{"title":"Thoracic surgery in high-risk patients","authors":"M. Taylor, F. Granato","doi":"10.21037/shc-2022-02","DOIUrl":"https://doi.org/10.21037/shc-2022-02","url":null,"abstract":"","PeriodicalId":74794,"journal":{"name":"Shanghai chest","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43627606","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}
L. Bertolaccini, D. Nachira, S. Margaritora, L. Spaggiari
{"title":"Quantum surgery: the quantum mechanics insight beyond the uniportal video-assisted thoracic surgery (VATS) approach","authors":"L. Bertolaccini, D. Nachira, S. Margaritora, L. Spaggiari","doi":"10.21037/shc-22-30","DOIUrl":"https://doi.org/10.21037/shc-22-30","url":null,"abstract":"","PeriodicalId":74794,"journal":{"name":"Shanghai chest","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49254526","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. Benedetto, Giulia Piccone, G. Dolci, F. Antonacci, E. Salvaterra, M. Baiocchi
{"title":"Urgent lung transplant in acute pulmonary scleroderma: a case report","authors":"M. Benedetto, Giulia Piccone, G. Dolci, F. Antonacci, E. Salvaterra, M. Baiocchi","doi":"10.21037/shc-22-2","DOIUrl":"https://doi.org/10.21037/shc-22-2","url":null,"abstract":"","PeriodicalId":74794,"journal":{"name":"Shanghai chest","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45501910","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}
Objective: This report serves to showcase four cases of rare, malignant primary neoplasms of the anterior chest wall [chondrosarcoma and basal cell carcinoma (BCC)] that thoracic surgeons may encounter, and different approaches to complex reconstruction that may be necessary following resection. Background: Approximately 60% of the anterior chest wall neoplasms are malignant. The most common types of primary sternal tumors are chondrosarcoma and osteosarcoma. While guidelines for resection of these tumors have been previously described in the literature, guidelines regarding reconstructive techniques of the subsequent large defects are infrequently demonstrated. Methods: The medical records of four adult patients with primary chest wall tumors who underwent resection of the sternum from October 2016 to March 2021 were retrospectively reviewed. Radical resection with tumor-free surgical margins offers the best chance for survival, but results in a wide full-thickness defect. Hence, closure of the anterior chest wall defect with skeletal reconstruction is an essential step of the procedure and allows us to highlight surgical techniques and materials that have been used over recent years. Methods described herein include skeletal reconstruction with various hardware or allograft, as well as defect coverage using regional flaps, free tissue transfer, and mesh. Conclusions: Primary chest wall tumors of the sternum are an extremely rare diagnosis with a high malignancy rate. Full-thickness radical en-bloc resection is the most effective treatment option. Subsequent reconstruction of a wide chest wall defect is the most challenging aspect, though crucial in the preservation of the rigidity of the chest wall and protection of underlying structures. Different techniques and materials have been described without clear guidelines in treatment approaches; this paper serves to delineate and describe techniques that achieved successful outcomes.
{"title":"Complex anterior chest wall reconstruction after extensive oncologic resections: a narrative review","authors":"A. Gritsiuta, A. Bracken, A. Abbas, R. Petrov","doi":"10.21037/shc-21-8","DOIUrl":"https://doi.org/10.21037/shc-21-8","url":null,"abstract":"Objective: This report serves to showcase four cases of rare, malignant primary neoplasms of the anterior chest wall [chondrosarcoma and basal cell carcinoma (BCC)] that thoracic surgeons may encounter, and different approaches to complex reconstruction that may be necessary following resection. Background: Approximately 60% of the anterior chest wall neoplasms are malignant. The most common types of primary sternal tumors are chondrosarcoma and osteosarcoma. While guidelines for resection of these tumors have been previously described in the literature, guidelines regarding reconstructive techniques of the subsequent large defects are infrequently demonstrated. Methods: The medical records of four adult patients with primary chest wall tumors who underwent resection of the sternum from October 2016 to March 2021 were retrospectively reviewed. Radical resection with tumor-free surgical margins offers the best chance for survival, but results in a wide full-thickness defect. Hence, closure of the anterior chest wall defect with skeletal reconstruction is an essential step of the procedure and allows us to highlight surgical techniques and materials that have been used over recent years. Methods described herein include skeletal reconstruction with various hardware or allograft, as well as defect coverage using regional flaps, free tissue transfer, and mesh. Conclusions: Primary chest wall tumors of the sternum are an extremely rare diagnosis with a high malignancy rate. Full-thickness radical en-bloc resection is the most effective treatment option. Subsequent reconstruction of a wide chest wall defect is the most challenging aspect, though crucial in the preservation of the rigidity of the chest wall and protection of underlying structures. Different techniques and materials have been described without clear guidelines in treatment approaches; this paper serves to delineate and describe techniques that achieved successful outcomes.","PeriodicalId":74794,"journal":{"name":"Shanghai chest","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47722221","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. E. Cufari, G. Grani, A. Ciarrocchi, J. Nesci, M. Salvi, F. Stella
