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28 results on '"Pischik, Vadim"'

3. A Delphi Consensus report from the 'Prolonged Air Leak: A Survey' study group on prevention and management of postoperative air leaks after minimally invasive anatomical resections

Author

Zaraca, Francesco, Brunelli, Alessandro, Pipitone, Marco Damiano, Abdellateef, Amr, Abu Akar, Firas, Augustin, Florian, Batchelor, Tim, Bertani, Alessandro, Crisci, Roberto, D'Amico, Thomas, D'Journo, Xavier Benoit, Droghetti, Andrea, Fang, Wentao, Gonfiotti, Alessandro, Janík, Miroslav, Jiménez, Marcelo, Kirschbaum, Andreas, Kostic, Marko, Lazzaro, Richard, Lucchi, Marco, Marra, Alessandro, Murthy, Sudish, Ng, Calvin S H, Nachira, Dania, Pardolesi, Alessandro, Perkmann, Reinhold, Petersen, René Horsleben, Pischik, Vadim, Russo, Michele Dario, Opitz, Isabelle, et al, and University of Zurich

Subjects
10255 Clinic for Thoracic Surgery, 2740 Pulmonary and Respiratory Medicine, 610 Medicine & health, 2705 Cardiology and Cardiovascular Medicine, 2746 Surgery
Published
2022

4. A Delphi Consensus report from the 'Prolonged Air Leak:A Survey' study group on prevention and management of postoperative air leaks after minimally invasive anatomical resections

Author

Zaraca, Francesco, Brunelli, Alessandro, Pipitone, Marco Damiano, Abdellateef, Amr, Abu Akar, Firas, Augustin, Florian, Batchelor, Tim, Bertani, Alessandro, Crisci, Roberto, D'amico, Thomas, D'journo, Xavier Benoit, Droghetti, Andrea, Fang, Wentao, Gonfiotti, Alessandro, Janík, Miroslav, Jimenez, Marcelo, Kirschbaum, Andreas, Kostic, Marko, Lazzaro, Richard, Lucchi, Marco, Marra, Alessandro, Murthy, Sudish, Ng, Calvin S.H., Nachira, Dania, Pardolesi, Alessandro, Perkmann, Reinhold, Petersen, Rene Horsleben, Pischik, Vadim, Russo, Michele Dario, Opitz, Isabelle, Spaggiari, Lorenzo, Ugalde, Paula A., Vannucci, Fernando, Veronesi, Giulia, Bertolaccini, Luca, Zaraca, Francesco, Brunelli, Alessandro, Pipitone, Marco Damiano, Abdellateef, Amr, Abu Akar, Firas, Augustin, Florian, Batchelor, Tim, Bertani, Alessandro, Crisci, Roberto, D'amico, Thomas, D'journo, Xavier Benoit, Droghetti, Andrea, Fang, Wentao, Gonfiotti, Alessandro, Janík, Miroslav, Jimenez, Marcelo, Kirschbaum, Andreas, Kostic, Marko, Lazzaro, Richard, Lucchi, Marco, Marra, Alessandro, Murthy, Sudish, Ng, Calvin S.H., Nachira, Dania, Pardolesi, Alessandro, Perkmann, Reinhold, Petersen, Rene Horsleben, Pischik, Vadim, Russo, Michele Dario, Opitz, Isabelle, Spaggiari, Lorenzo, Ugalde, Paula A., Vannucci, Fernando, Veronesi, Giulia, and Bertolaccini, Luca

Abstract

OBJECTIVES: This study reports the results of an international expert consensus process evaluating the assessment of intraoperative air leaks (IAL) and treatment of postoperative prolonged air leaks (PAL) utilizing a Delphi process, with the aim of helping standardization and improving practice. METHODS: A panel of 45 questions was developed and submitted to an international working group of experts in minimally invasive lung cancer surgery. Modified Delphi methodology was used to review responses, including 3 rounds of voting. The consensus was defined a priori as >50% agreement among the experts. Clinical practice standards were graded as recommended or highly recommended if 50-74% or >75% of the experts reached an agreement, respectively. RESULTS: A total of 32 experts from 18 countries completed the questionnaires in all 3 rounds. Respondents agreed that PAL are defined as >5 days and that current risk models are rarely used. The consensus was reached in 33/45 issues (73.3%). IAL were classified as mild (<100 ml/min; 81%), moderate (100-400 ml/min; 71%) and severe (>400 ml/min; 74%). If mild IAL are detected, 68% do not treat; if moderate, consensus was not; if severe, 90% favoured treatment. CONCLUSIONS: This expert consensus working group reached an agreement on the majority of issues regarding the detection and management of IAL and PAL. In the absence of prospective, randomized evidence supporting most of these clinical decisions, this document may serve as a guideline to reduce practice variation.

