{"title":"Narrative review of the role of bronchoscopy in airway complications after lung transplantation","authors":"Alfredo Jalilie","doi":"10.21037/ccts-20-167","DOIUrl":"https://doi.org/10.21037/ccts-20-167","url":null,"abstract":"","PeriodicalId":72729,"journal":{"name":"Current challenges in thoracic surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68326647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Multiple pulmonary nodules: a management dilemma","authors":"Suha Kaaki, T. D’amico","doi":"10.21037/ccts-21-37","DOIUrl":"https://doi.org/10.21037/ccts-21-37","url":null,"abstract":"","PeriodicalId":72729,"journal":{"name":"Current challenges in thoracic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43503133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.21037/CCTS-2020-LCS-03
J. A. Miller, R. V. Haren
{"title":"A narrative review of lung cancer screening implementation: increasing utilization of evidence-based practice","authors":"J. A. Miller, R. V. Haren","doi":"10.21037/CCTS-2020-LCS-03","DOIUrl":"https://doi.org/10.21037/CCTS-2020-LCS-03","url":null,"abstract":"","PeriodicalId":72729,"journal":{"name":"Current challenges in thoracic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48000689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.21037/CCTS-2020-LCS-05
M. Stephens
Lung cancer screening has proven to be a useful tool for identifying early stage lung cancers, however, the overall accuracy can sometimes lead to false positive and negatives that have potential adverse effects on patient outcomes. Advancement in computational methods have allowed for quantification of pulmonary nodule imaging features, referred to as radiomics, which have the potential to increase lung cancer screening accuracy and improve patient management. The initial part of this review covers common radiomic features and the challenges in deriving them. The second part of this review systematically evaluates literature relating to radiomics and lung cancer finding articles in areas that might have the potential to change management in lung cancer screening. Pertinent literature included initial nodule classification as benign or malignant, classifying subsolid nodules as invasive or noninvasive, and prediction of tumor recurrence after surgical resection. The reviewed articles evaluating use of radiomics are mostly limited due to small sample sizes and lack of a validation cohort. These studies show potential for radiomic features to improve pulmonary nodule classification and change the way patients are managed, however, comparison between studies is limited due to variabilities in the way these features are derived. To make these features useful will require further research and standardization of the workflows that derive these features.
{"title":"Narrative review of radiomics for classifying pulmonary nodules and potential impact on lung cancer screening","authors":"M. Stephens","doi":"10.21037/CCTS-2020-LCS-05","DOIUrl":"https://doi.org/10.21037/CCTS-2020-LCS-05","url":null,"abstract":"Lung cancer screening has proven to be a useful tool for identifying early stage lung cancers, however, the overall accuracy can sometimes lead to false positive and negatives that have potential adverse effects on patient outcomes. Advancement in computational methods have allowed for quantification of pulmonary nodule imaging features, referred to as radiomics, which have the potential to increase lung cancer screening accuracy and improve patient management. The initial part of this review covers common radiomic features and the challenges in deriving them. The second part of this review systematically evaluates literature relating to radiomics and lung cancer finding articles in areas that might have the potential to change management in lung cancer screening. Pertinent literature included initial nodule classification as benign or malignant, classifying subsolid nodules as invasive or noninvasive, and prediction of tumor recurrence after surgical resection. The reviewed articles evaluating use of radiomics are mostly limited due to small sample sizes and lack of a validation cohort. These studies show potential for radiomic features to improve pulmonary nodule classification and change the way patients are managed, however, comparison between studies is limited due to variabilities in the way these features are derived. To make these features useful will require further research and standardization of the workflows that derive these features.","PeriodicalId":72729,"journal":{"name":"Current challenges in thoracic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47574737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
K. Ceylan, Canberk Heskiloğlu, F. Cansun, S. Kaya, A. Yener
Tuberculosis and bronchiectasis are the most common causes of the destroyed lung. Mediastinal masses, which cause bronchial compression, can also cause bronchiectasis. Chronic lymphocytic leukemia (CLL) is the most common subtype of leukemia, and it can rarely cause bronchiectasis and destroyed lungs by causing a mass effect in the mediastinum. A 50-year-old female patient with a history of tuberculosis in her childhood admitted to our clinic with dyspnea, cough, and chest pain. During the clinical examinations, a solid mass with approximately 46x33 mm in size was observed in the posterior mediastinum, compressing the left main bronchus and the entire left lung was destroyed. Since the patient had no definite diagnosis and was symptomatic, a surgical treatment was planned, and left pneumonectomy was performed together with mediastinal mass excision. As a result of the extracted specimen histopathology, bronchiectasis was present, and the mediastinal mass was consistent with chronic lymphocytic leukemia. The patient did not experience any postoperative complications and was referred to the oncology clinic for follow-up and treatment. Herein, we aimed to present a case with chronic lymphocytic leukemia mass in the posterior mediastinum compressing the left main bronchus, which caused bronchiectasis and destroyed lung with the literature’s accompaniment.