{"title":"Combined upper lobectomy and extended thymectomy via a left video-assisted thoracoscopic surgery approach: a case report","authors":"M. E. Cufari, G. Grani, A. Ciarrocchi, J. Nesci, M. Salvi, F. Stella","doi":"10.21037/shc-21-26","DOIUrl":"https://doi.org/10.21037/shc-21-26","url":null,"abstract":"","PeriodicalId":74794,"journal":{"name":"Shanghai chest","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43699891","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}
S. Mishima, K. Hamanaka, Masatoshi Shimura, Daisuke Hara, S. Matsuoka, K. Miura, T. Eguchi, K. Shimizu
: Lung metastasectomy is recognized as one of the standard treatments for lung metastases from colorectal cancer (CRC) and can improve overall survival in selected patients. As a surgical procedure, wedge resection is widely preferred because it allows complete resection of the tumor and preserves lung function with low morbidity and mortality. However, several reports suggest that even when complete resection is obtained, there may be a high risk of local recurrence. Several reports have indicated an association between the frequency of recurrence and the length of the surgical margin. Segmentectomy is sometimes selected as an alternative procedure when a sufficient surgical margin cannot be obtained by wedge resection. Recently, growing evidence has revealed the benefits of segmentectomy in the field of primary lung cancer. However, in the field of lung metastasectomy, the influence of the surgical procedure on clinical outcomes has not yet been clarified. Moreover, segmentectomy is sometimes challenging for surgeons because it requires knowledge of the complex spatial bronchovascular anatomy with individual anomalies. Thus, in this review, we aim to investigate the role of lung segmentectomy in the management of lung metastases from CRC. In addition, we will review the latest surgical planning methods that help perform safe and accurate lung segmentectomies, as well as localization strategies to identify metastases in deeper regions.
{"title":"Role of segmentectomy for lung metastases from colorectal cancer: latest insights and technical developments—a review","authors":"S. Mishima, K. Hamanaka, Masatoshi Shimura, Daisuke Hara, S. Matsuoka, K. Miura, T. Eguchi, K. Shimizu","doi":"10.21037/shc-22-32","DOIUrl":"https://doi.org/10.21037/shc-22-32","url":null,"abstract":": Lung metastasectomy is recognized as one of the standard treatments for lung metastases from colorectal cancer (CRC) and can improve overall survival in selected patients. As a surgical procedure, wedge resection is widely preferred because it allows complete resection of the tumor and preserves lung function with low morbidity and mortality. However, several reports suggest that even when complete resection is obtained, there may be a high risk of local recurrence. Several reports have indicated an association between the frequency of recurrence and the length of the surgical margin. Segmentectomy is sometimes selected as an alternative procedure when a sufficient surgical margin cannot be obtained by wedge resection. Recently, growing evidence has revealed the benefits of segmentectomy in the field of primary lung cancer. However, in the field of lung metastasectomy, the influence of the surgical procedure on clinical outcomes has not yet been clarified. Moreover, segmentectomy is sometimes challenging for surgeons because it requires knowledge of the complex spatial bronchovascular anatomy with individual anomalies. Thus, in this review, we aim to investigate the role of lung segmentectomy in the management of lung metastases from CRC. In addition, we will review the latest surgical planning methods that help perform safe and accurate lung segmentectomies, as well as localization strategies to identify metastases in deeper regions.","PeriodicalId":74794,"journal":{"name":"Shanghai chest","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42013605","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":"Uniportal video-assisted thoracoscopic decortication in the treatment of stage III tuberculous empyema: a case report","authors":"Yu Jiang, X. Dai","doi":"10.21037/shc-21-13","DOIUrl":"https://doi.org/10.21037/shc-21-13","url":null,"abstract":"","PeriodicalId":74794,"journal":{"name":"Shanghai chest","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48484512","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":"Second surgery for metachronous primary lung cancer","authors":"N. Matsuura, T. Yajima","doi":"10.21037/shc-22-37","DOIUrl":"https://doi.org/10.21037/shc-22-37","url":null,"abstract":"","PeriodicalId":74794,"journal":{"name":"Shanghai chest","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48702466","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}
Nestor Quiroga, M. Boada, R. Guzmán, José Poblete, L. Molins
{"title":"T4 spine and thoracic wall invasive lung cancer treatment, case report","authors":"Nestor Quiroga, M. Boada, R. Guzmán, José Poblete, L. Molins","doi":"10.21037/shc-21-35","DOIUrl":"https://doi.org/10.21037/shc-21-35","url":null,"abstract":"","PeriodicalId":74794,"journal":{"name":"Shanghai chest","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48746789","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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