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
Chestjournal_title
Chestauthors
Nomori H,Ohtsuka T,Horio H,Naruke T,Suemasu Kdoi
10.1378/chest.123.2.619subject
Has Abstractpub_date
2003-02-01 00:00:00pages
619-22issue
2eissn
0012-3692issn
1931-3543pii
S0012-3692(15)32480-6journal_volume
123pub_type
杂志文章相关文献
CHEST文献大全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
更新日期:2014-07-01 00:00:00
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
更新日期:1993-05-01 00:00:00
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
更新日期:2002-06-01 00:00:00
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
更新日期:2009-02-01 00:00:00
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
更新日期:1993-03-01 00:00:00
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
更新日期:1981-06-01 00:00:00
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
更新日期:2002-10-01 00:00:00
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
更新日期:1978-08-01 00:00:00
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
更新日期:2003-07-01 00:00:00
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
更新日期:2011-06-01 00:00:00
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
更新日期:1988-06-01 00:00:00
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
更新日期:2010-05-01 00:00:00
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
更新日期:1989-01-01 00:00:00
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
更新日期:2004-12-01 00:00:00
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
更新日期:1994-07-01 00:00:00
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
更新日期:1986-07-01 00:00:00
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
更新日期:2012-05-01 00:00:00
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
更新日期:1986-08-01 00:00:00
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
更新日期:2019-10-01 00:00:00
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
更新日期:2007-04-01 00:00:00
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
更新日期:1982-02-01 00:00:00
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
更新日期:1986-05-01 00:00:00
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
更新日期:1987-09-01 00:00:00
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
更新日期:1990-02-01 00:00:00
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
更新日期:2006-03-01 00:00:00
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
更新日期:2003-11-01 00:00:00
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
更新日期:1988-11-01 00:00:00
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
更新日期:2005-05-01 00:00:00
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
更新日期:1991-04-01 00:00:00
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
更新日期:2014-03-01 00:00:00