Thoracoscopic lobectomy for lung cancer with a largely fused fissure.

Abstract:

BACKGROUND:While isolating the pulmonary arterial branches within the fissure is a crucial step in lobectomy, a largely fused fissure usually hinders its achievement, making lobectomy with video-assisted thoracoscopic surgery (VATS) difficult to achieve. For VATS lobectomy in lung cancer patients with a largely fused fissure, we have conducted an unusual approach for each lobe, and the surgical results were compared between patients with and without a fused fissure. METHODS:Since1999, we have conducted VATS lobectomies in 77 patients. Of these, 10 had largely fused fissures that needed an unusual surgical approach for dividing the pulmonary arterial branches. The other 67 patients had separated fissures that allowed the isolation and division of the arterial branches within it. While the surgical approach used for the patients with largely fused fissures differed in each lobe, most often the lobar bronchus was divided before pulmonary arterial branches within the fissure were divided, with the fused fissure being divided last. RESULTS:There were no significant differences in age, lobectomy site, or tumor stage between the patients with fused fissures and those with separated fissures. The surgical data showed no significant differences between the two groups in operating time, blood loss, duration of chest tube drainage, and hospital stay after surgery. However, the patients with fused fissures required more staples to close the incision than did those with a separated fissure (mean number of staples, 7.7 vs 5.7; p < 0.001). There was no postoperative mortality or morbidity, including prolonged air leakage, in the patients with fused fissures. CONCLUSION:Although the performance of VATS lobectomy for patients with largely fused fissures is more costly, it is feasible and safe. A largely fused fissure is not a limiting factor for the performance of VATS lobectomy.

journal_name

Chest

journal_title

Chest

authors

Nomori H,Ohtsuka T,Horio H,Naruke T,Suemasu K

doi

10.1378/chest.123.2.619

subject

Has Abstract

pub_date

2003-02-01 00:00:00

pages

619-22

issue

2

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(15)32480-6

journal_volume

123

pub_type

杂志文章

相关文献

CHEST文献大全
  • Left atrial size, chemosensitivity, and central sleep apnea in heart failure.

    abstract:BACKGROUND:Central sleep apnea (CSA) is common among patients with heart failure (HF) and is promoted by elevated CO2 chemosensitivity. Left atrial size is a marker of the hemodynamic severity of HF. The aim of this study was to determine if left atrial size predicts chemosensitivity to CO2 and CSA in patients with HF....

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.13-0309

    authors: Calvin AD,Somers VK,Johnson BD,Scott CG,Olson LJ

    更新日期:2014-07-01 00:00:00

  • Needle aspiration biopsy of malignant lung masses with necrotic centers. Improved sensitivity with ultrasonic guidance.

    abstract::False-negative results from transthoracic needle aspiration biopsy of malignant lung masses may occur if a central necrotic area is present and is the source of the biopsy material. The purpose of this study is to determine if the use of ultrasonic guidance can improve the sensitivity of lung needle biopsies in this c...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.103.5.1452

    authors: Pan JF,Yang PC,Chang DB,Lee YC,Kuo SH,Luh KT

    更新日期:1993-05-01 00:00:00

  • Clinical efficacy of sitaxsentan, an endothelin-A receptor antagonist, in patients with pulmonary arterial hypertension: open-label pilot study.

    abstract:STUDY OBJECTIVES:To evaluate the safety and efficacy of sitaxsentan, an endothelin-A receptor antagonist, in a 12-week, open-label trial of patients with pulmonary arterial hypertension (PAH). PATIENTS:Six children and 14 adults with New York Heart Association (NYHA) functional class II, III, or IV primary pulmonary h...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1378/chest.121.6.1860

    authors: Barst RJ,Rich S,Widlitz A,Horn EM,McLaughlin V,McFarlin J

    更新日期:2002-06-01 00:00:00

  • Acute lung injury outside of the ICU: incidence in respiratory isolation on a general ward.

    abstract:BACKGROUND:Epidemiologic investigations of acute lung injury (ALI) and ARDS have focused on mechanically ventilated patients in ICUs, and have reported high mortality rates. We sought to determine the incidence and lethality of these syndromes in the respiratory isolation areas of general wards, a non-ICU setting that ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.08-0280

    authors: Quartin AA,Campos MA,Maldonado DA,Ashkin D,Cely CM,Schein RMH

    更新日期:2009-02-01 00:00:00

  • Noninvasive pressure support ventilation in patients with acute respiratory failure.

    abstract::To further delineate indications for noninvasive pressure support ventilation (NIPSV), we proposed this noninvasive technique as an alternative to endotracheal intubation in 17 consecutive patients with acute respiratory failure from various causes. Eight patients (47 percent) were successfully ventilated with NIPSV, ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.103.3.907

    authors: Wysocki M,Tric L,Wolff MA,Gertner J,Millet H,Herman B

    更新日期:1993-03-01 00:00:00

  • Midsystolic closure of the aortic valve in primary pulmonary hypertension.

