In this case report, the case of non-small cell lung cancer resection performed with surgeon-powered robotic surgery (sPRS) was evaluated in light of the literature. A 62-year-old male patient applied to our clinic with the complaint of non-specific chest pain. On the tomography of the patient, a mass of approximately 1 cm in the lower lobe of the right lung was detected, and there was no distant metastasis. A transthoracic needle biopsy was performed on the patient. Right lower lobectomy operation was performed using wristed instruments (Artisential® Wristed Instruments) in this non-small cell lung cancer patient. sPRS provides more mobility than VATS and we think that it is a more cost effective surgical instrument than robotic surgery. We think that surgeons should embrace new technologies in order to provide more benefits to patients.
{"title":"Surgeon powered robotic lobectomy: first case performed in turkey","authors":"C. Sezen, M. Metin","doi":"10.26663/cts.2022.008","DOIUrl":"https://doi.org/10.26663/cts.2022.008","url":null,"abstract":"In this case report, the case of non-small cell lung cancer resection performed with surgeon-powered robotic surgery (sPRS) was evaluated in light of the literature. A 62-year-old male patient applied to our clinic with the complaint of non-specific chest pain. On the tomography of the patient, a mass of approximately 1 cm in the lower lobe of the right lung was detected, and there was no distant metastasis. A transthoracic needle biopsy was performed on the patient. Right lower lobectomy operation was performed using wristed instruments (Artisential® Wristed Instruments) in this non-small cell lung cancer patient. sPRS provides more mobility than VATS and we think that it is a more cost effective surgical instrument than robotic surgery. We think that surgeons should embrace new technologies in order to provide more benefits to patients.","PeriodicalId":72729,"journal":{"name":"Current challenges in thoracic surgery","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90469987","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":"Minimally invasive approach to pleural empyema: uniportal or biportal?","authors":"Kerim Tuluce, H. Turut","doi":"10.26663/cts.2022.010","DOIUrl":"https://doi.org/10.26663/cts.2022.010","url":null,"abstract":"<jats:p xml:lang=\"tr\" />","PeriodicalId":72729,"journal":{"name":"Current challenges in thoracic surgery","volume":"151 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76010109","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":"The surgical repair of a trauma-related sternoclavicular joint dislocation using the musculus gracilis tendon","authors":"Ș. Karadayi, F. Demir, S. Kılınç","doi":"10.26663/cts.2022.016","DOIUrl":"https://doi.org/10.26663/cts.2022.016","url":null,"abstract":"<jats:p xml:lang=\"tr\" />","PeriodicalId":72729,"journal":{"name":"Current challenges in thoracic surgery","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81121629","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: To enhance postoperative outcomes in patients having videoassisted thoracic surgery (VATS) for spontaneous pneumothorax, it is necessary to determine the difference between the uses of each VATS treatment in such patients. Previous studies have revealed a discussion over the preference of one technique over the other. Materials and Methods: A comparative study was conducted on spontaneous pneumothorax patients (primary or secondary) undergoing VATS in Assiut University Heart Hospital from January 2017 till April 2019. Patients included in our study were prominent bullous forms in PSP pneumothorax lines, recurrent pneumothorax, bilateral pneumothorax, previous history of contralateral pneumothorax, and spontaneous hemothorax, air leakage more than five days with drainage catheter for first-episode patients. Patients were divided into two groups as group A patients who underwent uniport VATS procedure, and group B patients who underwent biport VATS procedure. Results: The study included 32 patients, 22 were primary spontaneous pneumothorax (PSP), while 10 were secondary spontaneous pneumothorax (SSP). The male to female ratio (MF ratio) was 3.2:1. The mean ± SD for age was 30.04 ± 10.245 in PSP and was 50.43 ± 9.071 in SSP. Eighteen patients underwent uniport VATS, and 14 underwent biport VATS. The mean time for operation was 81.5 ± 33.74 in uniport VATS versus 109.79 ± 25.37 in biport VATS (p = 0.014). No significant statistical difference was found between uniport and biport VATS regarding pain, air leak, complications, hospital stay, recurrence, and mortality. Despite no statistical difference regarding mortality (p = 0.492), there were two mortalities in the uniport VATS group known as interstitial pulmonary fibrosis. Conclusions: We concluded that there are no differences between both techniques except for operative time.