Published
2022

5. A Delphi Consensus report from the "Prolonged Air Leak: A Survey" study group on prevention and management of postoperative air leaks after minimally invasive anatomical resections

Author

Zaraca, Francesco, primary, Brunelli, Alessandro, additional, Pipitone, Marco Damiano, additional, Abdellateef, Amr, additional, Abu Akar, Firas, additional, Augustin, Florian, additional, Batchelor, Tim, additional, Bertani, Alessandro, additional, Crisci, Roberto, additional, D’Amico, Thomas, additional, D'Journo, Xavier Benoit, additional, Droghetti, Andrea, additional, Fang, Wentao, additional, Gonfiotti, Alessandro, additional, Janík, Miroslav, additional, Jiménez, Marcelo, additional, Kirschbaum, Andreas, additional, Kostic, Marko, additional, Lazzaro, Richard, additional, Lucchi, Marco, additional, Marra, Alessandro, additional, Murthy, Sudish, additional, Ng, Calvin S H, additional, Nachira, Dania, additional, Pardolesi, Alessandro, additional, Perkmann, Reinhold, additional, Petersen, René Horsleben, additional, Pischik, Vadim, additional, Russo, Michele Dario, additional, Opitz, Isabelle, additional, Spaggiari, Lorenzo, additional, Ugalde, Paula A, additional, Vannucci, Fernando, additional, Veronesi, Giulia, additional, and Bertolaccini, Luca, additional

Published
2022
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13. Corrigendum to ‘Uniportal video-assisted thoracic surgery lobectomy: a consensus report from the Uniportal VATS Interest Group (UVIG) of the European Society of Thoracic Surgeons (ESTS)’ [Eur J Cardiothorac Surg 2019;56:224–9]

Author

Bertolaccini, Luca, primary, Batirel, Hasan, additional, Brunelli, Alessandro, additional, Gonzalez-Rivas, Diego, additional, Ismail, Mahmoud, additional, Ucar, Antonio Martin, additional, Ng, Calvin S H, additional, Scarci, Marco, additional, Sihoe, Alan D L, additional, Ugalde, Paula A, additional, Akar, Firas Abu, additional, Bedetti, Benedetta, additional, Nadal, Sergio Bolufer, additional, Brandolini, Jury, additional, Crucitti, Pierfilippo, additional, Enyedi, Attila, additional, Fernando, Hiran C, additional, Furak, Jozsef, additional, Gallego-Poveda, Javier, additional, Galvez-Munos, Carlos, additional, Hanke, Ivo, additional, Hernandez-Arenas, Luis A, additional, Janik, Miroslav, additional, Juhos, Peter, additional, Libretti, Lidia, additional, Lucciarini, Paolo, additional, Macrì, Paolo, additional, Margaritora, Stefano, additional, Mahoozi, Hamid Reza, additional, Nachira, Dania, additional, Pardolesi, Alessandro, additional, Pischik, Vadim, additional, Sagan, Dariusz, additional, Schreurs, Hermien, additional, Sekhniaidze, Dmitrii, additional, Socci, Laura, additional, Tosi, Davide, additional, Turna, Akif, additional, Vannucci, Fernando, additional, Zielinski, Marcin, additional, and Rocco, Gaetano, additional

Published
2019
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14. Uniportal video-assisted thoracic surgery lobectomy: a consensus report from the Uniportal VATS Interest Group (UVIG) of the European Society of Thoracic Surgeons (ESTS)

