JTCVS Techniques最新文献

英文中文

Contemporary surgical management of synchronous primary tracheal and pulmonary malignancies 同步原发性气管和肺部恶性肿瘤的当代外科治疗方法

IF 1.7 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

JTCVS Techniques

Pub Date : 2024-10-01 DOI: 10.1016/j.xjtc.2024.07.005

Nadia H. Bakir MD, John O. Barron MD, Shawn Shah MD, MBA, Sudish C. Murthy MD, PhD

引用次数: 0

A hybrid approach incorporating uniportal thoracoscopy for lobectomy with en bloc chest wall resection 融合单孔胸腔镜的肺叶切除术与胸壁内切术的混合方法

IF 1.7 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

JTCVS Techniques

Pub Date : 2024-10-01 DOI: 10.1016/j.xjtc.2024.06.020

Rafael Ribeiro Barcelos MD , Ivan Azevedo MD , Paula Ugalde Figueroa MD

引用次数: 0

Extra-pleural pneumonectomy: How I teach it 胸膜外气胸切除术

IF 1.7 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

JTCVS Techniques

Pub Date : 2024-10-01 DOI: 10.1016/j.xjtc.2024.06.018

Phil Honest BSc, Laura Donahoe MD, MSc, Marc de Perrot MD, MSc, FRCSC

引用次数: 0

Penetrating missile injury to the heart without pericardial effusion: The immaculate bullet and the “Iron Man” injury 无心包积液的导弹穿透性心脏损伤：无暇子弹和 "钢铁侠 "损伤

IF 1.7 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

JTCVS Techniques

Pub Date : 2024-10-01 DOI: 10.1016/j.xjtc.2024.07.011

James Butz MD , Peter Peng PA-C , Josh T. Gysbers PA-C , Chris Cullom MD , Kaushik Mukherjee MD , Brian Sutjiadi MD , S. Zan M. Jafry MD , Salmon Zaheer MD , Josh S. Chung MD , David G. Rabkin MD

引用次数: 0

Cardiac herniation following right intrapericardial sleeve pneumonectomy 右侧心包袖式肺切除术后的心脏疝气

IF 1.7 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

JTCVS Techniques

Pub Date : 2024-10-01 DOI: 10.1016/j.xjtc.2024.07.012

Takaya Sato MD , Kentaro Minegishi MD, PhD , Kentaro Fukano MD , Fumie Osuga MD , Masaki Ozeki MD , Masaya Sogabe MD , Shunsuke Endo MD, PhD , Hiroyoshi Tsubochi MD, PhD

引用次数: 0

Multi-Branch AOrtic reconstruction with G-iliac system (BAO-G) technique in thoracoabdominal aortic aneurysm endovascular repair 胸腹主动脉瘤血管内修复中的 G-iliac 系统多分支 AOrtic 重建（BAO-G）技术

IF 1.7 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

JTCVS Techniques

Pub Date : 2024-10-01 DOI: 10.1016/j.xjtc.2024.07.010

Jiang Shao MD, Yiyun Xie MD, Zhichao Lai MD, Bao Liu MD

引用次数: 0

Sutureless technique for left pulmonary vein occlusion with persistent left superior vena cava: Case report 左肺静脉闭塞伴持续性左上腔静脉的无缝合技术：病例报告

IF 1.7 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

JTCVS Techniques

Pub Date : 2024-10-01 DOI: 10.1016/j.xjtc.2024.06.013

Kazuki Tamura MD, Joji Hoshino MD, Masahiko Ezure MD, Yutaka Hasegawa PhD, Yasuyuki Yamada MD, Shuichi Okada MD, Hiroyuki Morishita MD, Masahiro Seki MD, Takashi Soda MD

引用次数: 0

Routine intercostal artery reattachment strategy reduces delayed and permanent spinal cord injury after open descending thoracic and thoracoabdominal aortic aneurysm repair 常规肋间动脉再连接策略可减少开胸降主动脉瘤和胸腹主动脉瘤修复术后的延迟性和永久性脊髓损伤

IF 1.7 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

JTCVS Techniques

Pub Date : 2024-10-01 DOI: 10.1016/j.xjtc.2024.07.018

Akiko Tanaka MD, PhD , Harleen K. Sandhu MD, MPH , Hung Nguyen MD , Alexander Mills DO , Kelsie Kiser BS, CCP , Rana O. Afifi MD , Shao Feng Zhou MD , Charles C. Miller III PhD , Hazim J. Safi MD , Anthony L. Estrera MD

Objective

During open descending thoracic and thoracoabdominal aortic aneurysm (DTAA/TAAA) repair, we used a routine T8-T12 intercostal artery (ICA) reattachment strategy from July 2004 to June 2009 and after 2017, we used a selective ICA reattachment strategy (reattaching T8-T12 ICAs only when neuromonitor signals were lost) from July 2009 to 2016. This study reviewed our nearly 2-decade experience to assess the impact of 2 ICA reattachment strategies on spinal cord injury (SCI).

Methods

All open DTAA/TAAA repairs performed from July 2004 to June 2022 were included, except for cases without intraoperative cerebral spinal fluid drainage. Perioperative data were reviewed. Univariable and multivariable analyses and propensity matching for risk-adjusted effects of 2 strategies for ICA reattachment on SCI were used.

Results

In all, 375 patients were operated on with selective strategy and 584 with routine strategy. Age and prevalence of rupture and redo were similar in the 2 groups. The rate of operative mortality and immediate SCI was also similar (selective vs routine: mortality, 12.5% vs 12.3%; immediate SCI, 3.2% vs 2.2%). However, the incidence of delayed and permanent SCI was increased in the selective group (delayed, 10.4% vs 6.9%; permanent, 8.5% vs 5.3%). Multivariable analyses demonstrated selective strategy was a predictor of delayed and permanent SCI, along with TAAA extent II/III, and older age.