{"title":"Uniport vats versus biport vats in treatment of spontaneous pneumothorax","authors":"M. Sallam, H. Elkhayat, Ahmed Elminshawy","doi":"10.26663/cts.2022.001","DOIUrl":"https://doi.org/10.26663/cts.2022.001","url":null,"abstract":"Background: To enhance postoperative outcomes in patients having videoassisted thoracic surgery (VATS) for spontaneous pneumothorax, it is necessary to determine the difference between the uses of each VATS treatment in such patients. Previous studies have revealed a discussion over the preference of one technique over the other. Materials and Methods: A comparative study was conducted on spontaneous pneumothorax patients (primary or secondary) undergoing VATS in Assiut University Heart Hospital from January 2017 till April 2019. Patients included in our study were prominent bullous forms in PSP pneumothorax lines, recurrent pneumothorax, bilateral pneumothorax, previous history of contralateral pneumothorax, and spontaneous hemothorax, air leakage more than five days with drainage catheter for first-episode patients. Patients were divided into two groups as group A patients who underwent uniport VATS procedure, and group B patients who underwent biport VATS procedure. Results: The study included 32 patients, 22 were primary spontaneous pneumothorax (PSP), while 10 were secondary spontaneous pneumothorax (SSP). The male to female ratio (MF ratio) was 3.2:1. The mean ± SD for age was 30.04 ± 10.245 in PSP and was 50.43 ± 9.071 in SSP. Eighteen patients underwent uniport VATS, and 14 underwent biport VATS. The mean time for operation was 81.5 ± 33.74 in uniport VATS versus 109.79 ± 25.37 in biport VATS (p = 0.014). No significant statistical difference was found between uniport and biport VATS regarding pain, air leak, complications, hospital stay, recurrence, and mortality. Despite no statistical difference regarding mortality (p = 0.492), there were two mortalities in the uniport VATS group known as interstitial pulmonary fibrosis. Conclusions: We concluded that there are no differences between both techniques except for operative time.","PeriodicalId":72729,"journal":{"name":"Current challenges in thoracic surgery","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90080645","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":"Conservative approach versus invasive approach for pneumothorax secondary to blunt trauma","authors":"Özgür İşgörücü","doi":"10.26663/cts.2022.011","DOIUrl":"https://doi.org/10.26663/cts.2022.011","url":null,"abstract":"<jats:p xml:lang=\"tr\" />","PeriodicalId":72729,"journal":{"name":"Current challenges in thoracic surgery","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76019693","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":"Prehabilitation and enhanced recovery after thoracic surgery: a narrative review","authors":"Azza Al-Abri, D. Shafiepour","doi":"10.21037/ccts-21-24","DOIUrl":"https://doi.org/10.21037/ccts-21-24","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":"42706483","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}
Although sternum fractures are more common after direct and impact trauma, they are rarely caused by pathological reasons. Sternum insufficiency fractures have been reported rarely in elderly patients. In the literature, sternum fracture after low-energy indirect trauma has been rarely reported. Our aim in this case is to present a 79-year-old female patient with chest pain after indirect trauma and a sternum fracture on admission to the emergency department. The patient with previously known Parkinson’s disease had a manubrium sternum fracture on computed tomography, and no additional pathology was found.
