Prevention and Management of Nerve Injuries in Thoracic Surgery.

Abstract:

:Nerve injuries can cause substantial morbidity after thoracic surgical procedures. These injuries are preventable, provided that the surgeon has a thorough understanding of the anatomy and follows important surgical principles. When nerve injuries occur, it is important to recognize the options available in the immediate and postoperative settings, including expectant management, immediate nerve reconstruction, or auxiliary procedures. This article covers the basic anatomy and physiology of nerves and nerve injuries, an overview of techniques in nerve reconstruction, and a guide to the nerves most commonly involved in thoracic operative procedures.

journal_name

Thorac Surg Clin

journal_title

Thoracic surgery clinics

authors

Auchincloss HG,Donahue DM

doi

10.1016/j.thorsurg.2015.07.012

subject

Has Abstract

pub_date

2015-11-01 00:00:00

pages

509-15

issue

4

eissn

1547-4127

issn

1558-5069

pii

S1547-4127(15)00064-X

journal_volume

25

pub_type

杂志文章,评审
  • Sublobar Resection: Ongoing Controversy for Treatment for Stage I Non-Small Cell Lung Cancer.

    abstract::Despite a prospective randomized trial that reported decreased locoregional recurrence for the intentional use of sublobar resection for stage IA non-small cell lung cancer, it continues to be a point of considerable debate. Improved imaging techniques have introduced a large group of smaller and more indolent tumors ...

    journal_title:Thoracic surgery clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.thorsurg.2016.04.007

    authors: Sesti J,Donington JS

    更新日期:2016-08-01 00:00:00

  • Correlative anatomy for the esophagus.

    abstract::Because the esophagus is a tubular muscular structure only partially filled with air and surrounded by major structures (vessels, lungs, and heart), its radiologic evaluation cannot be performed solely by conventional chest radiograph or barium studies. The emergence of newer techniques has had a dramatic effect on th...

    journal_title:Thoracic surgery clinics

    pub_type: 杂志文章

    doi:10.1016/j.thorsurg.2010.12.007

    authors: Ugalde PA,Pereira ST,Araujo C

    更新日期:2011-05-01 00:00:00

  • Surface anatomy and surface landmarks for thoracic surgery.

    abstract::A thorough knowledge of thoracic anatomy is of fundamental importance to the thoracic surgeon. Surface anatomy is an often-neglected component of traditional topographic anatomic teaching, but a proper understanding of the relationship of surface features to deeper structures is invaluable in the clinical assessment o...

    journal_title:Thoracic surgery clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.thorsurg.2006.12.002

    authors: Sayeed RA,Darling GE

    更新日期:2007-11-01 00:00:00

  • Mediastinal tumors and cysts in the pediatric population.

    abstract::Pediatric mediastinal tumors and cysts are rare disorders that share many similarities with adults, yet which have important differences unique to the child. Posterior mediastinal tumors are relatively more common in children than in adults and are also more likely to be malignant in children. CT imaging facilitates t...

    journal_title:Thoracic surgery clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.thorsurg.2008.09.014

    authors: Wright CD

    更新日期:2009-02-01 00:00:00

  • Surgically implanted devices: ethical challenges in a very different kind of research.

    abstract::Research on surgically implanted devices not only can raise issues familiar from drug studies, but also can raise special challenges. This article suggests some ways in which device trials can raise distinctive ethical issues. The AbioCor artificial heart trial is used as an example. Although this particular trial sho...

    journal_title:Thoracic surgery clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.thorsurg.2005.06.009

    authors: Morreim EH

    更新日期:2005-11-01 00:00:00

  • Current Landscape of Personalized Therapy.

    abstract::Almost a half of patients diagnosed with nonesmall-cell lung cancer (NSCLC) present with incurable disease, and a significant number of patients who are treated with curative intent for early-stage disease will eventually recur. Systemic therapy is selected based on tumor histology, squamous versus nonsquamous NSCLC, ...

    journal_title:Thoracic surgery clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.thorsurg.2020.01.011

    authors: Horn L,Cass AS

    更新日期:2020-05-01 00:00:00

  • Quality of life after lung transplantation.

