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Thoracic Surgical Procedures (10):
Recent article
Thoracic Surgical Procedures
The Lancet (377)9772 2011
Abstract
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Abstract
To characterize the perioperative course of C-reactive protein (CRP) and inflammatory mediators in neonates ≤44 weeks' corrected gestational age.
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PMID: 21419426
PDF is available here.
PDF is available here.
Abstract
Recent results in cancer research. Fortschritte der Krebsforschung. Progres dans les recherches sur le cancer (189) 2011
Abstract
The treatment of malignant pleural mesothelioma is controversial, particularly regarding the role of surgery. Though well accepted as a diagnostic modality, surgery is also frequently used to establish stage, provide palliation, and perhaps most controversially, to offer cytoreductio...
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PMID: 21479898
PDF is available here.
PDF is available here.
Abstract
We test our hypothesis that mentored instruction on cardiothoracic simulators will enhance the interest of junior medical students in cardiothoracic surgery.
First- and second-year medical students were recruited from a "surgery interest group" to receive mentored instruction on high-fidelity cardio...
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PMID: 21095347
PDF is available here.
PDF is available here.
Abstract
Abstract
Diaphragmatic plication is usually obtained by suturing the entire dome, which can be laborious when an anterior approach is used. The same result can be obtained by anchoring the redundant diaphragm to the anterior costal arch maneuver, which resembles the action of reefing the mainsail on the boom...
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PMID: 21095375
PDF is available here.
PDF is available here.
Abstract
A case of neurinoma arising from the right brachial plexus with intrathoracic extension was reported. The patient was a 41-year-old man who had an abnormal shadow in the right apical area on the routine chest X-ray examination. Magnetic resonance imaging (MRI) revealed that the mass had some feature...
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PMID: 21174662
PDF is available here.
PDF is available here.
Abstract
Abstract
We studied how these changes had affected postoperative management of patients after pleuropneumonectomy.
We retrospectively reviewed 22 patients who had undergone pleuropneumonectomy for malignant pleural mesothelioma from 2001 to 2008. They were divided into two groups; those before 2003 (n = 6) a...
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PMID: 21077309
PDF is available here.
PDF is available here.
Abstract
We report results from a focused quality-improvement initiative to rationalise treatment of perioperative anaemia. Transfusion rates declined significantly across each phase of the project....
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PMID: 20977993
PDF is available here.
PDF is available here.
Abstract
We describe our experience with a patient who had complete thoracic ectopia cordis treated with staged chest wall reconstruction. The first stage involved temporary closure with synthetic material, and the second stage involved definitive reconstruction with autologous bone and cartilage grafts supp...
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PMID: 20585230
PDF is available here.
PDF is available here.
Abstract
We review the possible means of surgical treatment of TEF, of which we most frequently used segmental tracheal resection with end-to-end anastomosis and a non-overlying suture of the esophageal defect without muscle flap interposition (16 patients), transsection of the fistula with muscular flap int...
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PMID: 21121142
PDF is available here.
PDF is available here.
Abstract
Airway infantile hemangiomas can cause life-threatening airway compromise from the first year of life. Diagnosis, treatment protocols and outcome measures are not standardized for this condition, making systematic assessment of treatments and outcomes difficult. This article summarizes the treatment...
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PMID: 20658907
PDF is available here.
PDF is available here.
Abstract
We completed a search of peer reviewed literature from MEDLINE (from 1950), CINAHL (from 1982) and the Cochrane Library. Final search results were limited to publications in which the primary intent was to describe the application or interpretations of capnography in children.
This search resulted i...
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PMID: 20635124
PDF is available here.
PDF is available here.
Abstract
We used an "open chest" approach as a feasible modality for managing these difficult patients. In this single-institution review of patients managed with this technique, we report the criteria for consideration, technical aspects, and overall effectiveness of this peri-operative strategy.
Copyright...
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PMID: 20456981
PDF is available here.
PDF is available here.
Abstract
Many technical variations have been introduced for the surgical correction of pectus excavatum (PE). The authors reviewed the literature to provide a detailed overview of the general principles of pectus excavatum repair, bar insertion and removal techniques.
A comprehensive review of the literature...
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PMID: 20533129
PDF is available here.
PDF is available here.
Abstract
Because extrapleural pneumonectomy (EPP) for malignant pleural mesothelioma (MPM) suffers from unsatisfiable risk/benefit ratio, very careful consideration on its indication should be required. EPP is a complicated, multi-step surgery that includes pleural dissection, division of hilum, resection of...
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PMID: 20715442
PDF is available here.
PDF is available here.
Orvosi Hetilap (151)24 2010
Abstract
Abstract
We found a significant decrease for malondialdehyde and higher values of glutathione peroxidase measurements in the plasma and BAL during propofol anaesthesia. Significantly higher levels of malondialdehyde and lower concentrations of glutathione peroxidase in plasma and BAL were found during sevofl...
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PMID: 20442581
PDF is available here.
PDF is available here.
