Article
Cardiac & Cardiovascular Systems
Tetsu Takeda, Shunichiro Matsuoka, Kentaro Miura, Kazutoshi Hamanaka, Kimihiro Shimizu, Takashi Eguchi
Summary: This study investigated predictors of PA-adherent lymph nodes and conversion/PA injury during minimally invasive surgery. Bronchoscopy and CT were found to be independent predictors, with the combination of dark pigmentation and LN size useful in stratifying patients' risk of PA-adherent LNs. The presence of PA-adherent LNs was associated with a higher risk of conversion and PA injury during MIS.
ANNALS OF THORACIC SURGERY
(2022)
Review
Oncology
Lawek Berzenji, Wen Wen, Stijn Verleden, Erik Claes, Suresh Krishan Yogeswaran, Patrick Lauwers, Paul Van Schil, Jeroen M. H. Hendriks
Summary: In the last twenty years, minimally invasive surgery (MIS) has revolutionized surgical procedures. In thoracic surgery, video-assisted thoracoscopic surgery (VATS) and robotic-assisted thoracoscopic surgery (RATS) have become the new standards, especially for early-stage lung cancer. However, there is a lack of concrete data comparing the outcomes of these minimally invasive approaches to traditional open surgery. As lung cancer screening programs lead to the detection of more early-stage lung cancer, data on the effectiveness of VATS and RATS in treating it is needed.
Article
Cardiac & Cardiovascular Systems
Alexandra L. Potter, Ana Spasojevic, Vignesh Raman, Jacob C. Hurd, Priyanka Senthil, Camille Mathey-Andrews, Lana Y. Schumacher, Chi-Fu Jeffrey Yang
Summary: This study aimed to evaluate the trends and outcomes of minimally invasive lobectomy for stage I and II non-small cell lung cancer (NSCLC) in the United States. The results showed that the use of minimally invasive lobectomy significantly increased and the conversion rate significantly decreased from 2010 to 2017. By 2017, minimally invasive surgery had become the dominant approach for stage I and II NSCLC.
ANNALS OF THORACIC SURGERY
(2023)
Article
Cardiac & Cardiovascular Systems
Takahiro Mimae, Hisashi Saji, Hiroshige Nakamura, Norihito Okumura, Masanori Tsuchida, Makoto Sonobe, Takuro Miyazaki, Keiju Aokage, Masayuki Nakao, Tomohiro Haruki, Morihito Okada, Kenji Suzuki, Ichiro Yoshino
Summary: There is no significant difference in the 5-year overall survival rate between sublobar resection and lobectomy for elderly patients with early-stage NSCLC. However, the recurrence rate is slightly higher after sublobar resection.
ANNALS OF THORACIC SURGERY
(2023)
Article
Cardiac & Cardiovascular Systems
Julianne Cynthia de Ruiter, Judi Nani Annet van Diessen, Egbert Frederik Smit, Vincent van der Noort, Ronald Alphons Maria Damhuis, Koen Johan Hartemink
Summary: This study aimed to compare outcomes between minimally invasive lobectomy (MIL) and stereotactic ablative radiotherapy (SABR) for stage I non-small cell lung cancer (NSCLC) patients. The results showed differences in survival rates and progression-free survival rates between MIL and SABR.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2022)
Review
Oncology
Luca Bertolaccini, Elena Prisciandaro, Claudia Bardoni, Andrea Cara, Cristina Diotti, Lara Girelli, Lorenzo Spaggiari
Summary: With the advances in lung cancer screening programs, the detection rate of small peripheral lung nodules has increased significantly. Approximately 10% of these nodules are malignant non-small cell lung cancer (NSCLC).Current evidence suggests that lobectomy and segmentectomy have comparable outcomes for patients with stage IA NSCLC. However, some studies have suggested that segmentectomy has a worse prognosis than lobectomy, and the superiority of segmentectomy in retaining pulmonary function remains debatable. The Japanese randomized control trial JCOG0802/WJOG4607L was the first phase 3 trial to demonstrate the superiority of segmentectomy over lobectomy in terms of overall patient survival, indicating that segmentectomy should become the standard surgical treatment for early-stage patients. Our study aimed to conduct a systematic review and meta-analysis to establish whether minimally invasive anatomical segmentectomy and lobectomy had comparable perioperative and survival outcomes in early-stage NSCLC patients.
Article
Dermatology
Jin Zhou, Wei Wang
Summary: This study compared the effectiveness of lobectomy and partial resection in the treatment of lung cancer through a comprehensive review of literature. The results showed that lobectomy had shorter operation time, but there were no significant differences in the rate of postoperative wound infection and intraoperative blood loss between the two methods.