{"title":"A case of destroyed lung caused by a chronic lymphocytic leukemia with mass effect","authors":"K. Ceylan, Canberk Heskiloğlu, F. Cansun, S. Kaya, A. Yener","doi":"10.26663/CTS.2021.0007","DOIUrl":"https://doi.org/10.26663/CTS.2021.0007","url":null,"abstract":"Tuberculosis and bronchiectasis are the most common causes of the destroyed lung. Mediastinal masses, which cause bronchial compression, can also cause bronchiectasis. Chronic lymphocytic leukemia (CLL) is the most common subtype of leukemia, and it can rarely cause bronchiectasis and destroyed lungs by causing a mass effect in the mediastinum. A 50-year-old female patient with a history of tuberculosis in her childhood admitted to our clinic with dyspnea, cough, and chest pain. During the clinical examinations, a solid mass with approximately 46x33 mm in size was observed in the posterior mediastinum, compressing the left main bronchus and the entire left lung was destroyed. Since the patient had no definite diagnosis and was symptomatic, a surgical treatment was planned, and left pneumonectomy was performed together with mediastinal mass excision. As a result of the extracted specimen histopathology, bronchiectasis was present, and the mediastinal mass was consistent with chronic lymphocytic leukemia. The patient did not experience any postoperative complications and was referred to the oncology clinic for follow-up and treatment. Herein, we aimed to present a case with chronic lymphocytic leukemia mass in the posterior mediastinum compressing the left main bronchus, which caused bronchiectasis and destroyed lung with the literature’s accompaniment.","PeriodicalId":72729,"journal":{"name":"Current challenges in thoracic surgery","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83956952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Corresponding Author*: Hüseyin Yıldıran, MD. Department of Thoracic Surgery Medical School, Selcuk University, Alaeddin Keykubat Kampus, Selçuklu, Konya, Turkey. E-mail: h-yildiran@hotmail.com Phone: +90 5412590238 Doi: 10.26663/cts.2021.0017 Received 08.08.2021 accepted 12.08.2021 Provenance and peer review: This article was commissioned by the Editorial Office, Current Thoracic Surgery. The article did not undergo external peer review. Current Thoracic Surgery
{"title":"Skin reaction after pectus surgery","authors":"H. Yildiran","doi":"10.26663/cts.2021.0017","DOIUrl":"https://doi.org/10.26663/cts.2021.0017","url":null,"abstract":"Corresponding Author*: Hüseyin Yıldıran, MD. Department of Thoracic Surgery Medical School, Selcuk University, Alaeddin Keykubat Kampus, Selçuklu, Konya, Turkey. E-mail: h-yildiran@hotmail.com Phone: +90 5412590238 Doi: 10.26663/cts.2021.0017 Received 08.08.2021 accepted 12.08.2021 Provenance and peer review: This article was commissioned by the Editorial Office, Current Thoracic Surgery. The article did not undergo external peer review. Current Thoracic Surgery","PeriodicalId":72729,"journal":{"name":"Current challenges in thoracic surgery","volume":"87 1-3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78282858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hydatid cyst is a zoonotic disease that is common worldwide. Turkey is an endemic region for hydatid cyst due to the widespread farming and animal husbandry. Echinococcus granulosus is the most common infestation species in humans, and humans are the incidental intermediate host. The cyst formed by this zoonotic cause is expected to be localized in either lungs or the liver, depending on the part of the life cycle in humans. Soft tissue or intramuscular presence of the cyst is rare. Herein, we present a hydatid cyst case with an unusual localization.
