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Video-Assisted Thoracic Surgery最新文献

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Robotic-assisted thoracoscopic rib resection for fibrous dysplasia: a case report 机器人辅助胸腔镜肋骨切除术治疗纤维发育不良1例报告
IF 0.2 4区 医学 Q4 SURGERY Pub Date : 2023-09-01 DOI: 10.21037/vats-23-25
Brandon S. Peine, Brett T. Starr, Anthony B. Mozer, Ying Sun, Sha Yi, J. P. Bethea, C. Anciano
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引用次数: 0
Postoperative pneumonia in the era of minimally-invasive thoracic surgery: a narrative review 微创胸外科时代的术后肺炎:述评
IF 0.2 4区 医学 Q4 SURGERY Pub Date : 2023-09-01 DOI: 10.21037/vats-23-20
F. Tacconi, Emanuela Re Cecconi, Gianluca Vanni, Vincenzo Ambrogi
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引用次数: 0
Preface to lung cancer surgery 肺癌手术前言
IF 0.2 4区 医学 Q4 SURGERY Pub Date : 2023-09-01 DOI: 10.21037/vats-23-35
Michael Shackcloth, A. Harky
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引用次数: 0
Anatomy of the lung revisited by 3D-CT imaging. 通过3D-CT成像重新检查肺部解剖。
IF 0.2 4区 医学 Q4 SURGERY Pub Date : 2023-06-30 DOI: 10.21037/vats-23-21
Seshiru Nakazawa, Toshiteru Nagashima, Natsuko Kawatani, Patrick C Gedeon, Ariadne K DeSimone, Hitoshi Igai, Takayuki Kosaka, Ken Shirabe

The anatomy of the lung was originally described based on data acquired from cadaveric studies and surgical findings. Over time, computed tomography (CT) and three-dimensional (3D) imaging techniques have been developed, allowing for reconstruction and understanding of lung anatomy in a more intuitive way. The wide adoption of 3D-CT imaging technology has led to a variety of anatomical studies performed not only by anatomists but also by surgeons and radiologists. Such studies have led to new or modified classification systems, shed light on lung anatomy from a useful surgical viewpoint, and enabled us to analyze lung anatomy with a focus on particular anatomical features. 3D images also allow for enhanced pre- and intra-operative simulation, improved surgical safety, enhanced educational utility, and the capacity to perform large-scale anatomical studies in shorter time frames. We will review here the key features of 3D-CT imaging of the lung, along with representative anatomical studies regarding (I) general lung anatomy, (II) anatomy of the right and left lobes, and (III) features of interlobar vessels. The current surge of 3D imaging analysis shows that the field is growing, with the technology continuing to improve. Future studies using these new and innovative methodologies will continue to refine our understanding of lung anatomy while enhancing our ability to perform safe and effective surgical resections.