    abstract::Echocardiographic examination in a patient with primary pulmonary hypertension demonstrated midsystolic closure of the aortic valve, which has often been described in hypertrophic cardiomyopathy with or without obstruction, in discrete subaortic stenosis, and in ruptured aneurysm of the right coronary sinus of Valsalv...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.79.6.710

    authors: Doi YL,Bishop RL,Sugiura T,Spodick DH

    更新日期:1981-06-01 00:00:00

  • Angiographic morphologic features of infarct-related arteries and timely reperfusion in acute myocardial infarction: predictors of slow-flow and no-reflow phenomenon.

    abstract:BACKGROUND:Growing evidence suggests that no-reflow reperfusion after direct percutaneous coronary intervention (d-PCI) is associated with an unfavorable clinical outcome. The purpose of this study was to evaluate whether prerevascularization angiographic morphologic features of infarct-related arteries (IRAs) and time...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.122.4.1322

    authors: Yip HK,Chen MC,Chang HW,Hang CL,Hsieh YK,Fang CY,Wu CJ

    更新日期:2002-10-01 00:00:00

  • ST-segment elevation during recovery from exercise. A new manifestation of Prinzmetal's variant angina.

    abstract::Four patients underwent exercise testing because of a history of pain in the chest; all four developed marked elevation of the S-T segment only during recovery after exercise. Three of the four patients showed ST-segment depression during exercise, but ST-segment elevation was absent until two or more minutes after ce...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.74.2.133

    authors: Weiner DA,Schick EC Jr,Hood WB Jr,Ryan TJ

    更新日期:1978-08-01 00:00:00

  • Correlation between perioperative blood transfusion and prognosis of patients subjected to surgery for stage I lung cancer.

    abstract:BACKGROUND:It has been reported, but not proven, that perioperative blood transfusions have a detrimental effect on the survival of patients undergoing surgery for lung cancer. STUDY DESIGN:and methods: A prospective study was carried out on the patients undergoing lobectomy for stage I lung cancer at our department f...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.124.1.102

    authors: Nosotti M,Rebulla P,Riccardi D,Baisi A,Bellaviti N,Rosso L,Santambrogio L

    更新日期:2003-07-01 00:00:00

  • Mediastinal lymphadenopathy in patients undergoing cardiac transplant evaluation.

    abstract:BACKGROUND:We evaluated the association between hemodynamic parameters of chronic congestive heart failure (CHF) and mediastinal lymphadenopathy (MLA) in heart transplantation (HT) candidates and the effect of HT on MLA. We also described the results of lymph node (LN) biopsies of MLA in the patients. METHODS:Patients...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.10-1386

    authors: Pastis NJ Jr,Van Bakel AB,Brand TM,Ravenel JG,Gilbert GE,Silvestri GA,Judson MA

    更新日期:2011-06-01 00:00:00

  • Effect of preoperative renin-angiotensin system blockade on hypertension following coronary surgery.

    abstract::Renin-angiotensin system activation is suspected of being involved in postcoronary surgery hypertension, but appears to be useful in maintaining blood pressure during anesthesia and cardiopulmonary bypass. To clarify these points, 19 patients were compared: ten as a control group and nine who received captopril during...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.93.6.1156

    authors: Colson P,Grolleau D,Chaptal PA,Ribstein J,Mimran A,Roquefeuil B

    更新日期:1988-06-01 00:00:00

  • Relationship between ICU design and mortality.

    abstract:BACKGROUND:Architectural design of health-care facilities can influence patient safety; however, it is unknown whether patient outcomes are significantly affected by ICU design. METHODS:Six hundred sixty-four patients admitted to the medical ICU (MICU) of Columbia University Medical Center during 2008 were included in...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.09-1458

    authors: Leaf DE,Homel P,Factor PH

    更新日期:2010-05-01 00:00:00

  • Pott's disease. A resurgent challenge to the thoracic surgeon.

    abstract::Nineteen patients were treated at the Los Angeles County Harbor/UCLA Medical Center between 1971 and 1986 for tuberculosis of the spine. Fourteen were immigrants, a high-risk group. A high index of suspicion is required for Pott's disease, which occurs in fewer than 1 percent of patients with tuberculosis, often prese...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.95.1.145

    authors: Omari B,Robertson JM,Nelson RJ,Chiu LC

    更新日期:1989-01-01 00:00:00

  • Outcomes up to 5 years after severe, acute respiratory failure.

    abstract:STUDY OBJECTIVE:To use an existing database from a large cohort study with follow-up as long as 5.5 years to assess the extended prognosis of patients who survived their hospitalizations for severe acute respiratory failure (ARF). DESIGN, SETTING, AND PATIENTS:Secondary analysis of an inception cohort of 1,722 patient...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.126.6.1897

    authors: Garland A,Dawson NV,Altmann I,Thomas CL,Phillips RS,Tsevat J,Desbiens NA,Bellamy PE,Knaus WA,Connors AF Jr,SUPPORT Investigators.