{"title":"An inappropriate localization of a zoonotic disease: infraclavicular, infrapectoral hydatic cycst","authors":"F. Cansun, Canberk Heskiloğlu","doi":"10.26663/cts.2021.0023","DOIUrl":"https://doi.org/10.26663/cts.2021.0023","url":null,"abstract":"Hydatid cyst is a zoonotic disease that is common worldwide. Turkey is an endemic region for hydatid cyst due to the widespread farming and animal husbandry. Echinococcus granulosus is the most common infestation species in humans, and humans are the incidental intermediate host. The cyst formed by this zoonotic cause is expected to be localized in either lungs or the liver, depending on the part of the life cycle in humans. Soft tissue or intramuscular presence of the cyst is rare. Herein, we present a hydatid cyst case with an unusual localization.","PeriodicalId":72729,"journal":{"name":"Current challenges in thoracic surgery","volume":"146-147 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79166435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Lung transplant anastomotic airway complications and bronchoscopic management","authors":"Christopher Di Felice, S. Sethi","doi":"10.21037/ccts-20-163","DOIUrl":"https://doi.org/10.21037/ccts-20-163","url":null,"abstract":"","PeriodicalId":72729,"journal":{"name":"Current challenges in thoracic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48252100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Bronchogenic cyst is a generally benign and rare congenital anomaly. The mediastinum and lung parenchyma are the most common sites the cysts occur. This study aimed to compare the effectiveness of thoracoscopy and thoracotomy for the treatment of bronchogenic cysts. Materials and Methods: Twenty-one patients were operated on in Dr. Suat Seren Thoracic Surgery Clinic between 2004 and 2019 with the diagnosis of bronchogenic cyst. Patients were divided into two groups according to the surgery method as video-assisted thoracoscopic surgery (VATS) or thoracotomy. Demographic and operative features, radiological findings, and complications were retrospectively analyzed. Results: Patients underwent either VATS (10 patients) or thoracotomy (11 patients). Sixteen patients underwent simple cyst excision, whereas parenchymal resection was performed for five patients. The mean Visual Analogue Scale (VAS) value was 3.5 ± 1.1 for the VATS group and 6.5 ± 1 for the thoracotomy group. Duration of hospital stay and chest drainage was 4.2 ± 1.7 and 3.2 ± 1.7 days, respectively, in the VATS group, while in the thoracotomy group, it was 7.1 ± 4.5 and 6.1 ± 4.5 days. The time of hospitalization stay, duration of chest drainage, operative time, and VAS values were found statistically significantly lower in the VATS group. Conclusions: Both VATS and thoracotomy are preferred surgical methods in bronchogenic cyst surgery. VATS is superior to thoracotomy in terms of shorter hospital stay, chest drainage duration, operative time, and lower postoperative pain level. Minimally invasive methods can be chosen safely for the treatment of bronchogenic cyst in appropriate cases.
{"title":"Comparison of thoracotomy and videothoracoscopy for intrathoracic bronchogenic cysts","authors":"K. Ceylan, Hüseyin Mestan, S. Kaya, A. Yener","doi":"10.26663/cts.2021.00011","DOIUrl":"https://doi.org/10.26663/cts.2021.00011","url":null,"abstract":"Background: Bronchogenic cyst is a generally benign and rare congenital anomaly. The mediastinum and lung parenchyma are the most common sites the cysts occur. This study aimed to compare the effectiveness of thoracoscopy and thoracotomy for the treatment of bronchogenic cysts. Materials and Methods: Twenty-one patients were operated on in Dr. Suat Seren Thoracic Surgery Clinic between 2004 and 2019 with the diagnosis of bronchogenic cyst. Patients were divided into two groups according to the surgery method as video-assisted thoracoscopic surgery (VATS) or thoracotomy. Demographic and operative features, radiological findings, and complications were retrospectively analyzed. Results: Patients underwent either VATS (10 patients) or thoracotomy (11 patients). Sixteen patients underwent simple cyst excision, whereas parenchymal resection was performed for five patients. The mean Visual Analogue Scale (VAS) value was 3.5 ± 1.1 for the VATS group and 6.5 ± 1 for the thoracotomy group. Duration of hospital stay and chest drainage was 4.2 ± 1.7 and 3.2 ± 1.7 days, respectively, in the VATS group, while in the thoracotomy group, it was 7.1 ± 4.5 and 6.1 ± 4.5 days. The time of hospitalization stay, duration of chest drainage, operative time, and VAS values were found