    abstract::Despite the potential differences in patient characteristics, study designs, and types of instruments used, this review of the literature showed several common findings. Important improvements in QOL are reported after lung transplantation. These improvements were observed when cross-sectional comparisons were made ac...

    journal_title:Thoracic surgery clinics

    pub_type: 杂志文章,评审

    doi:10.1016/S1547-4127(04)00025-8

    authors: Choong CK,Meyers BF

    更新日期:2004-08-01 00:00:00

  • Robot-assisted lung anatomic segmentectomy: technical aspects.

    abstract::Anatomic lung segmentectomy is a possible alternative to lobectomy for small (<2 cm) primary lung cancers. Interest in anatomic lung segmentectomy has increased further after the adoption of high-resolution computed tomography and the implementation of lung cancer screening studies, which are increasing the detection ...

    journal_title:Thoracic surgery clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.thorsurg.2014.02.008

    authors: Pardolesi A,Veronesi G

    更新日期:2014-05-01 00:00:00

  • Management of Malignant Lung Entrapment, the Oncothorax.

    abstract::Pleural metastasis is a common occurrence in up to 30% of patients with metastatic cancer. When lung entrapment and loculation of fluid occur, treatment is more difficult and we have named this condition "oncothorax." The malignant adhesions that entrap the lung in an oncothorax are not typically amenable to surgical ...

    journal_title:Thoracic surgery clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.thorsurg.2017.08.009

    authors: Petrov R,Bakhos C,Abbas AE

    更新日期:2018-02-01 00:00:00

  • Subxiphoid Uniportal Video-Assisted Thoracoscopic Surgery Procedure.

    abstract::In recent years, the subxiphoid approach has been used to avoid intercostal nerve damage in the field of thoracic surgery. A subxiphoid single-port thymectomy does not require sternotomy; it is associated with lesser pain because there is no intercostal nerve damage; and it provides excellent cosmetic outcomes. Furthe...

    journal_title:Thoracic surgery clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.thorsurg.2017.06.006

    authors: Suda T

    更新日期:2017-11-01 00:00:00

  • Can stereotactic ablative radiotherapy in early stage lung cancers produce comparable success as surgery?

    abstract::Early stage non-small cell lung cancer is a potentially curable manifestation of a disease that is typically associated with a grim prognosis. Therapies directed at early stage disease can be challenging to deliver because patients tend to be elderly with multiple comorbidities. Surgery, the standard of care, has been...

    journal_title:Thoracic surgery clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.thorsurg.2013.05.009

    authors: Shirvani SM,Chang JY,Roth JA

    更新日期:2013-08-01 00:00:00

  • From Diagnosis to Treatment: Clinical Applications of Nanotechnology in Thoracic Surgery.

    abstract::Nanotechnology is an emerging field with potential as an adjunct to cancer therapy, particularly thoracic surgery. Therapy can be delivered to tumors in a more targeted fashion, with less systemic toxicity. Nanoparticles may aid in diagnosis, preoperative characterization, and intraoperative localization of thoracic t...

    journal_title:Thoracic surgery clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.thorsurg.2015.12.009

    authors: Digesu CS,Hofferberth SC,Grinstaff MW,Colson YL

    更新日期:2016-05-01 00:00:00

  • Anatomy of the superior vena cava and brachiocephalic veins.

    abstract::The venous side of the systemic vascular circulation returns the left ventricular cardiac output in a converging fashion to the superior and inferior vena cava and hence to the right atrium. Oxygenated blood is returned to the left atrium. The volumes of these 2 systems are in balance in a normal physiologic state. ...

    journal_title:Thoracic surgery clinics

    pub_type: 杂志文章

    doi:10.1016/j.thorsurg.2010.12.010

    authors: Bennett WF,Altaf F,Deslauriers J

    更新日期:2011-05-01 00:00:00

  • Video-assisted thoracoscopic surgery lobectomy for stage I lung cancer.

    abstract::The literature shows that, in the hands of experienced thoracoscopic surgeons, VL is a safe operation that offers patients at least comparable complication and survival rates compared with lobectomy by thoracotomy. VL can be performed safely with proven advantages over conventional thoracotomy for lobectomy: smaller i...

