between open and thoracoscopic esophagectomy for ESCC patients without neoadjuvant CRT.

Methods: The Taiwan Cancer Registry was investigated for ESCC cases from 2008-2016. Read More

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[Posterior mediastinal glomangiomatosis: Exceptional location of a rare tumour].

Rev Mal Respir 2021 Jun 8. Epub 2021 Jun 8.

Service de chirurgie thoracique et cardiaque, C.H.U Mohamed VI, Oujda, Maroc.

Introduction: Glomangiomatosis is a benign tumour proliferation which develops from the glomus cells in the wall of a vessel, and which contains abnormal venous capillaries. Its usual location is dermal at the extremities, mediastinal presentation is exceptional.

Observation: A 63-year-old patient, followed for scoliosis, was admitted for a spontaneous haemothorax. Read More

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Papillary thyroid microcarcinoma with lung metastases: a case report and review of the literature.

Thyroid Res 2021 Jun 11;14(1):15. Epub 2021 Jun 11.

Division of Breast and Endocrine Surgery, Department of Surgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano, 390-8621, Japan.

Background: Distant metastasis from papillary thyroid microcarcinoma (PTMC) is rare. Here we report a case of PTMC with multiple lung metastases.

Case Presentation: A 64-year-old man presented to our hospital with abdominal pain. Read More

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Infrared thermography for assessment of thoracic paravertebral block: a prospective observational study.

BMC Anesthesiol 2021 Jun 11;21(1):168. Epub 2021 Jun 11.

Department of Anesthesiology and Pain Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Background: There was no "gold standard" to assess the success or failure of thoracic paravertebral block (TPVB). Measurement of skin temperature with infrared thermography (IT) would be a reliable method to evaluate the effectiveness of regional blocks. This study aimed to explore the feasibility of using skin temperature difference (Td) determined by IT between the blocked and unblocked side to predict the spread of TPVB. Read More

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A Case Report of Subclinical Myasthenia Gravis Associated with Castleman's Disease.

Am J Case Rep 2021 Jun 11;22:e930948. Epub 2021 Jun 11.

Department of Thoracic Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.

BACKGROUND Castleman's disease is defined as a benign lymphoproliferative disorder of uncertain origin. It is most commonly found in the area of mediastinum. Castleman's disease is classified based on pathological features into hyaline-vascular, plasma cell, and mixed variants, which the hyaline-vascular variant is the commonest in association with Myasthenia Gravis. Read More

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Thoracoscopic radical esophagectomy combined with left inferior pulmonary ligament lymphadenectomy for esophageal carcinoma via the right thoracic approach: A single-center retrospective study of 30 cases.

Medicine (Baltimore) 2021 Jun;100(23):e26302

Department of Cardiothoracic Surgery, The Affiliated Hospital of Putian University, Putian, Fujian.

Abstract: To evaluate the necessity, safety, and feasibility of left inferior pulmonary ligament lymphadenectomy during video-assisted thoracic surgery (VATS) radical esophagectomy via the right thoracic approach.Thirty patients (20 men, 10 women) with thoracic esophageal squamous cell carcinoma (ESCC) were recruited for this study. The patients' age ranged from 50 to 80 years, with an average age of 66. Read More

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Effects of preserving the bronchial artery on cough after thoracoscopic lobectomy.

Thorac Cancer 2021 Jun 10. Epub 2021 Jun 10.

Department of Thoracic Surgery, The First Affiliated Hospital of Soochow University, Medical College of Soochow University, Suzhou, China.

Background: The purpose of this prospective study was to explore the influence of both preoperative three-dimensional (3D) reconstruction and intraoperative preservation of the bronchial artery (BA) on postoperative cough after thoracoscopic lobectomy.

Methods: A total of 60 patients who had received a combination of thoracoscopic lobectomy and systematic lymph node dissection were included in this study. They were divided into two groups, namely the BA preservation group (Group A), and conventional surgical treatment group (Group B). Read More

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Cannabis Use Is Associated With Recurrence After Primary Spontaneous Pneumothorax.

Front Surg 2021 25;8:668588. Epub 2021 May 25.

Department of Cardiovascular and Thoracic Surgery, Rush University Medical Center, Chicago, IL, United States.

Primary spontaneous pneumothorax (PSP) is a frequently encountered entity that carries a high rate of recurrence. The current study aims to investigate if cannabis use at time of initial PSP is associated with disease recurrence. Patients presenting with PSP between 2010 and 2018 at a single institution were identified. Read More

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CT-guided preoperative localization of ground glass nodule: comparison between the application of embolization microcoil and the locating needle designed for pulmonary nodules.

Br J Radiol 2021 Jun 11:20210193. Epub 2021 Jun 11.

Department of Radiology, China-Japan Friendship Hospital, Beijing, China.