Abstract
We know about the biology of mesothelioma has been gleaned from studying the surgical pathophysiology, including the delineation of histopathologic subtypes, disease stage stratification with survival, the propensity for local (in contrast to systemic) recurrence, as well as the prognostic effect of...
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PMID: 20524919
PDF is available here.
PDF is available here.
Abstract
Surgical treatment of eventration or paralysis of the diaphragm is symptomatic and non curative, and depends on whether the dysfunction is of peripheral or central origin. Elevation of a hemidiaphragm of peripheral origin, the most frequent situation, needs surgical treatment only in case of major f...
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PMID: 20610072
PDF is available here.
PDF is available here.
Abstract
Endobronchial and endoscopic ultrasound-guided fine-needle aspiration: a must for thoracic surgeons.
Abstract
We recommend that nonmalignant EBUS or EUS cytologic findings should be confirmed with a surgical MLN biopsy (ie, mediastinoscopy or thoracoscopy) if the pretest probability of malignancy is high.
2010 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved....
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PMID: 20493985
PDF is available here.
PDF is available here.
Abstract
These initial cases prove the safety and efficacy of the Sternal Talon device for sternum closure in high-risk patients and may be regarded as an alternative to conventional wire closure. Future prospective studies are warranted to prove the superiority of the device in terms of long-term stability...
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PMID: 20494064
PDF is available here.
PDF is available here.
Abstract
Abstract
Segmental bronchial sleeve resection: preserving all lung parenchyma for benign/low-grade neoplasms.
Abstract
Segmental bronchial sleeve resection is complex in technique and may have an increased risk of complications compared to a standard sleeve resection, but it is an effective and safe bronchoplastic technique for selected patients with benign or low-grade malignant bronchial tumors when performed care...
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PMID: 20494020
PDF is available here.
PDF is available here.
Abstract
Separation initiated from the tracheal bifurcation, a pedicled mediastinal pleural flap pulled into the neck, a tracheal anastomosis sewn onto the cricoid cartilage with avoidance of its posterolateral elbow, a shaped Dumon stent (Novatech, Plan de Grasse, France) with an individually fenestrated tr...
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PMID: 20494029
PDF is available here.
PDF is available here.
Abstract
We performed a three-stage reconstruction of the airway and alimentary tract in an infant with tracheal agenesis. This procedure involved a double cervical esophagostomy followed by an anastomosis of the upper mid-esophagus and carinal trachea. Finally, the esophagus was reconstructed by an anastomo...
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PMID: 20494075
PDF is available here.
PDF is available here.
Abstract
Nanotechnology is an exciting and rapidly progressing field offering potential solutions to multiple challenges in the diagnosis and treatment of lung cancer, with the potential for improving imaging and mapping techniques, drug delivery, and ablative therapy. With promising preclinical results in m...
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PMID: 20494008
PDF is available here.
PDF is available here.
Abstract
The application of pumpless iLA was hemodynamically well tolerated, and allowed for safe procedures in respiratory compromised patients, avoiding the application and consequences of cardiopulmonary bypass or pump-driven extracorporeal membrane oxygenation.
2010 The Society of Thoracic Surgeons. Publ...
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PMID: 20494028
PDF is available here.
PDF is available here.
Abstract
Four-hour focused training with porcine model and task station resulted in improved ability to perform anastomoses. Boot Camp may be useful in preparing residents for coronary anastomosis in the clinical setting, but emphasis on simulation development and deliberate practice is necessary.
Published...
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PMID: 19846125
PDF is available here.
PDF is available here.
Abstract
Our results suggest no differences between the Nuss procedure vs the Ravitch procedure with respect to overall complications, length of hospital stay, and time to ambulation. However, the rate of reoperation, postoperative hemothorax, and pneumothorax after the Nuss procedure were higher compared to...
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PMID: 20438918
PDF is available here.
PDF is available here.
Abstract
Despite discrepancies in the literature, some patterns can be discerned. The ratio of lung:liver involvement is higher in children than in adults. Most pulmonary cases are discovered incidentally on routine radiograph evaluation; also most infected individuals remain asymptomatic until the cyst enla...
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PMID: 20216420
PDF is available here.
PDF is available here.
Zentralblatt für Chirurgie (135)2 2010
Abstract
With the exception of minimal invasive surgery, each division featured 10-15 % of serious complications. Losses for these cases ranged from 159 % (thoracic surgery) to 102 % (other abdominal surgery) of the overall loss in each division. Cases with excessive losses, representing 1.5 % of all patient...
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PMID: 20379945
PDF is available here.
PDF is available here.
Abstract
Authors point out a possibility of improving operative results in thoracic surgery with acute state. They prove it with two groups of patients, where preoperative complications are anticipated. The first group consists of the patients with thorax injury and the second group consists of the patients...
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PMID: 20586166
PDF is available here.
PDF is available here.
Abstract
In the past decade, rapid technical developments and advancements of multidetector computed tomography (MDCT) have revolutionized the preoperative imaging evaluation of thoracic vascular and tracheobronchial anomalies and abnormalities in infants and children. Multidetector computed tomography enabl...
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PMID: 20385293
PDF is available here.
