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General Thoracic and Cardiovascular Surgery OnlineFirst articles

31.05.2024 | Original Article

Long-term results of the frozen elephant trunk technique in primary chronic type B aortic dissection

Type B aortic dissection (TBAD) used to be considered a lower-risk dissection compared to type A aortic dissection (TAAD). However, it has recently been regarded as a challenging disease with up to 50% requiring aortic interventions or …

verfasst von:
Hisato Ito, Saki Bessho, Yu Shomura, Noriyuki Kato, Shinji Kanemitsu, Toru Mizumoto, Koji Hirano, Yasumi Maze, Toshiya Tokui, Motoshi Takao

29.05.2024 | Original Article

Comparison between Zone 2 and Zone 3 distal anastomoses for aortic arch replacement in terms of invasiveness

After the introduction of thoracic endovascular aortic repair (TEVAR), the strategy for thoracic aortic surgery is undergoing a transition. TEVAR was initially introduced for descending aortic aneurysms, but gradually its indication is expanding …

verfasst von:
Mamoru Arakawa, Kei Akiyoshi, Yuichiro Kitada, Atsushi Miyagawa, Homare Okamura

Open Access 28.05.2024 | Original Article

Prognostic significance of preoperative to postoperative serum carcinoembryonic antigen ratio after lobectomy for lung adenocarcinoma

Serum carcinoembryonic antigen (CEA) is widely recognized and recommended as a reliable tumor marker for colorectal cancer. It is therefore used for making the diagnosis, predicting the prognosis, and monitoring treatment [ 1 – 3 ]. It is also used …

verfasst von:
Go Kamimura, Masaya Aoki, Mihiro Iwamoto, Yusei Tsuneyoshi, Shoichiro Morizono, Tadashi Umehara, Aya Harada-Takeda, Koki Maeda, Toshiyuki Nagata, Kazuhiro Ueda

27.05.2024 | Review Article

The presence of a cribriform pattern is related to poor prognosis in lung adenocarcinoma after surgical resection: A meta-analysis

Lung adenocarcinoma (ADC) is the most common histological type of lung cancer [ 1 ]. In 2011, a new histological classification for this disease was proposed by the American Thoracic Society and the European Respiratory Society (IASLC/ATS/ERS) …

verfasst von:
Haoran Qu, Jianfeng Li, Rui Zeng, Ming Du

27.05.2024 | How to Do It

Wedge extended bronchoplasty with caliber adjustment by membranous suture

Extended bronchoplasty for the left lower lobe lung tumors with interlobar lymph node involvement is a useful surgical technique for avoiding pneumonectomy. Typically, sleeve bronchoplasty, in which the superior division bronchus and the left main …

verfasst von:
Yusuke Saeki, Yukinobu Goto, Keisuke Kuroda, Yukio Sato

Open Access 15.05.2024 | Original Article

Evaluation of the blood flow in reconstructed gastric tube and its relation to anastomosis leakage

Anastomotic leakage is one of three major complications in esophageal cancer surgery [ 1 ]; however, only a few studies have evaluated the blood flow in reconstructed organs to reduce its frequency. The blood flow is evaluated by measuring the …

verfasst von:
Seigi Lee, Hiroshi Sato, Yutaka Miyawaki, Kazuhiko Hisaoka, Kazuya Takabatake, Tetsuro Toriumi, Gen Ebara, Hirofumi Sugita, Shinichi Sakuramoto

15.05.2024 | Review Article

Retained intracardiac air in cardiovascular surgery: a re-visited problem

Intracardiac air remains an unsolved problem in the realm of cardiac surgery, leading to embolic events encompassing conduction disturbance, heart failure, and stroke. Transesophageal echocardiography allows the visualization of three distinct …

verfasst von:
Kazumasa Orihashi, Tsuyoshi Miyata

13.05.2024 | Original Article

Lessons from short chest drain management for primary spontaneous pneumothorax

Primary spontaneous pneumothorax (PSP) is among the most common thoracic diseases affecting adolescents and young adults [ 1 ]. The mainstay treatment for PSP is video-assisted thoracic surgery (VATS) bullectomy [ 2 ] because it is less invasive as …

verfasst von:
Atsushi Kagimoto, Atsushi Kamigaichi, Masayuki Ishida, Takeshi Mimura

Open Access 09.05.2024 | Original Article

Postoperative pulmonary function of patients with lung cancer and interstitial lung abnormalities

Interstitial lung abnormalities [ILAs] are defined as those observed on chest computed tomography [CT] images that are associated with interstitial lung disease or pulmonary fibrosis in individuals without a clinical diagnosis [ 1 ]. Patients with …

verfasst von:
Norifumi Tsubokawa, Takahiro Mimae, Takeshi Mimura, Atsushi Kagimoto, Atsushi Kamigaichi, Nobutaka Kawamoto, Yoshihiro Miyata, Morihito Okada

03.05.2024 | Original Article

Endoscopically assisted transaxillary release of the scalene muscles for thoracic outlet syndromes: a comparison with or without first rib resection

Several procedures are available to treat thoracic outlet syndrome (TOS). Adson and Coffey reported supraclavicular release of the anterior and middle scalene muscles [ 1 ], Falconer and Li reported supraclavicular first rib resection with the …

verfasst von:
Hiroshi Satake, Toshiya Nito, Yasushi Naganuma, Masahiro Maruyama, Naomi Hanaka, Tomohiro Uno, Michiaki Takagi

