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Current challenges in thoracic surgery最新文献

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State of the art and operative technique for spray cryotherapy for central airway obstruction (CAO)—a narrative review 喷雾冷冻治疗中心气道阻塞(CAO)的最新技术和操作技术综述
Pub Date : 2022-01-01 DOI: 10.21037/ccts-21-12
M. Baig, J. Weber, Zaid Muslim, Al Haitham Al Shetawi, F. Bhora
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引用次数: 0
Atelectasis in one lung ventilation: the good, the bad, and the ugly: a narrative review 单肺通气中的肺不张:好、坏和丑陋:叙述回顾
Pub Date : 2022-01-01 DOI: 10.21037/ccts-21-26
J. Bussières, Edouard Marques
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引用次数: 0
ECMO in lung transplant: pre, intra and post-operative utilization—a narrative review ECMO在肺移植中的应用:术前、术中及术后应用综述
Pub Date : 2022-01-01 DOI: 10.21037/ccts-21-29
Jose P. Garcia, Cristina L. Ashworth, C. Hage
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引用次数: 0
Elastofibroma dorsi prevalance in patients with primary complaint of dorsalgia 以背痛为主诉的患者中背侧弾性纤维瘤的发病率
Pub Date : 2022-01-01 DOI: 10.26663/cts.2022.013
Z. Tekin, Z. Bilgi, O. Akçay, F. Cansun, E. Kasapoğlu
{"title":"Elastofibroma dorsi prevalance in patients with primary complaint of dorsalgia","authors":"Z. Tekin, Z. Bilgi, O. Akçay, F. Cansun, E. Kasapoğlu","doi":"10.26663/cts.2022.013","DOIUrl":"https://doi.org/10.26663/cts.2022.013","url":null,"abstract":"<jats:p xml:lang=\"tr\" />","PeriodicalId":72729,"journal":{"name":"Current challenges in thoracic surgery","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87943773","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}
引用次数: 0
The role of video-thoracoscopic sympathectomy in buerger and raynaud 胸腔镜交感神经切除术在伯格氏和雷诺病中的作用
Pub Date : 2022-01-01 DOI: 10.26663/cts.2022.005
Uğur Temel
Background: Buerger and Raynaud diseases are peripheral circulatory disorders that cause ulcers at fingers and affect the quality of life. The aim of this study is to detect the role of sympathectomy via video-assisted thoracoscopic surgery (VATS) in Buerger and Raynaud for an effective treatment. Materials and Methods: Study was designed retrospectively on prospective data. Sympathectomy via VATS, was applied to 45 patients who were diagnosed as Buerger or Raynaud disease in a 6-years period. Patients were followed with 6 months intervals. Age, gender, initial symptoms, smoking habit, quality of life with the operation type, duration and hospital stay were recorded. After surgery all datas related to the patient were also noted at follow-up period. Results: Ten of 45 patients were in Buerger disease group and 35 in Raynaud. After VATS, existing finger ulcers were regressed 100% and regression in symptoms was more than 70% for both diseases. For overall, progression in life quality was noted as more than 95% of patients. Median hospital-stay was 2 days. There was no mortality and serious complication. Pneumothorax was the most common complication. Conclusions: In order to increase the life quality of the patients and prevent the tissue loss, sympathectomy seems the only satisfactory surgical method of treatment for Buerger and Raynaud diseases especially for the circularity disorders of upper extremities.