PDF is available here.
Abstract
The median survival time was 22 months, with 3-year survival rate reaching 28.1% and 5-year survival rate reaching 19.0%. Age, sex, different histological classification and postoperative chemoradiotherapy seem to have no correlation with 5-year survival rate. In all N2 subtypes, 5-year survival rat...
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PMID: 20677562
PDF is available here.
PDF is available here.
Abstract
Abstract
We applied the transmanubrial osteomuscular-sparing approach in two patients. In both cases, exposure of the subclavian vessels was excellent. In one case, the subclavian artery was resected and reconstructed with a polytetrafl uoroethylene graft. This patient has continued to show recurrence-free s...
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PMID: 20349307
PDF is available here.
PDF is available here.
Abstract
OBJECTIVE: Currently, the treatment of pneumothorax varies among hospitals. Three factors account for the differences. First, pneumothorax expresses the state of disease instead of the disease itself. Some pneumothoraces heal on their own but patients with pneumothorax due to chronic diseases may ne...
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PMID: 20349299
PDF is available here.
PDF is available here.
Abstract
Abstract
We here report a rare case of synovial sarcoma of the chest wall. A 71-year-old Japanese woman noticed a left anterior chest wall mass after twice having had surgery for lung cancer. An aspiration biopsy diagnosed synovial sarcoma. She then underwent a surgical resection. Pathology examination revea...
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PMID: 20155347
PDF is available here.
PDF is available here.
Abstract
Abstract
Abstract
Since 1998, there have been three World Heath Organization symposiums on pulmonary hypertension. The most recent meeting in 2008 at Dana Point included revisions of the classification scheme and updates on new trials and therapies. New drugs have been utilized in cardiac, lung, or liver transplant o...
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PMID: 20019603
PDF is available here.
PDF is available here.
Abstract
The literature on this topic currently includes case reports or series of clinically prospective or retrospective observational reports with the use of robotic systems, involving the thoracic cavity (mediastinal mass resections, lobectomies, and esophagectomies); unfortunately there are very limited...
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PMID: 19844177
PDF is available here.
PDF is available here.
The Surgeon (8)1 2010
Abstract
We review the history of thoraco-abdominal aortic aneurysm repair, the exciting advances in their treatment and discuss our approach to the management of thoraco-abdominal aortic aneurysms in the 21st century....
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PMID: 20222400
PDF is available here.
PDF is available here.
Abstract
Abstract
Dexmedetomidine reduced the use of supplementary fentanyl during surgery. Patients in group B consumed more analgesics and had higher pain scores after operation than patients of group D. The level of sedation was similar between the two groups in the ICU. Two patients (8%) in group B reported possi...
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PMID: 20085547
PDF is available here.
PDF is available here.
Voenno-meditsinskii zhurnal (331)1 2010
Abstract
The article presents an overall estimate of experience of surgical treatment of ballistic penetrating wounds of bosom of 1920 wounded in Afgan war (1979-1989) and 367 wounded during the armed conflict on Northern Caucasus (1994-1996). Ballistic penetrating wounds of bosom in modern military conflict...
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PMID: 20536034
PDF is available here.
PDF is available here.
Abstract
We describe the management of postoperative flail chest, following resection of upper two-third of the sternum along with costal cartilages for a malignant thymoma invading the sternum in an adult male with the use of continuous epidural analgesia and continuous positive airway pressure (CPAP), whic...
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PMID: 20593640
PDF is available here.
PDF is available here.
Nippon Geka Gakkai zasshi (111)1 2010
Abstract
Medicinski arhiv (64)2 2010
Abstract
The aim of this research is to determine: the influence of continuous opiate and intermittent non-opiate postoperative analgesia on thoracic surgical patients' acute phase response, based on acute phase response protein serum values (IL-6 and C-reactive protein) 24, 48 and 72 hours aftersurgery; to...
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PMID: 20514780
PDF is available here.
PDF is available here.
Abstract
This study was conducted to develop a clinical pathway for primary spontaneous pneumothorax (PSP) patients treated by wedge resection surgery. The authors also aimed to evaluate the effects of the implementation of the PSP clinical pathway on (1) complication occurrence rates, (2) self-efficacy with...
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PMID: 20940567
PDF is available here.
PDF is available here.
Nursing Times (106)22 2010
Abstract
We did it ourselves and learnt so much. CONCLUSION: Patients and staff recognised howthe new role significantly improved the quality of thoracic nursing care. However, there were many challenges to address, including role conflict and funding....
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PMID: 20593675
PDF is available here.
PDF is available here.
Khirurgiia ()2 2010
Abstract
Khirurgiia ()2 2010
Abstract
Khirurgiia ()1 2010
Abstract
Microbiologic analysis of tracheal and gastrostomic discharge was performed in 327 patients with iatrogenic injuries of trachea and esophagus, operated during 2003-2008. Main groups of microorganisms, colonizing the tracheobronchial tree were defined. St. epidermalis was defined in 3.9-13.3%, St. au...
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PMID: 20336037
PDF is available here.
PDF is available here.