    journal_title:Thoracic surgery clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.thorsurg.2007.03.019

    authors: Mahtabifard A,DeArmond DT,Fuller CB,McKenna RJ Jr

    更新日期:2007-05-01 00:00:00

  • Adjuvant and Neoadjuvant Immunotherapy in Non-small Cell Lung Cancer.

    abstract::The advent of immune checkpoint blockade has revolutionized the management of advanced non-small cell lung cancer (NSCLC). Impressive results in the metastatic setting have prompted substantial interest in the application of these agents in earlier-stage disease. Applications of checkpoint blockade in the adjuvant set...

    journal_title:Thoracic surgery clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.thorsurg.2020.01.001

    authors: Broderick SR

    更新日期:2020-05-01 00:00:00

  • Postoperative strategies to treat permanent air leaks.

    abstract::Air leakage after pulmonary resections is considered the most prevalent postoperative problem, and it is often the only morbidity identified. Ideally, treatment begins with prevention; the onset of this complication should be anticipated and recognized during surgery, and intraoperative strategies should be attempted ...

    journal_title:Thoracic surgery clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.thorsurg.2010.03.004

    authors: Venuta F,Rendina EA,De Giacomo T,Coloni GF

    更新日期:2010-08-01 00:00:00

  • Tracheobronchomalacia and Expiratory Collapse of Central Airways.

    abstract::Tracheobronchomalacia is an uncommon acquired disorder of the central airways. Common symptoms include dyspnea, constant coughing, inability to raise secretions, and recurrent respiratory infections. Evaluation includes an inspiratory-expiratory chest CT (dynamic CT), an awake functional bronchoscopy, and pulmonary fu...

    journal_title:Thoracic surgery clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.thorsurg.2018.01.006

    authors: Wright CD

    更新日期:2018-05-01 00:00:00

  • Stage IVA thymoma: patterns of spread and surgical management.

    abstract::Stage IVA disease can be de novo disease or more commonly represent recurrent disease. The pleura is the most common site of relapse after thymoma resection. Local pleural disease is usually simply resected. This is usually combined with either induction or adjuvant chemotherapy. The ultimate extended surgery for adva...

    journal_title:Thoracic surgery clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.thorsurg.2010.08.007

    authors: Wright CD

    更新日期:2011-02-01 00:00:00

  • Anatomy of the trachea, carina, and bronchi.

    abstract::This article summarizes the pertinent points of tracheal and bronchial anatomy, including the relationships to surrounding structures. Tracheal and bronchial anatomy is essential knowledge for the thoracic surgeon, and an understanding of the anatomic relationships surrounding the airway is crucial to the safe perform...

    journal_title:Thoracic surgery clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.thorsurg.2006.12.006

    authors: Minnich DJ,Mathisen DJ

    更新日期:2007-11-01 00:00:00

  • Pulmonary Artery Bleeding During Video-Assisted Thoracoscopic Surgery: Intraoperative Bleeding and Control.

    abstract::With appropriate planning and operative technique, the risk of pulmonary artery injury and bleeding during video-assisted thoracoscopic surgery (VATS) lobectomy can be minimized. However, the risk cannot be completely eliminated; surgeons should always ensure that they are prepared to manage this situation if it occur...

    journal_title:Thoracic surgery clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.thorsurg.2015.04.007

    authors: Berry MF

    更新日期:2015-08-01 00:00:00

  • Endoluminal Therapies for Esophageal Perforations and Leaks.

    abstract::Esophageal perforation has historically been a devastating condition resulting in high morbidity and mortality. The use of endoluminal therapies to treat esophageal leaks and perforations has grown exponentially over the last decade and offers many advantages over traditional surgical intervention in the appropriate c...

    journal_title:Thoracic surgery clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.thorsurg.2018.07.002

    authors: Watkins JR,Farivar AS

    更新日期:2018-11-01 00:00:00

  • Malignant pleural mesothelioma: overview of the North American and European experience.

    abstract::MPM is an uncommon disease with limited treatment options. Early diagnosis, a standardized staging system, early referral to centers experienced in MPM, and efforts to develop collaborative multicenter trials are essential to improving treatment for patients with MPM. Efforts to manage this malignancy, which is projec...

