{"title":"Pneumothorax as a result of bronchoscopic lung volume reduction with endobronchial valves: a clinical practice review of risk and management strategies","authors":"A. Wagh, Nakul Ravikumar, D. Hogarth","doi":"10.21037/shc-22-34","DOIUrl":"https://doi.org/10.21037/shc-22-34","url":null,"abstract":"","PeriodicalId":74794,"journal":{"name":"Shanghai chest","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49331271","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}
N. Santana-Rodríguez, Hamsa Aldebakey, Ibrahem Albalkhi, M. Hussein, Abdullah AlShammari, Ahmed Ahmed, Nasser Alshariff, Hazem Albeyali, Mahmoud Hashim, Bernardino Clavo-Varas, M. Migliore
{"title":"Surgical management of parapneumonic empyema","authors":"N. Santana-Rodríguez, Hamsa Aldebakey, Ibrahem Albalkhi, M. Hussein, Abdullah AlShammari, Ahmed Ahmed, Nasser Alshariff, Hazem Albeyali, Mahmoud Hashim, Bernardino Clavo-Varas, M. Migliore","doi":"10.21037/shc-22-11","DOIUrl":"https://doi.org/10.21037/shc-22-11","url":null,"abstract":"","PeriodicalId":74794,"journal":{"name":"Shanghai chest","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43600997","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}
A. Fiorelli, Giovanni Natale, F. Ferraro, Roberta Fiorito, M. Santini
Background: Staplers play a crucial role for thoracoscopic lobectomy, but their malfunction may be associated with post-operative morbidity and/or mortality. Case Description: Herein, we reported a case of stapler trouble during thoracoscopic left lower lobectomy. At the end of the operation, interlobar fissure was divided by stapler with 60 mm purple (3.5 mm) cartridge. After firing, the jaws did not open, and remained stuck to the lung tissue. A fissureless approach was performed and the interlobar fissure was divided at last using a stapler with 60 mm purple (3.5 mm) cartridge. After firing, the jaws did not open, and remained stuck to the lung tissue. All secondary maneuvers recommended from the manufacturer for opening the jaws were performed, but without success. An additional stapler with 60 mm purple (3.5 mm) cartridge was inserted through the anterior incision, and divided the tissue between the stuck stapler and the pulmonary artery. The tissue with the locked stapler was divided from the specimen using energy device, and taken out of the patient through the anterior incision. The specimen was then inserted within the endo-bag and retrieved through the anterior incision in a standard manner. Extended lymphadenectomy completed the procedure, and intraoperative sealing test revealed no air leakage. The postoperative course was unremarkable, and patient was discharged five days later. The actual follow-up showed no sign of recurrence. Conclusions: Our strategy may be useful for surgeons to deal an unpredicted similar situation that may occur either for stapler malfunction or for improper use
{"title":"Stapler stuck to the lung tissue during thoracoscopic lobectomy: a case report","authors":"A. Fiorelli, Giovanni Natale, F. Ferraro, Roberta Fiorito, M. Santini","doi":"10.21037/shc-21-32","DOIUrl":"https://doi.org/10.21037/shc-21-32","url":null,"abstract":"Background: Staplers play a crucial role for thoracoscopic lobectomy, but their malfunction may be associated with post-operative morbidity and/or mortality. Case Description: Herein, we reported a case of stapler trouble during thoracoscopic left lower lobectomy. At the end of the operation, interlobar fissure was divided by stapler with 60 mm purple (3.5 mm) cartridge. After firing, the jaws did not open, and remained stuck to the lung tissue. A fissureless approach was performed and the interlobar fissure was divided at last using a stapler with 60 mm purple (3.5 mm) cartridge. After firing, the jaws did not open, and remained stuck to the lung tissue. All secondary maneuvers recommended from the manufacturer for opening the jaws were performed, but without success. An additional stapler with 60 mm purple (3.5 mm) cartridge was inserted through the anterior incision, and divided the tissue between the stuck stapler and the pulmonary artery. The tissue with the locked stapler was divided from the specimen using energy device, and taken out of the patient through the anterior incision. The specimen was then inserted within the endo-bag and retrieved through the anterior incision in a standard manner. Extended lymphadenectomy completed the procedure, and intraoperative sealing test revealed no air leakage. The postoperative course was unremarkable, and patient was discharged five days later. The actual follow-up showed no sign of recurrence. Conclusions: Our strategy may be useful for surgeons to deal an unpredicted similar situation that may occur either for stapler malfunction or for improper use","PeriodicalId":74794,"journal":{"name":"Shanghai chest","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67564882","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}
A. Fiorelli, G. Messina, Roberta Fiorito, M. Martone, F. Ferraro, M. Santini
Background: Malignant central airway stenosis (CAO) is a life-threatening condition that may lead to emergency intubation and mechanical ventilation to manage severe respiratory failure. Airway stenting may facilitate extubation, and preserve stable airway for further cancer specific treatments. Herein, we reported an unconventional life-saving strategy using endotracheal tube (ETT) to relocate a displaced airway stent in a patient with critical CAO. Case Description: A 69-year-old man with severe malignant tracheal stenosis underwent emergent intubation. Airway stenting was placed and patient moved to Intensive Care Unit (ICU) with ETT in situ . Soon after extubation, the patient developed severe breathing difficulty due to stent dislocation. Under endoscopic view, a 7.5 mm ETT was placed within the stent; the balloon was inflated, and the tube with the stent was gently moved toward the carina, till the stent forced and covered the stenosis and its distal end was located above the carina. The balloon was then deflated, and the ETT was removed. Conclusions: Our method was not the first choice for relocating dislocating airway stent, but it should be considered as a life-saving treatment to perform in emergent situation when rigid bronchoscope and operating room were not readily available. The main lesson to be learned from this case was to not extubate a patient with a high-risk airway unless physicians are prepared to deal with the potential complications.