    更新日期:2004-12-01 00:00:00

  • Experimental studies on heterotopic lung transplantation during temporary pulmonary insufficiency.

    abstract::Survival from reversible forms of severe pulmonary insufficiency remains dismal despite the development of artificial oxygenators. We hypothesized that an intraabdominal heterotopic lung could help maintain adequate oxygenation during acute pulmonary insufficiency. Five mongrel dogs underwent an acute heterotopic lung...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.106.1.257

    authors: Lazzara RR,Cmolik BE,Trumble DR,Pennock BE,Magovern JA

    更新日期:1994-07-01 00:00:00

  • Cardiac transplant patient at one year. Cyclosporine vs conventional immunosuppression.

    abstract::From March 1, 1979 thru September 30, 1984 we performed 56 cardiac transplants (Tx). The first 32 patients received conventional immunosuppression therapy consisting of azathioprine/prednisone (I/P), while the subsequent 24 patients received cyclosporine/prednisone (C/P). Twenty-one of 32 I/P patients ages 39 +/- 3 ye...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.90.1.29

    authors: Emery RW,Cork R,Christensen R,Levinson MM,Icenogle TB,Riley J,Ott RA,Copeland JG

    更新日期:1986-07-01 00:00:00

  • Oxidative DNA damage and somatic mutations: a link to the molecular pathogenesis of chronic inflammatory airway diseases.

    abstract:BACKGROUND:Acquired somatic mutations induced by oxidative stress may contribute to the molecular pathogenesis of chronic inflammatory airway diseases. The objective of this study was to assess the intensity of oxidative DNA damage and the presence of microsatellite DNA instability (MSI), a marker of acquired somatic m...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.11-1653

    authors: Tzortzaki EG,Dimakou K,Neofytou E,Tsikritsaki K,Samara K,Avgousti M,Amargianitakis V,Gousiou A,Menikou S,Siafakas NM

    更新日期:2012-05-01 00:00:00

  • Pulmonary hypertension in chronic obstructive pulmonary disease. Multivariate analysis.

    abstract::The severity of pulmonary hypertension was evaluated by right cardiac catheterization in 89 patients with stable chronic obstructive pulmonary disease, both at rest and during maximum treadmill exercise. Thirty-one patients were found to have pulmonary hypertension at rest, defined as a mean pulmonary arterial pressur...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.90.2.185

    authors: Keller CA,Shepard JW Jr,Chun DS,Vasquez P,Dolan GF

    更新日期:1986-08-01 00:00:00

  • Reducing COPD Readmissions: Strategies for the Pulmonologist to Improve Outcomes.

    abstract::Hospitalizations for patients with acute exacerbations of COPD are associated with several adverse patient outcomes as well as with significant health-care costs. Despite many interventions targeted at reducing readmissions following an initial hospitalization, there are few strategies that have been consistently asso...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1016/j.chest.2019.06.005

    authors: Freedman N

    更新日期:2019-10-01 00:00:00

  • Single-nucleotide polymorphisms and lung disease: clinical implications.

    abstract::Human genetic variation has enormous implications for individual susceptibility to lung disease, as well as for differences in prognosis and response to therapeutic interventions. Single-nucleotide polymorphisms (SNPs) are the most common type of DNA sequence variation. An SNP is the substitution of a single base in t...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.06-2252

    authors: Tebbutt SJ,James A,Paré PD

    更新日期:2007-04-01 00:00:00

  • The cardiovascular effects of acute hypoxemia as a diagnostic aid.

    abstract::Acute hypoxemia produces opposite effects on the pulmonary and systemic vascular resistance. To assess the influence of acute hypoxemia on cardiac murmurs, 36 patients with a single valvular or congenital heart lesion were studied. As expected from these hemodynamic effects, right-sided regurgitant type murmurs increa...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.81.2.159

    authors: Curiel R,Tortoledo F,Rodriguez L,Soto R,Perez-Gonzalez J

    更新日期:1982-02-01 00:00:00

  • Importance of adequate gas-mixing in contrast echocardiography.