Objectives: To compare the efficacy and safety of preoperative localization of ground glass nodule (GGN) using embolization microcoils and the locating needles designed for pulmonary nodules.

Methods: From June 2019 to December 2020, 429 patients who received CT-guided localization of single GGN before video-assisted thoracoscopic surgery (VATS) were enrolled. The diameter and depth of GGNs were 0. Read More

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Feasibility of conversion thoracoscopic esophagectomy after induction therapy for locally advanced unresectable esophageal squamous cell carcinoma.

Jpn J Clin Oncol 2021 Jun 9. Epub 2021 Jun 9.

Department of Esophageal Surgery, National Cancer Center Hospital, Tokyo, Japan.

Background: Recently, patients with cT4b esophageal cancer often require conversion surgery following induction therapy, for which the standard procedure is open esophagectomy. However, thoracoscopic esophagectomy, including thoracoscopic esophagectomy in the prone position, is increasingly used. We compared short-term outcomes of thoracoscopic esophagectomy and open esophagectomy in this setting. Read More

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Preoperative pectoralis muscle radiodensity as a risk factor for postoperative complications after thoracoscopic lobectomy for non-small cell lung cancer.

Ann Palliat Med 2021 May;10(5):5444-5454

Department of Thoracic Surgery, Affiliated Cancer Hospital & Institute of Guangzhou Medical University, Guangzhou, China.

Background: Skeletal muscle radiodensity is associated with postoperative complications in cancer. However, data on skeletal muscle radiodensity and postoperative complication risk in patients with non-small cell lung cancer (NSCLC) are scarce, and this study investigated the relationship between skeletal muscle radiodensity and postoperative complication risk in patients with NSCLC treated by thoracoscopic lobectomy.

Methods: Quantitative and qualitative measurements of the pectoralis muscle were performed on a single axial slice above the aortic arch in the precontrast computed tomography (CT) scan performed before surgery. Read More

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[Surgical results of video-assisted thoracoscopic thymectomy for treatment of Juvenile Myasthenia Gravis].

Andes Pediatr 2021 Apr;92(2):250-256

Escuela de Medicina, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.

Introduction: Juvenile myasthenia gravis (JMG) is an autoimmune disease affecting the neuromuscular junction that appears before 19 years of age with varying degrees of weakness of different muscle groups. The main treatment is pharmacological, but thymectomy has also demonstrated to improve remission rates.

Objective: To describe the clinical characteristics and postoperative course of pediatric patients with JMG who underwent video-assisted thoracoscopic (VATS) thymectomy. Read More

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Preoperative Lung Ultrasound to Detect Pleural Adhesions: A Systematic Review and Meta-Analysis.

Cureus 2021 May 6;13(5):e14866. Epub 2021 May 6.

Hospital Care Research Unit, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, JPN.

The usage of lung ultrasound as a preoperative examination for thoracic surgeries remains controversial. Our systematic review and meta-analysis aimed to evaluate preoperative lung ultrasound diagnostic accuracy for detecting pleural adhesions. We searched articles published in MEDLINE, Embase, CENTRAL, and the International Clinical Trials Registry Platform until October 2020. Read More

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Surgical Cardiac Sympathetic Denervation for Ventricular Arrhythmias: A Systematic Review.

Methodist Debakey Cardiovasc J 2021 Apr 25;17(1):24-35. Epub 2021 Mar 25.

Houston Methodist Hospital, Houston, Texas.

Ventricular arrhythmias are potentially life-threatening disorders that are commonly treated with medications, catheter ablation and implantable cardioverter defibrillator (ICD). Adult patients who continue to be symptomatic, with frequent ventricular arrhythmia cardiac events or defibrillation from ICD despite medical treatment, are a challenging subgroup to manage. Surgical cardiac sympathetic denervation has emerged as a possible treatment option for people refractory to less invasive medical options. Read More

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Stellate ganglion blockade with percutaneous bupivacaine injection followed with surgical denervation in the management of electrical storm.

J Electrocardiol 2021 May 27;67:94-97. Epub 2021 May 27.

Department of Cardiology, Kartal Koşuyolu Education and Research Hospital, Istanbul, Turkey.

Electrical storm is a life-threatening medical emergency that requires immediate diagnosis and treatment. It can remain a clinical challenge despite anti-arrhythmic drugs and catheter ablation therapies. Autonomic modulation techniques have gained increased recognition in the treatment of refractory electrical storm cases. Read More

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Salvage surgery after definitive chemoradiotherapy through VATS for an initial unresectable locally advanced lung cancer: an alternative consolidative modality to radiotherapy?

Surg Case Rep 2021 Jun 8;7(1):138. Epub 2021 Jun 8.

Division of Thoracic Oncology, Department of Chest Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.

