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The Journal of Thoracic and... Jun 2017
Review
Topics: Anti-Bacterial Agents; Consensus; Drainage; Empyema, Pleural; Evidence-Based Medicine; Fibrinolytic Agents; Humans; Societies, Medical; Thoracentesis; Thoracic Surgery; Thoracic Surgery, Video-Assisted; Thoracic Surgical Procedures; Thoracotomy; Treatment Outcome
PubMed: 28274565
DOI: 10.1016/j.jtcvs.2017.01.030 -
European Heart Journal Jan 2019
Topics: Cardiology; Humans; Myocardial Revascularization; Thoracic Surgery
PubMed: 30165437
DOI: 10.1093/eurheartj/ehy394 -
European Journal of Cardio-thoracic... Jan 2019
Review
Current options and recommendations for the treatment of thoracic aortic pathologies involving the aortic arch: an expert consensus document of the European Association for Cardio-Thoracic surgery (EACTS) and the European Society for Vascular Surgery (ESVS).
Topics: Aorta, Thoracic; Aortic Diseases; Consensus; Europe; Humans; Societies, Medical; Thoracic Surgery; Vascular Surgical Procedures
PubMed: 30312382
DOI: 10.1093/ejcts/ezy313 -
The Journal of Thoracic and... Jun 2017
Review
Topics: Anti-Infective Agents; Cardiac Surgical Procedures; Consensus; Endocarditis; Evidence-Based Medicine; Humans; Societies, Medical; Thoracic Surgery; Treatment Outcome
PubMed: 28365016
DOI: 10.1016/j.jtcvs.2016.09.093 -
The Journal of Thoracic and... Jun 2018To highlight some of the legendary figures in the medical field who have paved the path of thoracic surgery today. (Review)
Review
OBJECTIVE
To highlight some of the legendary figures in the medical field who have paved the path of thoracic surgery today.
METHODS
We reviewed historical articles and landmark studies published in anesthesiology, pulmonology, and thoracic surgery, and summarized them as they pertain to current practice.
RESULTS
Throughout our article, we have attempted to chronologically depict how our field has evolved, starting from the development of the stethoscope to reconstructing the esophagus using an extracorporeal tube to minimally invasive complex surgeries that we practice today.
CONCLUSIONS
We hope that our article can inspire the young minds to further grow the field and take it to higher levels.
Topics: History, 15th Century; History, 18th Century; History, 19th Century; History, 20th Century; History, 21st Century; Humans; Laryngoscopes; Minimally Invasive Surgical Procedures; Respiratory System; Robotic Surgical Procedures; Stethoscopes; Thoracic Surgical Procedures; Thoracoscopes
PubMed: 29501230
DOI: 10.1016/j.jtcvs.2017.12.149 -
The Journal of Thoracic and... Nov 2020
Topics: Education, Medical, Graduate; History, 21st Century; Humans; Thoracic Surgery; Thoracic Surgical Procedures
PubMed: 32245669
DOI: 10.1016/j.jtcvs.2019.12.132 -
The Journal of Thoracic and... Jan 2022
Topics: Cardiac Surgical Procedures; Heart Defects, Congenital; Humans; Internship and Residency; Postoperative Complications; Preceptorship; Surgeons; Thoracic Surgery
PubMed: 33581903
DOI: 10.1016/j.jtcvs.2020.12.115 -
British Journal of Anaesthesia Jan 2023Airway driving pressure, easily measured as plateau pressure minus PEEP, is a surrogate for alveolar stress and strain. However, the effect of its targeted reduction... (Randomized Controlled Trial)
Randomized Controlled Trial
BACKGROUND
Airway driving pressure, easily measured as plateau pressure minus PEEP, is a surrogate for alveolar stress and strain. However, the effect of its targeted reduction remains unclear.
METHODS
In this multicentre trial, patients undergoing lung resection surgery were randomised to either a driving pressure group (n=650) receiving an alveolar recruitment/individualised PEEP to deliver the lowest driving pressure or to a conventional protective ventilation group (n=650) with fixed PEEP of 5 cm HO. The primary outcome was a composite of pulmonary complications within 7 days postoperatively.
RESULTS
The modified intention-to-treat analysis included 1170 patients (mean [standard deviation, sd]; age, 63 [10] yr; 47% female). The mean driving pressure was 7.1 cm HO in the driving pressure group vs 9.2 cm HO in the protective ventilation group (mean difference [95% confidence interval, CI]; -2.1 [-2.4 to -1.9] cm HO; P<0.001). The incidence of pulmonary complications was not different between the two groups: driving pressure group (233/576, 40.5%) vs protective ventilation group (254/594, 42.8%) (risk difference -2.3%; 95% CI, -8.0% to 3.3%; P=0.42). Intraoperatively, lung compliance (mean [sd], 42.7 [12.4] vs 33.5 [11.1] ml cm HO; P<0.001) and Pa (median [inter-quartile range], 21.5 [14.5 to 30.4] vs 19.5 [13.5 to 29.1] kPa; P=0.03) were higher and the need for rescue ventilation was less frequent (6.8% vs 10.8%; P=0.02) in the driving pressure group.
CONCLUSIONS
In lung resection surgery, a driving pressure-guided ventilation improved pulmonary mechanics intraoperatively, but did not reduce the incidence of postoperative pulmonary complications compared with a conventional protective ventilation.
CLINICAL TRIAL REGISTRATION
NCT04260451.
Topics: Humans; Female; Middle Aged; Male; Positive-Pressure Respiration; Thoracic Surgery; Lung; Postoperative Complications; Thoracic Surgical Procedures; Tidal Volume
PubMed: 35995638
DOI: 10.1016/j.bja.2022.06.037 -
Nagoya Journal of Medical Science May 2020Thoracic surgery has evolved drastically in recent years. Although thoracic surgeons mainly deal with tumorous lesion in the lungs, mediastinum, and pleura, they also... (Review)
Review
Thoracic surgery has evolved drastically in recent years. Although thoracic surgeons mainly deal with tumorous lesion in the lungs, mediastinum, and pleura, they also perform lung transplantation surgery in patients with end-stage lung disease. Herein, we introduce various major current topics in thoracic surgery. Minimally invasive surgical procedures include robot-assisted thoracic surgery and uniportal video-assisted thoracic surgery. Novel techniques for sublobar resection include virtual-assisted lung mapping, image-guided video-assisted thoracic surgery, and segmentectomy using indocyanine green. Three-dimensional (3D) computed tomography (CT) simulation consists of surgeon-friendly 3D-CT image analysis systems and new-generation, dynamic 3D-CT imaging systems. Updates in cadaveric lung transplantation include use of marginal donors, including donation after circulatory death, and lung perfusion for such donors. Topics in living donor lobar lung transplantation include size matching, donor issues, and new surgical techniques. During routine clinical practice, thoracic surgeons encounter various pivotal topics related to thoracic surgery, which are described in this report.
Topics: Humans; Imaging, Three-Dimensional; Living Donors; Lung Neoplasms; Lung Transplantation; Mediastinal Neoplasms; Organ Preservation; Pleural Neoplasms; Pneumonectomy; Robotic Surgical Procedures; Surgery, Computer-Assisted; Thoracic Surgery, Video-Assisted; Thoracic Surgical Procedures; Tissue and Organ Procurement; Tomography, X-Ray Computed
PubMed: 32581397
DOI: 10.18999/nagjms.82.2.161 -
The Journal of Thoracic and... Oct 2019
Topics: Social Media; Thoracic Surgery; Thoracic Surgical Procedures
PubMed: 31422855
DOI: 10.1016/j.jtcvs.2019.06.100