C. Sezen, Gamze Tanrıkulu, M. Doğru, Semih Erduhan, Y. Sonmezoglu, V. Erdoğu, Nisa Yildiz, Ozkan Saydam, M. Metin
{"title":"Importance of simulation devices in thoracic surgery education: a prospective comparative study","authors":"C. Sezen, Gamze Tanrıkulu, M. Doğru, Semih Erduhan, Y. Sonmezoglu, V. Erdoğu, Nisa Yildiz, Ozkan Saydam, M. Metin","doi":"10.26663/cts.2023.0012","DOIUrl":"https://doi.org/10.26663/cts.2023.0012","url":null,"abstract":"<jats:p xml:lang=\"tr\" />","PeriodicalId":72729,"journal":{"name":"Current challenges in thoracic surgery","volume":"125 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73619436","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}
M. Erdoğan, O. Topaloglu, S. Karapolat, A. Akdoğan, C. Tekinbaş
{"title":"A case of tracheal adenoid cystic carcinoma treated with carinal resection and adjuvant radiotheraphy","authors":"M. Erdoğan, O. Topaloglu, S. Karapolat, A. Akdoğan, C. Tekinbaş","doi":"10.26663/cts.2023.0020","DOIUrl":"https://doi.org/10.26663/cts.2023.0020","url":null,"abstract":"<jats:p xml:lang=\"tr\" />","PeriodicalId":72729,"journal":{"name":"Current challenges in thoracic surgery","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72949244","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":"Immunosuppression in lung transplantation: a narrative review","authors":"B. Atkinson, N. Sharma","doi":"10.21037/ccts-21-42","DOIUrl":"https://doi.org/10.21037/ccts-21-42","url":null,"abstract":"","PeriodicalId":72729,"journal":{"name":"Current challenges in thoracic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49357230","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":"Ablation for treating small pulmonary nodules: radiologic and surgical approach and perspectives","authors":"D. Dupuy, Janine Zuromski, A. Pennathur","doi":"10.21037/ccts-22-7","DOIUrl":"https://doi.org/10.21037/ccts-22-7","url":null,"abstract":"","PeriodicalId":72729,"journal":{"name":"Current challenges in thoracic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49640704","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":"Boosting lung transplantation, a narrative review of the impact of donor after cardiac death, organ care system and ex vivo lung perfusion in expanding donor pool","authors":"Mazin Al Salihi, Yusur Alsalihi, Joseph Cahill","doi":"10.21037/ccts-21-25","DOIUrl":"https://doi.org/10.21037/ccts-21-25","url":null,"abstract":"","PeriodicalId":72729,"journal":{"name":"Current challenges in thoracic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42606756","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}
Ali Abdelraouf, H. Elkhayat, M. Osman, Ahmed Elminshawy
Background: Some of the residual effusion cannot be drained by the chest tube due to the high port position of the uniportal video-assisted thoracoscopic surgery (VATS) which theoretically leads to prolonged hospital stay. Hypothesis that putting an additional small catheter drain at the most depended part of the hemi-thorax together with chest tube after uniportal VATS to evaluate value of small catheter drainage with chest tube after uniportal VATS in hospital stay, pain score and chest x-ray. Materials and Methods: It represents a pilot prospective study randomized trial from August 2019 to August 2020 who had undergone uniportal VATS procedures were divided into two groups as group A (chest tube with small catheter) and group B (chest tube only). Results: Fifty-three patients underwent uniportal VATS only 30 where eligible to the study divided into two equal groups (18 males, 12 females). The mean age of patients in the small catheter with chest tube was 42.07 ± 12.85 years, compared to 34.93 ± 10.73 years in the chest tube only. Six different types of operation was done. Postoperative pain and hospital stays was nearly equal in both groups (p > 0.05). Postoperative residual effusion in immediate chest x-ray in small catheter with chest tube was managed by aspiration from small catheter and show improvement in follow up chest x-ray next morning (p < 0.05) but in chest tube only was management conservatively didn’t show improvement in follow up chest x-ray next morning (p > 0.05). Conclusions: Small catheter with chest tube didn’t add more pain. Although more than half of the cases get aspiration from small catheter and show improvement in follow up chest x-ray next morning, this does not statically affect hospital stay.