Background: Definitive chemoradiotherapy (dCRT) is the first choice treatment for patients with locally advanced non-small cell lung cancer (NSCLC), but up to 35% of dCRT-treated tumors may have persistent or recurrent disease. Since the last decades, multimodality therapy showing potential for cure has become the mainstream for treatment of locally advanced NSCLCs, even some that were initially inoperable. Although salvage lung resection after dCRT has been reported with acceptable survivals, experiences in this respect are still limited. Read More

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Totally endoscopic surgical resection for a blood cyst originated from mitral valve: a case report.

J Cardiothorac Surg 2021 Jun 7;16(1):164. Epub 2021 Jun 7.

Department of Cardiovascular Surgery, Chinese PLA General Hospital, No.28. Fuxing Road, Haidian District, Beijing, 100853, China.

Background: Intracardiac blood cysts are very rare primary cardiac tumors. Blood cysts originated from the mitral valve represent a minority of cases, and previous cases have been mainly treated with conventional surgery through median sternotomy. When the tumor involves heart valves and histopathological diagnosis remains unknown preoperatively, minimally invasive surgical resection of an intracardiac tumor can be challenging, especially through an endoscopic approach. Read More

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Is surgery a risk factor for contralateral recurrence pneumothorax in adolescent with primary spontaneous pneumothorax?

Gen Thorac Cardiovasc Surg 2021 Jun 7. Epub 2021 Jun 7.

Department of Radiology, Guangzhou Panyu Central Hospital, Guangdong, 511400, People's Republic of China.

Objectives: Controversy exists regarding the justification of primary surgery in primary spontaneous pneumothorax, and surgery is not free from recurrence. We hypothesized that surgery is a risk factor for contralateral recurrence pneumothorax in adolescent.

Methods: We performed a retrospective cohort study of 163 adolescent with pneumothorax who were treated conservatively with chest tube (n = 100) or chest tube followed by video-assisted thoracoscopic surgery (n = 63) from January 2009 through December 2017. Read More

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Three Cases of Resection of Late Recurrence of Breast Cancer that Required Differential Diagnosis of Primary Lung Cancer.

J UOEH 2021 ;43(2):271-276

Department of General Surgery, Shinkokura Hospital.

We report 3 cases of surgical resection for lung metastasis more than 15 years after initial surgery for breast cancer. Case 1: A 77-year-old woman was referred to our hospital because of a lung nodule in the left lower lobe detected in a computed tomography (CT) scan. She had undergone breast preservation therapy for breast cancer 15 years before the first visit. Read More

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January 2021

Late-onset Pleural and Pericardial Effusion as Immune-related Adverse Events after 94 Cycles of Nivolumab: A Case Report.

Intern Med 2021 Jun 5. Epub 2021 Jun 5.

Department of Pulmonary Medicine, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Japan.

A 67-year-old man with primary lung adenocarcinoma was hospitalized due to massive bilateral pleural effusion and pericardial effusion after 94 cycles of nivolumab therapy. We were unable to identify the cause of these effusions using blood tests, cytology tests, or bacterial culture of pleural effusion and thoracoscopy. Finally, we administrated corticosteroids, which immediately improved the fluid accumulation. Read More

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Diagnostic accuracy of semirigid thoracoscopy in exudative pleural effusions and relationship of thoracoscopic findings with probability of malignant diagnosis.

Monaldi Arch Chest Dis 2021 May 26. Epub 2021 May 26.

Department of Clinical Pharmacology, All India Institute of Medical Sciences (AIIMS), Jodhpur.

Semirigid thoracoscopy is increasingly becoming the procedure of choice for evaluation of undiagnosed exudative pleural effusions. Few studies have reported relationship of thoracoscopic appearances of pleural abnormalities and etiological diagnoses. We aimed our study to assess the diagnostic utility and safety of semirigid thoracoscopy for evaluation of patients with undiagnosed exudative pleural effusion. Read More

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Comparison of hospital cost between robotic versus thoracoscopic mitral valve repair.

Shixiong Wei

J Card Surg 2021 Jun 6. Epub 2021 Jun 6.

Department of Cardiovascular Surgery, Chinese PLA General Hospital, Beijing, China.

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Missed injuries in trauma patients: the value of a diagnostic thoracotomy or thoracoscopy during surgical stabilisation of rib fractures.

Ir J Med Sci 2021 Jun 5. Epub 2021 Jun 5.

Department of Surgery, MST - Medisch Spectrum Twente, Koningsplein 1, 7512 KZ, Enschede, Netherlands.

Purpose: Over the last decade Surgical Stabilisation of Rib Fractures (SSFR) gained popularity in our hospital. With increased numbers, we noted that frequently injuries were missed during primary/secondary survey and radiological imaging that were found during the surgical procedure. With this observation, the research question was formulated: What is the value of diagnostics thoracotomy or thoracoscopy during surgical stabilisation of rib fractures?