{"title":"Parkinson and atraumatic sternum fracture: a case report","authors":"Özlem Orhan, F. Cansun","doi":"10.26663/cts.2022.009","DOIUrl":"https://doi.org/10.26663/cts.2022.009","url":null,"abstract":"Although sternum fractures are more common after direct and impact trauma, they are rarely caused by pathological reasons. Sternum insufficiency fractures have been reported rarely in elderly patients. In the literature, sternum fracture after low-energy indirect trauma has been rarely reported. Our aim in this case is to present a 79-year-old female patient with chest pain after indirect trauma and a sternum fracture on admission to the emergency department. The patient with previously known Parkinson’s disease had a manubrium sternum fracture on computed tomography, and no additional pathology was found.","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":"79343234","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: We aimed to evaluate the changes in pain, dyspnea perception and respiratory functions by applying pain tape in the postoperative period in patients who underwent thoracotomy. Materials and Methods: 55 patients were included in the prospective, randomized study with local ethics committee approval. The patients were divided into two groups, and on the postoperative 1st day, pain tape was applied to group I patient and placebo tape similar to pain tape was applied to group II patient. Visual Analogue Scale (VAS) was used for pain assessment, Modified Borg Scale (MBS) for dyspnea assessment, pulmonary function test and six-minute walking test (6 MWT) were used to evaluate pulmonary functions in the preoperative and postoperative periods. Results: There were 29 patients in group I and 26 patients in group II, with mean age of 59.2 ± 10.4 (18-75) years. According to the statistical analysis, no difference was found between the groups in terms of age, gender, height, weight, BMI, 6 MWT, MBS, FEV1, FVC, FEV1/FVC values (p > 0.05). There was a difference between the groups in terms of VAS values measured on the 3rd postoperative day (4.65 ± 1.79 vs. 6.57 ± 1.74; p > 0.001). In addition, the postoperative complication rate was different in group I compared to group II (17.2% vs. 30.7%; p = 0.003). Conclusion: Pain tape application is a reliable and simple method for pain control in the postoperative period in patients undergoing thoracotomy. It can be applied to patients for pain control in the early period, and in this way, the development of postoperative complications can be prevented.
背景:我们的目的是通过在开胸手术患者术后使用疼痛贴来评估疼痛、呼吸困难感觉和呼吸功能的变化。材料和方法:55例患者纳入经当地伦理委员会批准的前瞻性随机研究。将患者分为两组，术后第1天，I组患者应用疼痛贴，II组患者应用与疼痛贴相似的安慰剂贴。采用视觉模拟评分法(VAS)评估疼痛，采用改良Borg评分法(MBS)评估呼吸困难，采用肺功能测试和6分钟步行测试(6mwt)评估术前和术后肺功能。结果:ⅰ组29例，ⅱ组26例，平均年龄59.2±10.4(18-75)岁。经统计分析，各组患者年龄、性别、身高、体重、BMI、6 MWT、MBS、FEV1、FVC、FEV1/FVC值差异无统计学意义(p < 0.05)。两组术后第3天VAS评分有差异(4.65±1.79∶6.57±1.74;P < 0.001)。此外，I组与II组的术后并发症发生率也有差异(17.2% vs 30.7%;P = 0.003)。结论:在开胸手术患者中应用疼痛贴是一种可靠、简便的术后疼痛控制方法。它可以应用于患者早期的疼痛控制，这样可以防止术后并发症的发生。
{"title":"Evaluation of the change in pain, dyspnea perception, and pulmonary function values with pain tape application in patients undergoing thoracotomy","authors":"Semaye Türk, H. Çelik, B. Çelik, Z. Akça","doi":"10.26663/cts.2022.003","DOIUrl":"https://doi.org/10.26663/cts.2022.003","url":null,"abstract":"Background: We aimed to evaluate the changes in pain, dyspnea perception and respiratory functions by applying pain tape in the postoperative period in patients who underwent thoracotomy. Materials and Methods: 55 patients were included in the prospective, randomized study with local ethics committee approval. The patients were divided into two groups, and on the postoperative 1st day, pain tape was applied to group I patient and placebo tape similar to pain tape was applied to group II patient. Visual Analogue Scale (VAS) was used for pain assessment, Modified Borg Scale (MBS) for dyspnea assessment, pulmonary function test and six-minute walking test (6 MWT) were used to evaluate pulmonary