肺的解剖结构最初是根据从尸体研究和手术结果中获得的数据来描述的。随着时间的推移,计算机断层扫描(CT)和三维(3D)成像技术已经发展起来,允许以更直观的方式重建和理解肺解剖。3D-CT成像技术的广泛应用使得解剖学家、外科医生和放射科医生进行了各种各样的解剖学研究。这些研究导致了新的或改进的分类系统,从有用的外科角度阐明了肺解剖,并使我们能够以特定的解剖特征为重点分析肺解剖。3D图像还可以增强术前和术中模拟,提高手术安全性,增强教育效用,以及在更短的时间内进行大规模解剖研究的能力。我们将在此回顾肺3D-CT成像的主要特征,以及关于(I)肺一般解剖,(II)左右叶解剖,(III)叶间血管特征的代表性解剖学研究。当前3D成像分析的激增表明,随着技术的不断改进,该领域正在发展。未来的研究使用这些新的和创新的方法将继续完善我们对肺解剖的理解,同时提高我们进行安全有效的手术切除的能力。
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引用次数: 0
Challenges for pure uniportal robotic-assisted thoracoscopic surgery 单纯单门机器人辅助胸腔镜手术面临的挑战
IF 0.2 4区 医学 Q4 SURGERY Pub Date : 2023-06-01 DOI: 10.21037/vats-22-54
R. Essa, Sirwan Khalid Ahmed, M. Bale, M. Bosinceanu, Javier Gallego Poveda, Alejandro García-Pérez, D. González-Rivas
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引用次数: 0
Assessment of the educational approaches for robotic minimally invasive esophagectomy 机器人微创食管切除术教学方法的评价
4区 医学 Q4 SURGERY Pub Date : 2023-06-01 DOI: 10.21037/vats-22-46
Mohammad Abdallat, Jon O. Wee
: Esophagectomy is a key element in the trimodal therapy for esophageal cancer. The advancement in minimally invasive and robotic technique have reduced the morbidity and mortality associated with open esophagectomy while improving the postoperative quality of life without affecting the oncological outcomes. This has reduced operative length of stay and increased the chance of patient receiving adjuvant systemic therapy. Recently, the number of esophagectomies performed minimally invasively have surpassed open esophagectomy. However, implementation of innovative surgical techniques always faces a learning curve that delays its adaptation. Anastomotic leaks can increase during the learning curve for both conventional minimally invasive and robotic assisted minimally invasive esophagectomy. Multiple authors have documented the number of esophagectomies needed to achieve proficiency or overcome the learning curve morbidity. This review focus on complete video assisted approaches (laparoscopic, thoracoscopic and robotic approaches). Utilizing a trans-hiatal or a hybrid approach can be considered minimally invasive by some but it’s outside the scope of this review. Determining the ideal educational program is challenging due to the complexity and variety of required skills in both the abdomen and chest. The absence of a standardized and validated robotic esophagectomy curriculum demonstrates the need for a thoughtful approach to prepare trainee and surgeons to adapt these approaches. Establishing dedicated training centers supervised by surgical and academic societies may help surgeons from lower volume centers adapt these techniques.
食管切除术是食管癌三模式治疗的关键。微创技术和机器人技术的进步降低了开放式食管切除术的发病率和死亡率,同时在不影响肿瘤预后的情况下提高了术后生活质量。这减少了手术时间,增加了患者接受辅助全身治疗的机会。最近,微创食管切除术的数量已经超过了开放式食管切除术。然而,创新外科技术的实施总是面临一个学习曲线,延迟其适应。在常规微创和机器人辅助微创食管切除术的学习曲线中,吻合口泄漏会增加。多名作者记录了达到熟练或克服学习曲线发病率所需的食管切除术的数量。本综述的重点是完整的视频辅助入路(腹腔镜、胸腔镜和机器人入路)。一些人认为使用跨裂孔或混合入路是微创的,但这超出了本综述的范围。由于腹部和胸部所需技能的复杂性和多样性,确定理想的教育计划是具有挑战性的。标准化和有效的机器人食管切除术课程的缺乏表明需要一个深思熟虑的方法来准备实习生和外科医生适应这些方法。在外科和学术协会的监督下建立专门的培训中心可以帮助来自低容量中心的外科医生适应这些技术。
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引用次数: 0
Combined minimally invasive surgery for a dumbbell tumor using spinal endoscopy and robot-assisted intrathoracic surgery: a case report 应用脊柱内窥镜和机器人辅助胸腔镜联合微创手术治疗哑铃瘤1例
IF 0.2 4区 医学 Q4 SURGERY Pub Date : 2023-06-01 DOI: 10.21037/vats-22-61
Norichika Iga, Michihaya Kono, Y. Tomioka, M. Yamane
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引用次数: 0
A case report of massive hemothorax in pregnant woman with a pulmonary arteriovenous malformation: sometimes thoracotomy is the only option? 一例肺动静脉畸形孕妇大量血胸的病例报告:有时开胸是唯一的选择?
IF 0.2 4区 医学 Q4 SURGERY Pub Date : 2023-06-01 DOI: 10.21037/vats-22-44
Matilde Ginestri, N. Tamburini, A. de Troia, S. Bonazza, P. Carcoforo, G. Cavallesco
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引用次数: 0
Pre-operative 3D reconstruction—let’s first anticipate the surgical procedure 术前三维重建-让我们先预测手术过程
IF 0.2 4区 医学 Q4 SURGERY Pub Date : 2023-06-01 DOI: 10.21037/vats-23-34
F. Montagne, Clément Dhainaut, L. Benhamed
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引用次数: 0
Hybrid ablation of atrial fibrillation in patients with prior coronary artery bypass grafting: a single center retrospective cohort study 先前冠状动脉搭桥术患者房颤混合消融:一项单中心回顾性队列研究
IF 0.2 4区 医学 Q4 SURGERY Pub Date : 2023-03-01 DOI: 10.21037/vats-22-34
A. Kiankhooy, Carrie L. Pierce, S. Eisenberg, Shelby Burk, Michaela Daw, A. Phillips, Gansevoort H. Dunnington
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引用次数: 0
期刊
Video-Assisted Thoracic Surgery
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