Author

Bertolaccini, Luca, primary, Batirel, Hasan, additional, Brunelli, Alessandro, additional, Gonzalez-Rivas, Diego, additional, Ismail, Mahmoud, additional, Ucar, Antonio Martin, additional, Ng, Calvin S H, additional, Scarci, Marco, additional, Sihoe, Alan D L, additional, Ugalde, Paula A, additional, Abu Akar, Firas, additional, Bedetti, Benedetta, additional, Nadal, Sergio Bolufer, additional, Brandolini, Jury, additional, Crucitti, Pierfilippo, additional, Enyedi, Attila, additional, Fernando, Hiran C, additional, Furak, Jozsef, additional, Gallego-Poveda, Javier, additional, Galvez-Munos, Carlos, additional, Hanke, Ivo, additional, Hernandez-Arenas, Luis A, additional, Janik, Miroslav, additional, Juhos, Peter, additional, Libretti, Lidia, additional, Lucciarini, Paolo, additional, Macrì, Paolo, additional, Margaritora, Stefano, additional, Mahoozi, Hamid Reza, additional, Nachira, Dania, additional, Pardolesi, Alessandro, additional, Pischik, Vadim, additional, Sagan, Dariusz, additional, Schreurs, Hermien, additional, Sekhniaidze, Dmitrii, additional, Socci, Laura, additional, Tosi, Davide, additional, Turna, Akif, additional, Vannucci, Fernando, additional, Zielinski, Marcin, additional, and Rocco, Gaetano, additional

Published
2019
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27. Uniportal video-assisted thoracic surgery lobectomy: a consensus report from the Uniportal VATS Interest Group (UVIG) of the European Society of Thoracic Surgeons (ESTS)

Author

Luca Bertolaccini, Hasan Batirel, Alessandro Brunelli, Diego Gonzalez-Rivas, Mahmoud Ismail, Antonio Martin Ucar, Calvin S H Ng, Marco Scarci, Alan D L Sihoe, Paula A Ugalde, Firas Abu Akar, Benedetta Bedetti, Sergio Bolufer Nadal, Jury Brandolini, Pierfilippo Crucitti, Attila Enyedi, Hiran C Fernando, Jozsef Furak, Javier Gallego-Poveda, Carlos Galvez-Munos, Ivo Hanke, Luis A Hernandez-Arenas, Miroslav Janik, Peter Juhos, Lidia Libretti, Paolo Lucciarini, Paolo Macrì, Stefano Margaritora, Hamid Reza Mahoozi, Dania Nachira, Alessandro Pardolesi, Vadim Pischik, Dariusz Sagan, Hermien Schreurs, Dmitrii Sekhniaidze, Laura Socci, Davide Tosi, Akif Turna, Fernando Vannucci, Marcin Zielinski, Gaetano Rocco, Bertolaccini, Luca, Batirel, Hasan, Brunelli, Alessandro, Gonzalez-Rivas, Diego, Ismail, Mahmoud, Ucar, Antonio Martin, Ng, Calvin S. H., Scarci, Marco, Sihoe, Alan D. L., Ugalde, Paula A., Abu Akar, Firas, Bedetti, Benedetta, Bolufer Nadal, Sergio, Brandolini, Jury, Crucitti, Pierfilippo, Enyedi, Attila, Fernando, Hiran C., Furak, Jozsef, Gallego-Poveda, Javier, Galvez-Munos, Carlos, Hanke, Ivo, Hernandez-Arenas, Luis A., Janik, Miroslav, Juhos, Peter, Libretti, Lidia, Lucciarini, Paolo, Macri, Paolo, Margaritora, Stefano, Mahoozi, Hamid Reza, Nachira, Dania, Pardolesi, Alessandro, Pischik, Vadim, Sagan, Dariusz, Schreurs, Hermien, Sekhniaidze, Dmitrii, Socci, Laura, Tosi, Davide, Turna, Akif, Vannucci, Fernando, Zielinski, Marcin, and Rocco, Gaetano

Subjects
Pulmonary and Respiratory Medicine, medicine.medical_specialty, Consensus, Delphi Technique, Lung resections, Delphi method, Delphi approach, Controlled studies, Settore MED/21 - CHIRURGIA TORACICA, Humans, Medicine, Maximum size, Pneumonectomy, Perioperative management, Single site incision, Thoracic Surgery, Video-Assisted, business.industry, Uniportal video-assisted thoracoscopic surgery, General surgery, THORACOSCOPIC LOBECTOMY, General Medicine, Perioperative, Europe, Video assisted thoracic surgery, Interest group, Surgery, Lung cancer, Cardiology and Cardiovascular Medicine, business
Abstract

