Article
Surgery
Shuo-Ying Dai, Yau-Lin Tseng, Chao-Chun Chang, Wei-Li Huang, Yi-Ting Yen, Wu-Wei Lai, Ying-Yuan Chen
Summary: This study aimed to examine the impact of the number of resected lung segments on pulmonary function in patients undergoing uniportal VATS, and the results showed that a greater number of resected segments led to greater loss of pulmonary function.
ASIAN JOURNAL OF SURGERY
(2023)
Article
Cardiac & Cardiovascular Systems
Darren S. Bryan, Mark K. Ferguson, Mara B. Antonoff, Leah M. Backhus, Thomas J. Birdas, Shanda H. Blackmon, Daniel J. Boffa, Andrew C. Chang, Gary W. Chmielewski, David T. Cooke, Jessica S. Donington, Henning A. Gaissert, Jeffrey A. Hagen, Wayne L. Hofstetter, Michael S. Kent, Ki Wan Kim, Seth B. Krantz, Jules Lin, Linda W. Martin, Shari L. Meyerson, John D. Mitchell, Daniela Molena, David D. Odell, Mark W. Onaitis, Varun Puri, Joe B. Putnam, Christopher W. Seder, Joseph B. Shrager, Harmik J. Soukiasian, Brendon M. Stiles, Betty C. Tong, Nirmal K. Veeramachaneni
Summary: Through the Delphi process, thoracic surgeons achieved consensus on the operative steps of video-assisted thoracoscopic surgery (VATS) left upper lobectomy and identified key steps suitable for simulation training.
ANNALS OF THORACIC SURGERY
(2021)
Article
Cardiac & Cardiovascular Systems
Christopher W. Seder, Forough Farrokhyar, Rahul Nayak, Jean-Marc Baste, Yogita Patel, John Agzarian, Christian J. Finley, Yaron Shargall, Pascal-Alexandre Thomas, Marcel Dahan, Jean-Philippe Verhoye, Frankie Mbadinga, Wael C. Hanna
Summary: In obese patients, robotic surgery (RTS) for lung resection is associated with a lower rate of conversion to thoracotomy compared to video-assisted thoracoscopic surgery (VATS). RTS patients have longer hospital stays, higher rates of respiratory failure, and are less likely to be discharged to their home compared to VATS patients.
ANNALS OF THORACIC SURGERY
(2022)
Article
Surgery
Chia-Ying Lin, Chao-Chun Chang, Yi-Sheng Liu, Ying-Yuan Chen, Wu-Wei Lai, Yau-Lin Tseng, Yi-Ting Yen
Summary: This study compared stapled segmentectomy (SS) and non-stapled segmentectomy (NSS) techniques in terms of perioperative outcomes, lung volume preservation, and postoperative lung function, finding that lung volume preservation was not significantly influenced by different segmentectomy techniques. Surgeons should consider individual patient characteristics when choosing a segmentectomy technique.
ASIAN JOURNAL OF SURGERY
(2021)
Editorial Material
Cardiac & Cardiovascular Systems
Qinyun Ma, Fangrui Wang, An Wang, Liewen Pang, Rongrong Jiang
Summary: This report presents the surgical procedure for subsegmental anatomic resection of the left lower lobe subsegment 6b guided by the simulation of bronchovascular branching using 3-dimensional computed tomographic bronchography and angiography. Although thoracoscopic lung segmentectomy has made significant achievements, there is little known about how to perform subsegmentectomy.
ANNALS OF THORACIC SURGERY
(2022)
Article
Cardiac & Cardiovascular Systems
Hao-Yun Liu, Hsao-Hsun Hsu, Tung-Ming Tsai, Xu-Heng Chiang, Tzu-Pin Lu, Chia-Hong Chang, Pei-Hsing Chen, Man-Ling Wang, Ming-Hui Hung, Ya-Jung Cheng, Mong-Wei Lin, Jin-Shing Chen
Summary: This study compared the feasibility, safety, and short-term outcomes of nonintubated and intubated uniportal thoracoscopic segmentectomies for lung tumors. The nonintubated group had more female patients with lower body mass index, but there were no significant differences in clinical outcomes between the two groups.