Open Access 27.04.2024 | Original Article

Single-center experience of thoracoscopic sympathectomy for palmar hyperhidrosis with long-term postoperative questionnaire survey

Palmar hyperhidrosis is a sympathetic disorder defined by excessive secretion of exocrine glands on the palms [ 1 ], and it affects 0.6–10.4% of the general population [ 2 , 3 ]. It is caused by hyperfunctioning of the sympathetic nervous system …

verfasst von:
Megumi Kobayashi, Yosuke Kumaya, Yasumiko Hirayama, Hiromi Oda, Hiroyuki Cho, Cheng-long Huang

26.04.2024 | Original Article

Prognostic factors in pulmonary metastases resection from colorectal cancer: impact of right-sided colon cancer and early recurrence

In colorectal cancer (CRC), the lung is the second most common site of metastases after the liver, with pulmonary metastases (PM) occurring in approximately 10%–15% of patients [ 1 ] Many studies have demonstrated that PM resection improves …

verfasst von:
Yo Tsukamoto, Takeo Nakada, Rintaro Shigemori, Daiki Kato, Takamasa Shibazaki, Shohei Mori, Makoto Odaka, Takashi Ohtsuka

26.04.2024 | Original Article

The efficacy of rhomboid intercostal block for pain management after video-assisted thoracoscopic surgery: a prospective, randomized-controlled trial

The video-assisted thoracoscopic surgery (VATS) procedure is a minimally invasive surgical approach performed for thoracic procedures and lung diseases. VATS lends itself to reach the mass or pathology via small incisions. Due to its advantages …

verfasst von:
Bahadir Ciftci, Selcuk Alver, Hande Güngör, Birzat Emre Gölboyu, Mahmut Subasi, Burak Omur, Yaşar Gokhan Gul, Mursel Ekinci

Open Access 25.04.2024 | Original Article

Compression brace for secondary pectus carinatum in infants and toddlers undergoing cardiac surgery with midline sternotomy

Anterior protrusion of the lower sternum may develop in infants and toddlers following cardiac surgery with midline sternotomy. This protrusion has not been a priority treatment target because it rarely causes significant symptoms. The protrusion …

verfasst von:
Hayato Konishi, Kenta Fujiwara, Sayaka Okazaki, Akiyo Suzuki, Tatsuya Suzuki, Takahiro Katsumata, Toru Nagano, Shintaro Nemoto

22.04.2024 | Original Article

Simultaneous transapical transcatheter aortic and mitral valve replacement in patients with severe valve dysfunction: initial experience

Transcatheter aortic valve replacement (TAVR) has been used to treat native aortic valve disease and bioprosthetic valve failure (BVF) after surgical aortic valve replacement. Recently, transcatheter mitral valve in valve (VIV) replacement has …

verfasst von:
Jiawei Zhou, Yuehuan Li, JianGang Wang, Haibo Zhang

22.04.2024 | Original Article

Predictors of late outcomes after concomitant tricuspid valve repair with left-sided valve surgery

Untreated tricuspid regurgitation (TR) often progresses even after left-sided valve surgery [ 1 ], particularly late after mitral valve surgery, and heralds a poor prognosis [ 2 ]. Concomitant tricuspid valve (TV) repair is a safe and effective …

verfasst von:
Kazuki Noda, Naonori Kawamoto, Satoshi Kainuma, Naoki Tadokoro, Ayumi Ikuta, Satsuki Fukushima

13.04.2024 | Original Article

Surgical outcomes of the systemic-to-pulmonary artery shunt: risk factors of post-operative acute events and effectiveness of regulation of pulmonary blood flow with metal clips

The systemic-to-pulmonary artery shunt (SPS) was introduced as a palliative procedure for patients requiring a reliable pulmonary blood source, and is still widely used in both biventricular (BV) and single ventricular (SV) physiology [ 1 , 2 ].

verfasst von:
Shuichi Shiraishi, Maya Watanabe, Ai Sugimoto, Masanori Tsuchida

12.04.2024 | Original Article

Safety and outcomes of surgical treatment of atrial fibrillation in emergency surgery cases

Since the Cox-maze procedure was introduced in 1984, the surgical treatment for atrial fibrillation (AF) has been modified and/or minimized according to the AF mechanism and combined surgery for the associated heart disease [ 1 – 3 ]. The …

verfasst von:
Shun-Ichiro Sakamoto, Tomohiro Murata, Motohiro Maeda, Atsushi Hiromoto, Takako Yamaguchi, Kenji Suzuki, Yosuke Ishii

10.04.2024 | Original Article

Is chest tube capnography effective in differentiating between true and false air leaks after minimally invasive thoracic surgery?

Air leak is one of the most common adverse events following lung resections, occurring in up to 25% of patients [ 1 , 2 ]. Prolonged air leaks (PAL), as defined by the Society of Thoracic Surgeons (STS) as lasting longer than five days, are one of …

verfasst von:
Giorgio Cannone, Alessio Campisi, Giovanni Maria Comacchio, Giulia Lorenzoni, Stefano Terzi, Alessandro Pangoni, Ivan Lomangino, Chiara Catelli, Federico Rea, Andrea Dell’Amore

10.04.2024 | Letter to the Editor

Perioperative vitamin support therapy to prevent postoperative atrial fibrillation

verfasst von:
Mesut Engin, Orhan Guvenc, Ahmet Kagan As, Ahmet Fatih Ozyazicioglu