functions in the preoperative and postoperative periods. Results: There were 29 patients in group I and 26 patients in group II, with mean age of 59.2 ± 10.4 (18-75) years. According to the statistical analysis, no difference was found between the groups in terms of age, gender, height, weight, BMI, 6 MWT, MBS, FEV1, FVC, FEV1/FVC values (p > 0.05). There was a difference between the groups in terms of VAS values measured on the 3rd postoperative day (4.65 ± 1.79 vs. 6.57 ± 1.74; p > 0.001). In addition, the postoperative complication rate was different in group I compared to group II (17.2% vs. 30.7%; p = 0.003). Conclusion: Pain tape application is a reliable and simple method for pain control in the postoperative period in patients undergoing thoracotomy. It can be applied to patients for pain control in the early period, and in this way, the development of postoperative complications can be prevented.","PeriodicalId":72729,"journal":{"name":"Current challenges in thoracic surgery","volume":"182 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75715152","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: Thoracic computed tomography (CT) scans for preliminary diagnosis of COVID-19 can be used as a tool to detect solitary pulmonary nodules (SPNs). Materials and Methods: We retrospectively evaluated the thoracic CT reports of 5416 patients, aged 45-75, who presented to our hospital with a preliminary diagnosis of COVID-19 in 2020. Results: Pulmonary nodules/masses were detected in 85 patients. 56 of these were male, and 29 female. 63 patients (74%) had SPNs, 11 (13%) masses, and 11 (13%) multiple nodules. 5 patients were in follow-up for malignancy, and 21 (21%) arrived for follow-up after the detection of nodule/mass. 11 patients died due to pulmonary pathologies. Conclusions: COVID-19-related concerns have seriously disrupted the follow-up of pulmonary nodules. However, the widespread use of CT serves as a kind of lung cancer screening.
{"title":"What covid-19 brings with: incidental solitary pulmonary nodules","authors":"M. Çetin, Hasan Tartar","doi":"10.26663/cts.2022.004","DOIUrl":"https://doi.org/10.26663/cts.2022.004","url":null,"abstract":"Background: Thoracic computed tomography (CT) scans for preliminary diagnosis of COVID-19 can be used as a tool to detect solitary pulmonary nodules (SPNs). Materials and Methods: We retrospectively evaluated the thoracic CT reports of 5416 patients, aged 45-75, who presented to our hospital with a preliminary diagnosis of COVID-19 in 2020. Results: Pulmonary nodules/masses were detected in 85 patients. 56 of these were male, and 29 female. 63 patients (74%) had SPNs, 11 (13%) masses, and 11 (13%) multiple nodules. 5 patients were in follow-up for malignancy, and 21 (21%) arrived for follow-up after the detection of nodule/mass. 11 patients died due to pulmonary pathologies. Conclusions: COVID-19-related concerns have seriously disrupted the follow-up of pulmonary nodules. However, the widespread use of CT serves as a kind of lung cancer screening.","PeriodicalId":72729,"journal":{"name":"Current challenges in thoracic surgery","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77074259","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}
Ö. Kavurmacı, Sercan Aydın, Barış Gülmez, S. Kahraman, T. Akçam, Ali Özdil, A. Ergönül, O. Akçay, B. Yoldaş, A. Türker, E. Zorlu, A. Karakılıç
{"title":"We need a common definition and treatment algorithm for displaced rib fracture","authors":"Ö. Kavurmacı, Sercan Aydın, Barış Gülmez, S. Kahraman, T. Akçam, Ali Özdil, A. Ergönül, O. Akçay, B. Yoldaş, A. Türker, E. Zorlu, A. Karakılıç","doi":"10.26663/cts.2022.012","DOIUrl":"https://doi.org/10.26663/cts.2022.012","url":null,"abstract":"<jats:p xml:lang=\"tr\" />","PeriodicalId":72729,"journal":{"name":"Current challenges in thoracic surgery","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72524203","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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