{"title":"Do we need a small catheter drainage with chest tube after uniportal video-assisted thoracoscopic surgery for better drainage?","authors":"Ali Abdelraouf, H. Elkhayat, M. Osman, Ahmed Elminshawy","doi":"10.26663/cts.2022.002","DOIUrl":"https://doi.org/10.26663/cts.2022.002","url":null,"abstract":"Background: Some of the residual effusion cannot be drained by the chest tube due to the high port position of the uniportal video-assisted thoracoscopic surgery (VATS) which theoretically leads to prolonged hospital stay. Hypothesis that putting an additional small catheter drain at the most depended part of the hemi-thorax together with chest tube after uniportal VATS to evaluate value of small catheter drainage with chest tube after uniportal VATS in hospital stay, pain score and chest x-ray. Materials and Methods: It represents a pilot prospective study randomized trial from August 2019 to August 2020 who had undergone uniportal VATS procedures were divided into two groups as group A (chest tube with small catheter) and group B (chest tube only). Results: Fifty-three patients underwent uniportal VATS only 30 where eligible to the study divided into two equal groups (18 males, 12 females). The mean age of patients in the small catheter with chest tube was 42.07 ± 12.85 years, compared to 34.93 ± 10.73 years in the chest tube only. Six different types of operation was done. Postoperative pain and hospital stays was nearly equal in both groups (p > 0.05). Postoperative residual effusion in immediate chest x-ray in small catheter with chest tube was managed by aspiration from small catheter and show improvement in follow up chest x-ray next morning (p < 0.05) but in chest tube only was management conservatively didn’t show improvement in follow up chest x-ray next morning (p > 0.05). Conclusions: Small catheter with chest tube didn’t add more pain. Although more than half of the cases get aspiration from small catheter and show improvement in follow up chest x-ray next morning, this does not statically affect hospital stay.","PeriodicalId":72729,"journal":{"name":"Current challenges in thoracic surgery","volume":"47 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78977197","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}
T. Dogruyol, V. Baysungur, S. Citak, S. Doğruyol, A. Mısırlıoğlu, Serda Kanbur, L. Alpay, Ç. Tezel
Background: Not all of the N1 lymph nodes are routinely dissected during surgical resection of nonsmall cell lung cancer (NSCLC). The aim of our study is to determine the risk factors for N1 lymph node metastasis in NSCLC with peroperative dissection. Materials and Methods: Patients who underwent lung resection in our hospital between September 2014 and April 2016 were retrospectively included in this study. Resected specimens were dissected in the operating room by the surgeon before being put into formaldehyde solution. Patients were divided into three groups: with a single positive N1 node (Group 1), with multiple positive N1 nodes (Group 2), and with single or multiple positive N1 nodes and incidentally positive N2 nodes (Group 3). Results: Fifty patients were included (46 males, 4 females). Univariate analysis showed significant correlation between N1 positivity and left-sided tumor, left central mass, squamous cell carcinoma, maximum standardized uptake (SUVmax) on positron emission tomography (PET/CT), pneumonectomy, and tumor size (p < 0.05). Logistic regression showed that the risk of N1 involvement was higher for squamous cell carcinoma compared to adenocarcinoma in all three groups. Conclusions: Left central mass, squamous cell carcinoma, SUVmax ≥ 10, uptake in hilar lymph nodes on PET-CT, and tumor diameter > 3.5 cm correlated with single or multiple positive N1 nodes in our study. Specimen dissection in patients with such preoperative findings could improve the accuracy of pathological nodal staging, thus refining the assessment of prognosis and selection of patients who would benefit from adjuvant therapy.
{"title":"The importance of n1 lymph node dissection in non-small cell lung cancer","authors":"T. Dogruyol, V. Baysungur, S. Citak, S. Doğruyol, A. Mısırlıoğlu, Serda Kanbur, L. Alpay, Ç. Tezel","doi":"10.26663/cts.2022.007","DOIUrl":"https://doi.org/10.26663/cts.2022.007","url":null,"abstract":"Background: Not all of the N1 lymph nodes are routinely dissected during surgical resection of nonsmall cell lung cancer (NSCLC). The aim of our study is to determine the risk factors for N1 lymph node metastasis in NSCLC with peroperative dissection. Materials and Methods: Patients who underwent lung resection in our hospital between September 2014 and April 2016 were retrospectively included in this study. Resected specimens were dissected in the operating room by the surgeon before being put into formaldehyde solution. Patients were divided into three groups: with a single positive N1 node (Group 1), with multiple positive N1 nodes (Group 2), and with single or multiple positive N1 nodes and incidentally positive N2 nodes (Group 3). Results: Fifty patients were included (46 males, 4 females). Univariate analysis showed significant correlation between N1 positivity and left-sided tumor, left central mass, squamous cell carcinoma, maximum standardized uptake (SUVmax) on positron emission tomography (PET/CT), pneumonectomy, and tumor size (p < 0.05). Logistic regression showed that the risk of N1 involvement was higher for squamous cell carcinoma compared to adenocarcinoma in all three groups. Conclusions: Left central mass, squamous cell carcinoma, SUVmax ≥ 10, uptake in hilar lymph nodes on PET-CT, and tumor diameter > 3.5 cm correlated with single or multiple positive N1 nodes in our study. Specimen dissection in patients with such preoperative findings could improve the accuracy of pathological nodal staging, thus refining the assessment of prognosis and selection of patients who would benefit from adjuvant therapy.","PeriodicalId":72729,"journal":{"name":"Current challenges in thoracic surgery","volume":"83 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89024353","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}
Buse Mine Konuk Balcı, G. Kocaman, Mehmet Ali Sakallı, B. Yenigün, A. Çoruh, Bilge Ayça Kırmızı, A. Heper, S. Enön
{"title":"Giant pediatric intrathoracic ganglioneuroma: a case report and review of the literature","authors":"Buse Mine Konuk Balcı, G. Kocaman, Mehmet Ali Sakallı, B. Yenigün, A. Çoruh, Bilge Ayça Kırmızı, A. Heper, S. Enön","doi":"10.26663/cts.2022.015","DOIUrl":"https://doi.org/10.26663/cts.2022.015","url":null,"abstract":"<jats:p xml:lang=\"tr\" />","PeriodicalId":72729,"journal":{"name":"Current challenges in thoracic surgery","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74329036","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}
Yunus Seyrek, Onur Volkan Yaran, M. Özbek, Nilüfer Menekşe, L. Cansever, M. Bedirhan
{"title":"An analysis of cigarette smoking in thoracic surgery patients","authors":"Yunus Seyrek, Onur Volkan Yaran, M. Özbek, Nilüfer Menekşe, L. Cansever, M. Bedirhan","doi":"10.26663/cts.2022.014","DOIUrl":"https://doi.org/10.26663/cts.2022.014","url":null,"abstract":"<jats:p xml:lang=\"tr\" />","PeriodicalId":72729,"journal":{"name":"Current challenges in thoracic surgery","volume":"129 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81340040","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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