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Start Over Descriptor "thoracoscopic surgery" Journal general thoracic and cardiovascular surgery
20 results on '"thoracoscopic surgery"'

2. Non-stapling thoracoscopic surgery for spontaneous pneumothorax in young patients.

Author

Suzuki H, Tsunezuka H, Okada S, Shimomura M, Ishihara S, and Inoue M

Subjects
Humans, Male, Female, Retrospective Studies, Young Adult, Treatment Outcome, Adolescent, Thoracoscopy adverse effects, Thoracoscopy methods, Adult, Time Factors, Length of Stay, Operative Time, Suture Techniques, Thoracic Surgery, Video-Assisted adverse effects, Ligation, Pneumothorax surgery, Recurrence
Abstract

Objectives: Spontaneous pneumothorax in young patients has a high recurrence rate, even after surgical treatment, and bulla neogenesis around stapled lesions has been reported as a cause of postoperative recurrence. We investigate the clinical safety and long-term outcome of non-stapling thoracoscopic surgery for spontaneous pneumothorax in young patients., Methods: Twenty-seven non-stapling thoracoscopic surgeries for pneumothorax in 24 patients younger than 25 years were retrospectively reviewed. The non-stapling surgical techniques used to treat bullae included thoracoscopic suture plication, soft-coagulation, covering, and ligation. Long-term follow-up was conducted by telephone or by a mailed questionnaire., Results: In 22 (81.5%) operations, suture plication, soft-coagulation, and covering procedures were used in combination. The median number of bullae treated in one operation was 2 (range, 0-6). The median operative time was 97 min, and the median postoperative drainage and postoperative hospital stay periods were 1 and 3 days, respectively. No complications of grade 2 or higher were observed. Patients were followed for at least 30 (median, 37) months. The postoperative recurrence rate was 3.7%, with one case of recurrence due to bulla neogenesis at a distant site., Conclusion: Non-stapling thoracoscopic surgery with covering procedure for pneumothorax in young patients might reduce postoperative recurrence., (© 2023. The Author(s), under exclusive licence to The Japanese Association for Thoracic Surgery.)

Published
2024
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12. Results of video-assisted thoracoscopic surgery for esophageal cancer during the induction period

Author

Masashi Takemura, Genichi Nishimura, Harushi Osugi, Masato Kayahara, Hisatoshi Nakagawara, Shigeru Lee, Hiroyuki Takamura, Tetsuo Ohta, Takashi Fujimura, and Itasu Ninomiya

Subjects
Male, Pulmonary and Respiratory Medicine, medicine.medical_specialty, Esophageal Neoplasms, medicine.medical_treatment, Esophageal cancer, Atelectasis, Group B, Thoracoscopic surgery, Postoperative Complications, medicine, Humans, Learning curve, Aged, Surgical team, Thoracic Surgery, Video-Assisted, business.industry, General Medicine, Middle Aged, medicine.disease, Cardiac surgery, Surgery, Esophagectomy, Supervisor, Direction, Cardiothoracic surgery, Anesthesia, Video-assisted thoracoscopic surgery, Carcinoma, Squamous Cell, Lymph Node Excision, Female, Clinical Competence, Cardiology and Cardiovascular Medicine, business
Abstract

金沢大学医学部附属病院胃腸外科, Objective. The attainment of proficiency in thoracoscopic radical esophagectomy for thoracic esophageal cancer requires much experience. We aimed to master this procedure safely with our regular surgical team members under the direction of an experienced surgeon. We evaluated the efficacy of instruction during the induction period and the significance of our results. Methods. We compared the results of 12 thoracic esophageal cancer patients who underwent thoracoscopic radical esophagectomy in our institution (group A) to those of the initial 17 patients who underwent the same operation at the director's institution (group B). Results. We were able to perform complete thoracoscopic radical esophagectomies without any direction after experiencing 10 cases that were performed under adequate direction. The number of dissected lymph nodes and the duration of the procedure were similar in the two groups: 34 (22-53) vs. 26 (9-55) nodes, P = 0.23; and 327.5 (230-455) vs. 315 (190-515) min, P = 0.947, respectively. The amount of thoracic blood loss was significantly less in group A than in group B: 185 (110-380) g vs. 440 (110-2360) g, P = 0.0035. Postoperative pneumonia and atelectasis were observed in 25.0% of group A patients and in 17.6% of group B patients. The incidence of recurrent nerve palsy was 30.7% in group A and 11.7% in group B, but there was no statistically significant difference (P = 0.19). The morbidity rates in group A and group B were 41.6% and 29.4%, respectively (P = 0.694). Conclusion. Thoracoscopic radical esophagectomy can be mastered relatively quickly and safely under the direction of an experienced surgeon and a regular surgical team. © 2008 The Japanese Association for Thoracic Surgery.

Published
2008

18. Extrapulmonary hamartoma

Author

Endo, Tetsuya, Endo, Shunsuke, Hasegawa, Tsuyoshi, Tetsuka, Kenji, Yamamoto, Shinichi, Otani, Shinichi, Kanai, Yoshihiko, and Tezuka, Yasuhiro

Published
2011
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