{"title":"Endotracheal tube for relocating dislocated airway stent: a case report","authors":"A. Fiorelli, G. Messina, Roberta Fiorito, M. Martone, F. Ferraro, M. Santini","doi":"10.21037/shc-22-6","DOIUrl":"https://doi.org/10.21037/shc-22-6","url":null,"abstract":"Background: Malignant central airway stenosis (CAO) is a life-threatening condition that may lead to emergency intubation and mechanical ventilation to manage severe respiratory failure. Airway stenting may facilitate extubation, and preserve stable airway for further cancer specific treatments. Herein, we reported an unconventional life-saving strategy using endotracheal tube (ETT) to relocate a displaced airway stent in a patient with critical CAO. Case Description: A 69-year-old man with severe malignant tracheal stenosis underwent emergent intubation. Airway stenting was placed and patient moved to Intensive Care Unit (ICU) with ETT in situ . Soon after extubation, the patient developed severe breathing difficulty due to stent dislocation. Under endoscopic view, a 7.5 mm ETT was placed within the stent; the balloon was inflated, and the tube with the stent was gently moved toward the carina, till the stent forced and covered the stenosis and its distal end was located above the carina. The balloon was then deflated, and the ETT was removed. Conclusions: Our method was not the first choice for relocating dislocating airway stent, but it should be considered as a life-saving treatment to perform in emergent situation when rigid bronchoscope and operating room were not readily available. The main lesson to be learned from this case was to not extubate a patient with a high-risk airway unless physicians are prepared to deal with the potential complications.","PeriodicalId":74794,"journal":{"name":"Shanghai chest","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45650893","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}
Chang Li, F. Kazzaz, Joanna M. Scoon, R. Estrada-Y.-Martin, S. Cherian
{"title":"Lymphocyte predominant exudative pleural effusions: a narrative review","authors":"Chang Li, F. Kazzaz, Joanna M. Scoon, R. Estrada-Y.-Martin, S. Cherian","doi":"10.21037/shc-21-11","DOIUrl":"https://doi.org/10.21037/shc-21-11","url":null,"abstract":"","PeriodicalId":74794,"journal":{"name":"Shanghai chest","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42048933","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":"Core needle biopsy for screening detected lung cancer—does it capture all in light of tumor heterogeneity?—a narrative review","authors":"Carina Binder, F. Oberndorfer, L. Müllauer","doi":"10.21037/shc-21-1","DOIUrl":"https://doi.org/10.21037/shc-21-1","url":null,"abstract":"","PeriodicalId":74794,"journal":{"name":"Shanghai chest","volume":"517 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41281231","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}
C. Sartorio, G. Milanese, R. Ledda, G. Tringali, M. Balbi, Francesca Milone, N. Sverzellati, Mario Silva
{"title":"Diameter versus volumetry: a narrative review on current recommendations to measure and monitor screening detected lung nodules","authors":"C. Sartorio, G. Milanese, R. Ledda, G. Tringali, M. Balbi, Francesca Milone, N. Sverzellati, Mario Silva","doi":"10.21037/shc-21-5","DOIUrl":"https://doi.org/10.21037/shc-21-5","url":null,"abstract":"","PeriodicalId":74794,"journal":{"name":"Shanghai chest","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47176509","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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