OBJECTIVES Our goal was to report the results of the first consensus paper among international experts in uniportal video-assisted thoracoscopic surgery (UniVATS) lobectomy obtained through a Delphi process, the objective of which was to define and standardize the main procedural steps, optimize its indications and perioperative management and identify elements to assist in future training. METHODS The 40 members of the working group were convened and organized on a voluntary basis by the Uniportal VATS Interest Group (UVIG) of the European Society of Thoracic Surgeons (ESTS). An e-consensus finding exercise using the Delphi method was applied to require 75% agreement for reaching consensus on each question. Repeated iterations of anonymous voting continued for 3 rounds. RESULTS Overall, 31 international experts from 18 countries completed all 3 rounds of questionnaires. Although a technical quorum was not achieved, most of the responders agreed that the maximum size of a UniVATS incision should be ≤4 cm. Agreement was reached on many points outlining the currently accepted definition of a UniVATS lobectomy, its indications and contraindications, perioperative clinical management and recommendations for training and future research directions. CONCLUSIONS The UVIG Consensus Report stated that UniVATS offers a valid alternative to standard VATS techniques. Only longer follow-up and randomized controlled studies will predict whether UniVATS represents a valid alternative approach to multiport VATS for major lung resections or whether it should be performed only in selected cases and by selected centres. The next step for the ESTS UVIG is the establishment of a UniVATS section inside the ESTS databases.

Published
2019

28. Technical difficulties and extending the indications for VATS lobectomy.

Author

Pischik VG

Abstract

Background: Data on advantages of video-assisted thoracoscopic surgery (VATS) lobectomies has been accumulated during the last 10 years then number of thoracoscopic anatomic pulmonary resections rapidly increased. But still there is no agreement about limitations of the method. The most popular "technical contraindications" for VATS anatomic pulmonary resections are: dense pleural adhesions, incompleteness of interlobar fissure, previous chemo- or/and radiotherapy, perivascular or/and peribronchial fibrosis, tumor larger than 5 cm, chest wall involvement, centrally located tumor, severe comorbidity, advanced age, severe COPD and emphysema. Extending of indications for the VATS anatomic pulmonary resection and its influence on the immediate outcomes was investigated., Methods: Ninety two consecutive cases of VATS anatomic pulmonary resection performed by the single surgeon from January 2012 till December 2013 at the Federal University Hospital #122 in Saint Petersburg, Russia were retrospectively analyzed. Forty three males and 49 females at the age from 21 to 87 years old (mean age 59±7.2). The most of the cases were comprised by lung cancer of I-III stage together with bronchiectasis and tuberculomas. Conversion rate was 3.2% mostly due to perivascular calcification and/or fibrosis. There were no cases of 30-days mortality and readmission. All those patients retrospectively divided into two groups: with standard and extended indications for the VATS lobectomy. Inclusion in "extended" group was made if patients had one or more technical challenges among following: size of the lesion 5 cm and more; strong pleural adhesions and/or "bad fissure"; adjacent structures involvement; hilar or mediastinal lymph nodes enlargement or involvement; centrally located tumors; previous chemo- or chemoradiotherapy or previous thoracic surgery., Results: According to these criteria, 45 standard (S) and 47 extended (E) patients were pair-matched with no statistically significant differences between the groups in common patients' characteristics. Postoperative comparison of "standard" and "expanded" groups revealed some differences in average operation time (152 vs. 189 min), in number of resected mediastinal lymph nodes (10.2 vs. 13.1), and in the mean time before removal of the chest tube (3.9 vs. 5.2 days). But the blood loss, morbidity and the length of hospital stay were almost the same in the two groups., Conclusions: Extension of indications to VATS lobectomy does not compromise the short-term results. Incompleteness of interlobar fissures, pleural adhesions, preoperative chemotherapy, big size of lesion, and some cases of centrally located tumors are not supposed to be the contraindications for VATS lobectomy. Peribronchial and perivascular lymph node calcification may complicate and even preclude lobectomy by VATS.

Published
2014
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