Methods: In a single-centre, retrospective study between February 2010 and December 2019, trauma patients who underwent Surgical Stabilisation of Rib Fractures (SSFR) and an inspection thoracotomy were included. Read More

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Video Assisted Thoracoscopy as a therapeutic modality in evacuating retained or clotted haemothoraces.

J Pak Med Assoc 2021 May;71(5):1428-1431

Department of Thoracic Surgery, Jinnah Postgraduate Medical Centre, Karachi, Pakistan.

Objective: To determine the role of video-assisted thoracoscopy for evacuating retained / clotted haemothoraces to minimise the duration of chest tube drainage and length of hospital stay.

Methods: The prospective cohort study was conducted from July 2019 to February 2020 at the Department of Thoracic Surgery, Jinnah Postgraduate Medical Centre, Karachi, and comprised consecutive patients who underwent video-assisted thoracoscopy for retained or clotted haemothoraces. Outcome was measured as evacuation of retained haemothoraces resulting in partial or complete lung expansion and length of hospital stay. Read More

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Totally Laparoscopic Transhiatal Middle and Lower Mediastinal Lymphadenectomy for Esophageal Cancer.

Surg Laparosc Endosc Percutan Tech 2021 Jun 7. Epub 2021 Jun 7.

Department of Gastrointestinal Surgery, Tokyo Medical and Dental University, Tokyo, Japan.

Laparoscopic transhiatal approach to esophagectomy with mediastinal lymphadenectomy usually involves hand-assisted laparoscopic surgery. However, a totally laparoscopic approach can decrease the size of the abdominal wound and curtail the impact on respiration. We present a novel, totally laparoscopic transhiatal technique that may reduce respiratory complications following thoracoscopic esophagectomy. Read More

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Clinical Outcomes and Technical Approach of Thymectomy in the Veterans Health Administration.

Ann Thorac Surg 2021 Jun 1. Epub 2021 Jun 1.

Division of Cardiothoracic Surgery, Veterans Affairs Medical Center, Washington, D.C. USA; Department of Surgery, George Washington University, Washington D.C., USA. Electronic address:

Background: Thymectomy is traditionally performed via transsternal incision, but less invasive modalities have emerged, including transcervical, thoracoscopic, and robotic approaches. Despite the advantages of video-assisted thoracoscopic surgery(VATS) over thoracotomy, most thymectomies are performed via sternotomy. This study compared the utilization and 30-day post-operative outcomes of transsternal, transcervical, and VATS thymectomy in the Veterans Health Administration. Read More

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Comparison of Open and Thoracoscopic Esophagectomy in Patients With Locally Advanced Esophageal Squamous Cell Carcinoma After Neoadjuvant Therapy.

Anticancer Res 2021 Jun;41(6):3011-3021

Department of Surgical Oncology, Hiroshima University, Hiroshima, Japan.

Background/aim: The safety and effectiveness of thoracoscopic compared with open esophagectomy remain uncertain. We aimed to clarify the differences between these surgical modalities in patients with esophageal squamous cell carcinoma (ESCC) who underwent neoadjuvant therapy.

Patients And Methods: We reviewed surgical outcomes among 133 patients with locally advanced ESCC who underwent neoadjuvant therapy followed by esophagectomy. Read More

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Surgical management of a COVID-19-associated necrotic pneumonia.

BMJ Case Rep 2021 Jun 2;14(6). Epub 2021 Jun 2.

Cardiothoracic Surgery, Royal Papworth Hospital NHS Foundation Trust, Cambridge, UK.

At the outset of the pandemic, SARS-CoV-2 was thought to present simply as persistent cough and fever. However, with time, the medical community noted a myriad of associated symptoms well-described in the literature. Medical complications were particularly common in elderly populations and many early publications described pneumonia, organ failure, acute respiratory distress syndrome, hypercoagulability/microthrombosis and superimposed bacterial/viral infections. Read More

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Uniportal Single-Direction Thoracoscopic Right S9 Segmentectomy: Trans-Inferior-Pulmonary-Ligament Approach.

Ann Surg Oncol 2021 Jun 3. Epub 2021 Jun 3.

Department of Thoracic Surgery, West China Hospital, Chengdu, Sichuan, China.

Background: We previously described a three-port single-direction thoracoscopic segmentectomy for the right S9, which is the most challenging anatomic segmentectomy. However, uniportal thoracoscopic surgery has been widely accepted for the therapy of early stage non-small cell lung cancer in the past decade.

Methods: In this multimedia article, we describe a uniportal thoracoscopic right S9 segmentectomy through an inferior pulmonary ligament approach following a single-direction strategy and using the stem-branch method for segmental structure tracking. Read More

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