背景:伯格氏病和雷诺氏病是引起手指溃疡并影响生活质量的外周循环系统疾病。本研究的目的是通过视频胸腔镜手术(VATS)检测交感神经切除术在Buerger和Raynaud的有效治疗中的作用。材料与方法:采用前瞻性资料进行回顾性设计。通过VATS进行交感神经切除术,应用于6年内诊断为伯格病或雷诺病的45例患者。患者每隔6个月随访一次。记录年龄、性别、首发症状、吸烟习惯、生活质量、手术类型、持续时间和住院时间。术后随访期间记录患者的所有相关数据。结果:45例患者中,burger病组10例,Raynaud病组35例。经VATS治疗后,现有手指溃疡消退100%,两种疾病症状消退均超过70%。总体而言,超过95%的患者生活质量有所改善。平均住院时间为2天。无死亡,无严重并发症。气胸是最常见的并发症。结论:为了提高患者的生活质量,防止组织损失,交感神经切除术是治疗布氏病和雷诺病,特别是上肢循环障碍的唯一满意的手术方法。
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引用次数: 0
Factors affecting survival after resection of stage iib non-small cell lung cancer 影响iib期非小细胞肺癌切除术后生存的因素
Pub Date : 2022-01-01 DOI: 10.26663/cts.2022.006
C. Aker, C. Sezen, M. Doğru, Nisa Yildiz, V. Erdoğu, L. Cansever, M. Metin, M. Bedirhan
Background: Our aim in this study was to evaluate prognostic factors affecting survival and disease-free survival (DFS) in the subgroups of stage IIB NSCLCs. Materials and Methods: Patients with stage IIB NSCLC who underwent surgery in our hospital between January 2006 and December 2015 were included in the study. The patients were evaluated in two groups: T3N0 patients staged as IIB due to pN0 (Group A) and T1N1/T2N1 patients (Group B). Results: Of the 192 patients were included in the study. There were 47 patients in group A (24.5%) and 145 patients in group B (75.5%). 5-year survival rates was 58.2%. There was no statistically significant difference in survival according to T stage. The 5-year survival rates in the T1, T2, and T3 groups were 69%, 55.3%, and 54.6%, respectively (p = 0.34). The main prognostic factors affecting survival were advanced age (p = 0.02). The mean DFS was 72 months and the 5-year DFS rate was 54%. Advanced age and male sex, were identified as poor prognostic factors for DFS (p < 0.005). Conclusions: The stage IIB category remains heterogeneous despite the updated eighth edition IASCL staging system. The results of our study indicate that age was the main prognostic factors affecting survival in stage IIB NSCLC. However, the effect of visceral pleural invasion and lymph node involvement on survival in stage IIB subgroups was not detected, more comprehensive multicenter studies are still needed.
背景:本研究的目的是评估影响IIB期非小细胞肺癌亚组生存和无病生存(DFS)的预后因素。材料与方法:研究对象为2006年1月至2015年12月在我院行手术治疗的IIB期NSCLC患者。将患者分为两组:因pN0而分期为IIB的T3N0患者(A组)和T1N1/ tt21患者(B组)。结果:192例患者纳入研究。A组47例(24.5%),B组145例(75.5%)。5年生存率为58.2%。T分期生存率差异无统计学意义。T1、T2、T3组5年生存率分别为69%、55.3%、54.6% (p = 0.34)。影响生存率的主要预后因素为高龄(p = 0.02)。平均生存期为72个月,5年生存期为54%。高龄和男性被认为是DFS的不良预后因素(p < 0.005)。结论:尽管更新了第八版IASCL分期系统,但IIB期分类仍然存在异质性。我们的研究结果表明,年龄是影响IIB期NSCLC生存的主要预后因素。然而,尚未发现内脏胸膜浸润和淋巴结累及对IIB期亚组生存的影响,仍需要更全面的多中心研究。
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引用次数: 0
Surgical treatment of an intrathoracic rib causing cough in a young woman 一名年轻女性因胸腔内肋骨引起咳嗽的手术治疗
Pub Date : 2022-01-01 DOI: 10.26663/cts.2022.018
Denizhan Kılınç, M. Inan, Ersin Sapmaz, H. Işık, S. Gürkök
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引用次数: 0
Pulmonary hemodynamics and lung surgery: a narrative review 肺血流动力学与肺外科:叙述性综述
Pub Date : 2022-01-01 DOI: 10.21037/ccts-21-33
É. Couture, Christoph G. S. Nabzdyk
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引用次数: 0
Introduction to current challenges in thoracic surgery special series: how to evaluate, diagnose and treat small lung nodules 介绍当前胸外科面临的挑战:如何评估、诊断和治疗肺小结节
Pub Date : 2021-08-25 DOI: 10.21037/ccts-21-32
D. Dolan, S. Swanson
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引用次数: 0
Controversies in the management of stage IIIa non-small-cell lung cancer IIIa期非小细胞肺癌治疗的争议
Pub Date : 2021-08-01 DOI: 10.21037/CCTS-21-21
F. Minervini, M. Scarci
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引用次数: 0
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Current challenges in thoracic surgery
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