    journal_title:Thoracic surgery clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.thorsurg.2004.06.009

    authors: Kukreja J,Jaklitsch MT,Wiener DC,Sugarbaker DJ,Burgers S,Baas P

    更新日期:2004-11-01 00:00:00

  • Preoperative and postoperative pulmonary rehabilitation in lung cancer patients.

    abstract::The benefits derived from comprehensive PR, when applied to patients who have lung cancer, should have significant impact on both survival and health status. Because PR is known to improve exercise capacity, it is reasonable to expect that this treatment modality may provide more patients with a potential cure. In add...

    journal_title:Thoracic surgery clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.thorsurg.2007.10.003

    authors: Nici L

    更新日期:2008-02-01 00:00:00

  • Video-Assisted Thoracic Surgery After Median Sternotomy for Cardiac Surgery.

    abstract::Video-assisted thoracic surgery (VATS) lobectomy has become a standard approach for early stage 1 lung cancer. However, concerns still remain regarding certain clinical situations, such as potential damage to the heart or bypass grafts when VATS is performed after median sternotomy for cardiac surgery. In this article...

    journal_title:Thoracic surgery clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.thorsurg.2015.04.004

    authors: Serna-Gallegos D,Merry H,McKenna RJ Jr

    更新日期:2015-08-01 00:00:00

  • Staged lung volume reduction surgery--rationale and experience.

    abstract::The current convention is for bilateral one-stage lung volume reduction surgery. Unilateral surgery results in a symptomatic improvement in most patients. A staged approach to the second lung may reduce the risk of surgery and lead to a slower decline in physiologic improvement. The timing of the second operation can ...

    journal_title:Thoracic surgery clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.thorsurg.2009.02.001

    authors: Waller D,Oey I

    更新日期:2009-05-01 00:00:00

  • The role of lymphadenectomy in lung cancer surgery.

    abstract::Adequate lymphadenectomy represents a fundamental procedure in lung cancer surgery for accurate staging and potential survival benefit. Various techniques are used in current surgical practice for the intraoperative lymph node removal associated with pulmonary resection, without definitive indications concerning the p...

    journal_title:Thoracic surgery clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.thorsurg.2011.12.001

    authors: D'Andrilli A,Venuta F,Rendina EA

    更新日期:2012-05-01 00:00:00

  • Lung cancer staging in the genomics era.

    abstract::The search for clinically applicable biologic markers or tumor signatures sufficiently powered as prognosticators of tumor behaviors or responses to therapeutic interventions has significantly advanced in scope and sophistication in the last 10 years. The TNM system, examining of tumor tissues to identify histopatholo...

    journal_title:Thoracic surgery clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.thorsurg.2006.07.004

    authors: Nguyen DM,Schrump DS

    更新日期:2006-11-01 00:00:00

  • Risk acceptance and risk aversion: patients' perspectives on lung surgery.

    abstract::Patients express risk aversion toward surgery, particularly if surgery can lead to lifelong debility and loss of independence. When faced with a guarantee of progressive lung cancer and no alternatives for cure, however, patients are willing to take extremely high risks of postoperative complications and surgery-relat...

    journal_title:Thoracic surgery clinics

    pub_type: 杂志文章

    doi:10.1016/S1547-4127(04)00016-7

    authors: Cykert S

    更新日期:2004-08-01 00:00:00

  • Nonintubated Video-Assisted Thoracic Surgery for the Management of Primary and Secondary Spontaneous Pneumothorax.

    abstract::Nonintubated video-assisted thoracoscopic surgery for the treatment of primary and secondary pneumothorax was first reported in 1997 by Nezu. However, studies on this technique are few. Research in the past 20 years has focused on the perioperative outcomes, including the surgical duration, length of hospital stay, an...

    journal_title:Thoracic surgery clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.thorsurg.2019.08.001

    authors: Chen PH,Hung WT,Chen JS

    更新日期:2020-02-01 00:00:00

  • Lung cancer screening: the European perspective.

    abstract::European studies have contributed significantly to the understanding of lung cancer screening. Smoking within screening, quality of life, nodule management, minimally invasive treatments, cancer prevention programs, and risk models have been extensively investigated by European groups. Mortality data from European scr...

    journal_title:Thoracic surgery clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.thorsurg.2014.12.002

    authors: Veronesi G

    更新日期:2015-05-01 00:00:00