Conclusions

Two strategies of ICA reattachment did not impact the incidence of immediate SCI, which was infrequent, but the selective strategy was associated with greater rates of delayed permanent SCI. Reattachment of the ICAs within T8-T12 should be performed during open DTAA/TAAA.

目的在开放式降胸和胸腹主动脉瘤（DTAA/TAAA）修复术中，我们在 2004 年 7 月至 2009 年 6 月期间采用常规 T8-T12 肋间动脉 (ICA) 重接策略，在 2017 年之后，我们在 2009 年 7 月至 2016 年期间采用选择性 ICA 重接策略（仅在神经监测器信号丢失时重接 T8-T12 ICA）。本研究回顾了我们近 20 年的经验，以评估两种 ICA 重接策略对脊髓损伤（SCI）的影响。方法纳入 2004 年 7 月至 2022 年 6 月进行的所有开放式 DTAA/TAAA 修复术，但术中未引流脑脊液的病例除外。回顾围手术期数据。结果共有375名患者采用选择性策略进行了手术，584名患者采用常规策略进行了手术。两组患者的年龄、破裂率和重接率相似。手术死亡率和即刻 SCI 的发生率也相似（选择性与常规：死亡率，12.5% 对 12.3%；即刻 SCI，3.2% 对 2.2%）。不过，选择性组的延迟性和永久性 SCI 发生率有所增加（延迟性，10.4% 对 6.9%；永久性，8.5% 对 5.3%）。多变量分析表明，选择性策略是延迟性和永久性 SCI 的预测因素，此外还有 TAAA II/III 度和年龄偏大。在开放 DTAA/TAAA 期间，应在 T8-T12 范围内进行 ICA 重接。

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引用次数: 0

Transcatheter aortic valve replacement valve endocarditis requiring Commando procedure 需要突击队手术的经导管主动脉瓣置换术瓣膜心内膜炎

IF 1.7 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

JTCVS Techniques

Pub Date : 2024-10-01 DOI: 10.1016/j.xjtc.2024.06.011

Omar A. Jarral MD, PhD, Stevan S. Pupovac MD, Jui-Chuan Tseng PA, Chad A. Kliger MD, Luigi Pirelli MD, Kush R. Dholakia MD, Nirav C. Patel MD, S. Jacob Scheinerman MD, Alan R. Hartman MD, Derek R. Brinster MD

引用次数: 0

Developing novel non-assistant help operation in dual-portal robotic-assisted thoracic surgery (neoDRATS) 在双入口机器人辅助胸腔手术（neoDRATS）中开发新型非辅助帮助操作

IF 1.7 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

JTCVS Techniques

Pub Date : 2024-10-01 DOI: 10.1016/j.xjtc.2024.07.019

Hideki Ujiie MD, PhD, FACS, FCCP , Hiroki Ebana MD, PhD , Jun Suzuki MD, PhD , Masato Chiba MD, PhD , Hikaru Watanabe MD , Aki Kobayashi MD, PhD , Satoshi Shiono MD, PhD , Yasuhiro Tsutani MD, PhD , Tatsuya Kato MD, PhD

Objective

To introduce and evaluate the non-assistant help operation in dual-portal robotic-assisted thoracic surgery (neoDRATS), a novel technique designed to eliminate the need for skilled assistants by using all 4 robotic arms independently during anatomical lung surgery.

Methods

Patients were placed in the lateral decubitus position under general anesthesia with single-lung ventilation. The da Vinci Xi Surgical System was used, with specific configurations for right- and left-side operations. The neoDRATS technique used a 4-cm working port and a 1.8-cm secondary port, with detailed guidelines for optimal setup and robotic arm manipulation.

Results

The neoDRATS approach demonstrated successful surgical outcomes without the need for a skilled assistant. The use of a 0° camera and careful placement of instruments minimized interference within the thoracic cavity. The technique provided smooth operability and minimized postoperative discomfort. Video demonstrations of right and left upper lobectomies are provided to illustrate the approach.

Conclusions

NeoDRATS offers a practical, safe, and minimally invasive alternative to conventional multiportal and uniportal robotic-assisted thoracic surgeries. This technique simplifies the surgical process, particularly in settings with limited availability of skilled assistants, and represents a significant advancement in robotic thoracic surgery. Further refinement and clinical integration of neoDRATS are anticipated as robotic innovations continue to evolve.

目的介绍并评估双入口机器人辅助胸腔手术（neoDRATS）中的无助手帮助操作，这是一种新技术，旨在通过在解剖肺部手术中独立使用全部四个机器人手臂来消除对熟练助手的需求。使用达芬奇Xi手术系统，其特定配置适用于右侧和左侧手术。neoDRATS技术使用了一个4厘米的工作端口和一个1.8厘米的辅助端口，并提供了最佳设置和机械臂操作的详细指南。使用 0° 摄像头和小心放置器械最大程度地减少了胸腔内的干扰。该技术提供了流畅的操作性，并将术后不适降至最低。结论NeoDRATS为传统的多门和单门机器人辅助胸腔手术提供了一种实用、安全和微创的替代方法。该技术简化了手术过程，尤其是在熟练助手有限的情况下，是机器人胸腔手术的一大进步。随着机器人创新技术的不断发展，预计 neoDRATS 将进一步完善并融入临床。

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引用次数: 0

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