statistically significantly lower in the VATS group. Conclusions: Both VATS and thoracotomy are preferred surgical methods in bronchogenic cyst surgery. VATS is superior to thoracotomy in terms of shorter hospital stay, chest drainage duration, operative time, and lower postoperative pain level. Minimally invasive methods can be chosen safely for the treatment of bronchogenic cyst in appropriate cases.","PeriodicalId":72729,"journal":{"name":"Current challenges in thoracic surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75325005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Evaluating the incidence of postoperative vocal cord dysfunction after pulmonary resections and the impact of timing for vocal cord medialization on preventing postoperative pulmonary complications for these patients. Materials and Methods: Patients developing vocal cord dysfunction (VCD)/unilateral vocal cord paralysis (UVCP) after pulmonary resection were examined retrospectively, in terms of postoperative pulmonary complication (PPC) rates and hospital length of stay. Total of 2740 patients underwent anatomical pulmonary resection for malignancy. Eleven patients were referred to otolaryngology team with pre-diagnosis of VCD following the operation. UVCP diagnosis was confirmed with indirect laryngoscopic examination. Results: UVCP diagnosis was confirmed in 8 (0.3%) with indirect laryngoscopic examination. Performed resections were left upper lobectomy in 3 and left pneumonectomy in 5 patients. Atelectasis necessitating bronchoscopy and pneumonia were the PPC, seen in 3 (37.5%) patients. Calcium hydroxyapatite injection for 6 patients and polytetrafluoroethylene graft implantation for 2 patients was performed. Mean duration between pulmonary resection and medialization was 5.3 days in patients developing PPC and 3.6 days in patients with no PPC (p = 0.011). All patients were discharged within an average of 8.1 (6-13) days, uneventfully. One patient required re-injection of calcium hydroxyapatite on 5th month. Throughout a mean follow-up duration of 14.8 months, all patients had stable vocal cord position. Conclusions: Vocal cord medialization can be performed safely for postthoracotomy UVCP. In order to minimize phonetic and respiratory complications, this procedure must be applied on early postoperative period.
{"title":"Efficiency of vocal cord medialization for recurrent laryngeal nerve dysfunction following pulmonary resections","authors":"M. E. Demirag, Ç. Tezel, V. Baysungur, S. Evman","doi":"10.26663/cts.2021.0012","DOIUrl":"https://doi.org/10.26663/cts.2021.0012","url":null,"abstract":"Background: Evaluating the incidence of postoperative vocal cord dysfunction after pulmonary resections and the impact of timing for vocal cord medialization on preventing postoperative pulmonary complications for these patients. Materials and Methods: Patients developing vocal cord dysfunction (VCD)/unilateral vocal cord paralysis (UVCP) after pulmonary resection were examined retrospectively, in terms of postoperative pulmonary complication (PPC) rates and hospital length of stay. Total of 2740 patients underwent anatomical pulmonary resection for malignancy. Eleven patients were referred to otolaryngology team with pre-diagnosis of VCD following the operation. UVCP diagnosis was confirmed with indirect laryngoscopic examination. Results: UVCP diagnosis was confirmed in 8 (0.3%) with indirect laryngoscopic examination. Performed resections were left upper lobectomy in 3 and left pneumonectomy in 5 patients. Atelectasis necessitating bronchoscopy and pneumonia were the PPC, seen in 3 (37.5%) patients. Calcium hydroxyapatite injection for 6 patients and polytetrafluoroethylene graft implantation for 2 patients was performed. Mean duration between pulmonary resection and medialization was 5.3 days in patients developing PPC and 3.6 days in patients with no PPC (p = 0.011). All patients were discharged within an average of 8.1 (6-13) days, uneventfully. One patient required re-injection of calcium hydroxyapatite on 5th month. Throughout a mean follow-up duration of 14.8 months, all patients had stable vocal cord position. Conclusions: Vocal cord medialization can be performed safely for postthoracotomy UVCP. In order to minimize phonetic and respiratory complications, this procedure must be applied on early postoperative period.","PeriodicalId":72729,"journal":{"name":"Current challenges in thoracic surgery","volume":"135 25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74130404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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