26 documents found, page 1 of 3

Misconnected: Valve Failure from an Unexpected Chordal Insertion

A 64-year-old woman with no significant past medical history presented with heart failure symptoms secondary to severe mitral regurgitation. She was referred for mitral valve repair with the intention of valve preservation. Initial transthoracic echocardiography (TTE) suggested that the regurgitation was due to a ruptured chordae resulting in prolapse of the A2 segment. Intraoperative inspection following atrio...

Tracheal Surgery - a 10-year Center Experience

Background: Tracheal surgery is a specialized field in which many disciplines work jointly due to the variety of indications and the extended topography. The main indications for surgery include inflammatory (generally post-intubation), congenital or post-traumatic stenoses, benign or malignant neoplasms and tracheal lacerations, whether iatrogenic or traumatic. The purpose of this study is to review the manage...

Outcomes Of Surgically Treated N2-Positive Non-Small Cell Lung Cancer

Introduction: The role of surgery in the treatment of stage IIB/IIIA lung cancer is still a matter of debate. To assess the outcomes of N2-positive patients, we performed a retrospective 10-year study including all patients with histologically proven N2 disease submitted to lung resection surgery by the same surgical team in three different hospitals. Materials and Methods: Demographic, clinical, surgical and s...

Third-Degree Atrioventricular Block And Asystole After Lung Resection: A Rare C...

Surgical resection remains the optimal therapeutic option for early-stage operable NSCLC. Despite significant advances in recent years related to anesthetic and surgical techniques, cardiopulmonary complications remain major causes for postoperative morbimortality.  In this paper we present a case of a patient who developed complete AV block followed by asystole after lung resection surgery. The patient un...

Is cardiac surgery dying?

Spreading Through Air Spaces And Thinking About Lung Metastases

Introduction: Spread through air spaces (STAS) is a novel pattern of invasion in primary lung cancers, which was introduced in the 2015 World Health Organization classification. Several studies have validated STAS to be a predictor of clinical outcome in lung adenocarcinoma. However, little is known about STAS as a mode of intraparenchymal diffusion of pulmonary metastases (PMs). Objectives: The aim of this stu...

Uniportal robotic surgery – another era in thoracic surgery

HOW I TEACH A THOR ACOSCOPIC LOBECTOMY

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VIDEO-ASSISTED THORACOSCOPIC SURGERY WITHOUT CHEST DRAIN PLACEMENT

Background: Placement of chest drain following thoracoscopic procedures has been the gold standard. Nevertheless, a drainless approach may be safe and feasible in selected patients and procedures. In this study we aim to report our clinical experience after drainless video-assisted thoracoscopic surgery. Methods: We retrospectively analyzed data of all subjects submitted to drainless video-assisted thoracoscopi...