INTERNATIONAL WOUND JOURNAL
(2023)
Article
Oncology
Takahiro Mimae, Hisashi Saji, Hiroshige Nakamura, Norihito Okumura, Masanori Tsuchida, Makoto Sonobe, Takuro Miyazaki, Keiju Aokage, Masayuki Nakao, Tomohiro Haruki, Morihito Okada, Kenji Suzuki, Masayuki Chida
Summary: The study suggests that wedge resection may be equivalent to lobectomy or segmentectomy for early-stage NSCLC patients aged 80 or older who can tolerate lobectomy. The surgical procedure is not an independent prognostic predictor.
ANNALS OF SURGICAL ONCOLOGY
(2021)
Article
Oncology
Tangbing Chen, Weigang Zhao, Chunyu Ji, Jizhuang Luo, Yiyang Wang, Yuan Liu, Walter Weder, Wentao Fang
Summary: This study retrospectively analyzed surgical and oncologic outcomes in patients receiving minimally invasive sleeve lobectomy (MIS) compared to open thoracotomy. The results showed that MIS is associated with similar or better perioperative results and oncologic outcomes than open thoracotomy. Conversion to thoracotomy does not compromise perioperative outcomes. Robot-assisted surgery may be preferable for more complex sleeve resections.
FRONTIERS IN ONCOLOGY
(2023)
Article
Cardiac & Cardiovascular Systems
Nikhil Panda, Larisa Shagabayeva, Cameron E. Comrie, Nicole Phan, Philicia Moonsamy, Chi-Fu Jeffrey Yang, Felix G. Fernandez, Christopher R. Morse
Summary: This study found that the costs of minimally invasive esophagectomy are mainly influenced by preoperative risk factors and postoperative outcomes. The main predictors of operative costs include age, body mass index, forced expiratory volume in 1 second, and year of surgery, while predictors of postoperative costs include postoperative renal failure, respiratory failure, pneumonia, and reoperation.
ANNALS OF THORACIC SURGERY
(2022)
Article
Oncology
Yucheng Hou, Yeyan Hu, Weijian Song, Jianfeng Zhang, Qingquan Luo, Qianjun Zhou
Summary: This study compared the incidence of surgical site infection (SSI) between video-assisted thoracic surgery (VATS) and robotic-assisted thoracic surgery (RATS) in thoracic surgery. The results showed no significant difference in the incidence rate and category of SSI between the two techniques. Male gender, heavy smoking, uncontrolled diabetes mellitus, high BMI, greater blood loss, and higher NHSN risk index score were identified as independent risk factors for SSI following minimally invasive lobectomy.
Article
Cardiac & Cardiovascular Systems
Shinya Tane, Kenji Kimura, Nahoko Shimizu, Yoshitaka Kitamura, Gaku Matsumoto, Kazuya Uchino, Wataru Nishio
Summary: This study aimed to determine the efficacy of segmentectomy for inner small-sized NSCLC compared with outer lesions. Results showed that segmentectomy with a safety proximal distance could be feasible for inner small-sized NSCLC, and tumor invasiveness may influence tumor recurrence.
ANNALS OF THORACIC SURGERY
(2022)
Article
Geriatrics & Gerontology
Vasileios Ntinopoulos, Hector Rodriguez Cetina Biefer, Nestoras Papadopoulos, Stak Dushaj, Achim Haeussler, Omer Dzemali
Summary: This study assessed the outcomes of mitral valve surgery via right mini-thoracotomy in octogenarians, and found that it was feasible with short ischemic times, low overall in-hospital morbidity, and no mortality.
Article
Cardiac & Cardiovascular Systems
Jean-Baptiste Leclere, Ludovic Fournel, Harry Etienne, Charbel Al Zreibi, Ilaria Onorati, Arnaud Roussel, Yves Castier, Emmanuel Martinod, Francoise Le Pimpec-Barthes, Marco Alifano, Jalal Assouad, Pierre Mordant
Summary: The study found that patients undergoing surgical resection for non small cell lung cancer during the COVID-19 pandemic had a 5% incidence of postoperative COVID-19, which significantly impacted readmission rates but did not affect morbidity or mortality rates within 30 days.
ANNALS OF THORACIC SURGERY
(2021)
Article
Surgery
Arjun Verma, Yas Sanaiha, Shayan Ebrahimian, Rakin Jaman, Cory Lee, Sha ' Shonda Revels, Peyman Benharash
Summary: This study found that institutional caseload of minimally invasive pulmonary lobectomy is associated with reduced rates of conversion to open surgery, highlighting the importance of minimally invasive training among surgeons and perioperative staff.
Article
Cardiac & Cardiovascular Systems
Soh Hosoba, Toshiaki Ito, Makoto Mori, Riku Kato, Koh Kajiyama, Shogo Maeda, Yuji Nakai, Yoshihiro Morishita
Summary: This study describes the approach and perioperative outcomes of totally endoscopic isolated and concomitant surgical aortic valve replacement (AVR) using various valve types. The results demonstrate that endoscopic AVR can safely address concomitant valve diseases.
ANNALS OF THORACIC SURGERY
(2024)