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Your search keyword '"Feng, Yong‐Geng"' showing total 13 results
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13 results on '"Feng, Yong‐Geng"'

8. Multi‐center experience in an optimized right upper lobectomy surgical procedure in China.

Author

Mei, Long‐Yong, Liu, Wen‐Zhou, Xiu, Yu‐Chi, Tao, Shao‐Lin, Feng, Yong‐Geng, Tan, Qun‐You, Xu, Shi‐Guang, Xian, Lei, and Deng, Bo

Subjects
SURGICAL robots, LUNG tumors, RETROSPECTIVE studies, TREATMENT effectiveness, RESEARCH funding, THORACOSCOPY, VIDEO-assisted thoracic surgery, PROGRESSION-free survival, PNEUMONECTOMY, PATIENT safety, LONGITUDINAL method
Abstract

Background: This multi‐center study was aimed at retrospectively evaluating the feasibility, safety, clinical outcomes, and surgical learning curve of an optimized procedure for right upper lobectomy (RUL), which is challenging because of the anatomical structures and features of this lobe. Methods: This study included 45 RUL cases of robot‐assisted thoracoscopy (RATS) in a pilot cohort and 187 RUL cases of video‐assisted thoracoscopy (VATS) in three cohorts. A total of 121 and 111 patients underwent traditional and optimized RUL, respectively. The optimized surgical procedure was performed to consecutively transect the superior arterial trunk and bronchus, and finally disconnect the pulmonary vein and posterior ascending artery with interlobar fissures. Clinical and radiological data were reviewed retrospectively. Results: Optimized RUL can be performed successfully by RATS or VATS. The optimized procedure yielded better clinical outcomes than the traditional procedure, including shorter operation times, less blood loss, fewer complications, shorter hospital times, lower costs, and a lower likelihood of postoperative intermedius bronchial kinking. Additionally, for calcified interlobar lymph nodes, the optimized VATS group was less likely to be converted to thoracotomy than the traditional group. The skills required to perform optimized VATS RUL can be gained by surgeons after 12 to 15 cases. The two RUL procedures in the pilot cohort showed similar disease‐free survival. Conclusions: The optimized RUL was safe, economical, and feasible, with a short learning curve and satisfactory disease‐free survival. [ABSTRACT FROM AUTHOR]

Published
2023
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13. Management of sternal osteomyelitis and mediastinal infection following median sternotomy

Author

Ju, Gao, You-li, Wang, Shu-qiang, Lu, Ai-bing, Cai, Zhi-fu, Yang, Zhi-yi, Han, Jiu-jiang, Li, Yu-ming, Wen, Feng-yong, Geng, and Wen-zhang, Wang

Subjects
Adult, Male, Sternum, Adolescent, Osteomyelitis, Middle Aged, Sternotomy, Surgical Flaps, Mediastinitis, Debridement, Humans, Surgical Wound Infection, Aged, Follow-Up Studies, Retrospective Studies
Abstract

Median sternotomy is considered the most usually performed procedure in cardiac operations. This study aimed to assess clinical effectiveness of bilateral pectoralis major muscle flaps (BPMMF) for management of sternal osteomyelitis and mediastinal infection following median sternotomy.Clinical data were collected and retrospectively analyzed from twelve patients who underwent the BPMMF transposition for management of sternal osteomyelitis and mediastinal infection following median sternotomy from January 2006 to June 2009. Procedure consisted of rigorous debridement of necrotic tissues, dead space obliteration using the BPMMF, and placement of drainage tubes connected to a negative pressures generator for adequate drainage.No patients died of drainage, and all 12 patients had viable BPMMF when discharged from hospital. At 1 week post discharge, 2 patients presented with sternal infection but recovered following local debridement and medication. No patients showed infection recurrence during the follow-up period over 10 months.Sternal osteomyelitis and mediastinal infection following median sternotomy may be effectively managed through rigorous debridement of infected soft tissues, resection of the damaged sternal segment, transposition of the BPMMF to fill the damaged sternum resulting from debridement, and adequate postoperative drainage.

Published
2010

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