    abstract::Microbubble formation has been accepted as the mechanism producing contrast echoes. Comparisons of the contrast effects of various agents have been studied extensively, but the importance of gas-mixing has been less appreciated. To test the hypothesis that good gas-mixing, by facilitating microbubble formation, would ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.89.5.723

    authors: Chiang CW,Lin FC,Fu M,Fang BR,Hsu TS,Lee YS

    更新日期:1986-05-01 00:00:00

  • Continuous positive airway pressure and supplemental oxygen in the treatment of cardiogenic pulmonary edema.

    abstract::The efficacy of continuous positive airway pressure (CPAP) administered with a face mask was compared to oxygen supplementation in 40 patients with acute cardiogenic pulmonary edema. Baseline arterial blood gas values and pH, heart rate, respiratory rate, and blood pressure were recorded after patients breathed 28 per...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.92.3.481

    authors: Väisänen IT,Räsänen J

    更新日期:1987-09-01 00:00:00

  • Treatment for collapsed lung in critically ill patients. Selective intrabronchial air insufflation using the fiberoptic bronchoscope.

    abstract::A new, simpler method to re-expand collapsed lungs was introduced in 14 procedures in 12 critically ill patients. To close the bronchus, we wedge the fiberoptic bronchoscope into each segment or subsegment of the collapsed lung instead of using a balloon cuff. Room air was then insufflated into the atelectatic alveoli...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.97.2.435

    authors: Tsao TC,Tsai YH,Lan RS,Shieh WB,Lee CH

    更新日期:1990-02-01 00:00:00

  • Loss of caveolin and heme oxygenase expression in severe pulmonary hypertension.

    abstract::Caveolae are cell plasma membrane microdomains implicated in organizing and concentrating many signaling molecules. In the lung, caveolae are in endothelium, smooth muscle, fibroblasts, and pneumocytes. Caveolin is the main structural protein of caveolae. Caveolin 1 is down-regulated in transformed cells and may be a ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.129.3.696

    authors: Achcar RO,Demura Y,Rai PR,Taraseviciene-Stewart L,Kasper M,Voelkel NF,Cool CD

    更新日期:2006-03-01 00:00:00

  • The subvalvular apparatus in rheumatic mitral stenosis: methods of assessment and therapeutic implications.

    abstract::The assessment of the structure and function of the subvalvular apparatus (SVA) in patients with rheumatic mitral stenosis (MS) is complex, yet is of major importance prior to therapeutic decision making. Currently available methods of assessment are neither sufficiently accurate nor feasible. We review anatomic and f...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.124.5.1929

    authors: Turgeman Y,Atar S,Rosenfeld T

    更新日期:2003-11-01 00:00:00

  • Long-term recording and automatic analysis of cough using filtered acoustic signals and movements on static charge sensitive bed.

    abstract::Reliable long-term assessment of cough is necessary in many clinical and scientific settings. A new method for long-term recording and automatic analysis of cough is presented. The method is based on simultaneous recording of two independent signals: high-pass filtered cough sounds and cough-induced fast movements of ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.94.5.970

    authors: Salmi T,Sovijärvi AR,Brander P,Piirilä P

    更新日期:1988-11-01 00:00:00

  • Bronchoprotective effects of single doses of salmeterol combined with montelukast in thermally induced bronchospasm.

    abstract:STUDY OBJECTIVES:Salmeterol (S) and montelukast (M) individually inhibit the obstructive consequences of thermal stimuli such as exercise and hyperventilation (HV), but there is no information on whether these drugs can interact positively. DESIGN:Randomized trial. SETTING:University teaching hospital. PARTICIPANTS:...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.127.5.1572

    authors: Coreno A,Skowronski M,West E,El-Ekiaby A,McFadden ER Jr

    更新日期:2005-05-01 00:00:00

  • Effects of prostaglandin E1 in postoperative surgical patients with circulatory deficiency.

    abstract::Hemodynamic and oxygen transport effects of PGE1 were observed in the early postoperative period before development of ARDS in two series of general surgical patients with circulatory deficiencies. The first was a series of 19 studies in 18 patients, the second was a placebo-controlled series of 20 patients (ten recei...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1378/chest.99.4.945

    authors: Appel PL,Shoemaker WC,Kram HB

    更新日期:1991-04-01 00:00:00

  • Learning experience of linear endobronchial ultrasound among pulmonary trainees.

    abstract:BACKGROUND:Linear endobronchial ultrasound (EBUS) allows real-time guidance of transbronchial needle aspiration of thoracic structures and has become an increasingly important diagnostic tool for chest physicians. Little has been published about the learning experience of operators with this technology. The purpose of ...

    journal_title:Chest

    pub_type: 杂志文章,多中心研究

    doi:10.1378/chest.13-0701

    authors: Wahidi MM,Hulett C,Pastis N,Shepherd RW,Shofer SL,Mahmood K,Lee H,Malhotra R,Moser B,Silvestri GA

    更新日期:2014-03-01 00:00:00