ANNALS OF THORACIC SURGERY
(2021)
Article
Oncology
Liang Chen, Zhitao Gu, Boyu Lin, Weimin Wang, Ning Xu, Yuan Liu, Chunyu Ji, Wentao Fang
Summary: Thoracoscopic intentional segmentectomy may help preserve more pulmonary function compared to thoracoscopic lobectomy, especially when less than half of the corresponding lobe is resected. However, for larger segmentectomies, pulmonary function loss may be more significant.
TRANSLATIONAL LUNG CANCER RESEARCH
(2021)
Article
Surgery
Ye Tian, Lei Zhang, Ranhua Li, Zelong Wang, Xitong Zhao, Di Zhou, Qian Yu, Xueying Yang
Summary: The study compared the efficacy of uniportal VATS anatomical segmentectomy with conventional VATS in lung resection, finding that the uniportal group had significantly lower pain scores at the end of the operation, with no significant differences in postoperative complications and hospital stay compared to conventional VATS.
WORLD JOURNAL OF SURGERY
(2021)
Article
Oncology
Xu-Heng Chiang, Tzu-Pin Lu, Min-Shu Hsieh, Tung-Ming Tsai, Hsien-Chi Liao, Tzu-Ning Kao, Chia-Hong Chang, Mong-Wei Lin, Hsao-Hsun Hsu, Jin-Shing Chen
Summary: Based on a comparison study of wedge resection and segmentectomy in patients with cT1N0 lung adenocarcinoma, segmentectomy showed better DFS in certain patients. However, in other cases, wedge resection may be a safe and feasible option.
ANNALS OF SURGICAL ONCOLOGY
(2021)
Article
Cardiac & Cardiovascular Systems
Satoshi Takamori, Hiroyuki Oizumi, Jun Suzuki, Hikaru Watanabe, Kaito Sato, Shoko Saito, Takanobu Kabasawa
Summary: Thoracoscopic anatomical basilar individual segmentectomy is a safe and feasible procedure, with the non-fissure approach showing significant differences in perioperative outcomes compared to the fissure approach for S9 and/or S10. The postoperative morbidity rate was 5.9% without perioperative mortality, and the procedure facilitated surgical outcomes similar to the fissure approach.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2022)
Article
Surgery
Kaisheng Cheng, Xiaojuan Liu, Miao Yuan, Gang Yang, Taozhen He, Dengke Luo, Chenyu Liu, Chang Xu
Summary: This study investigated the safety and feasibility of pediatric thoracoscopic anatomic pulmonary segmentectomy for the treatment of congenital lung malformations. The results showed that segmentectomy had higher intraoperative blood loss and longer surgical time compared to lobectomy, but the complication rate was comparable. Therefore, thoracoscopic anatomic pulmonary segmentectomy is a safe and feasible lung-sparing treatment for specific cases of congenital lung malformation.
ASIAN JOURNAL OF SURGERY
(2023)
Article
Surgery
Takuya Matsui, Yusuke Takahashi, Takeo Nakada, Yusuke Sugita, Shuichi Shinohara, Ayumi Suzuki, Noriaki Sakakura, Takatsugu Takano, Kensuke Chiba, Ryuji Nakamura, Risa Oda, Tsutomu Tatematsu, Keisuke Yokota, Kotaro Mizuno, Hiroshi Haneda, Katsuhiro Okuda, Hiroaki Kuroda
Summary: The study investigates the clinical benefit of anatomical sublobar resection including subsegmentectomy for NSCLC. The results suggest that anatomical sublobar resection including subsegmentectomy could be a feasible and effective surgical procedure.
WORLD JOURNAL OF SURGERY
(2023)
Article
Surgery
Arjun Verma, Joseph Hadaya, Shannon Richardson, Amulya Vadlakonda, Ramin Ramezani, Sha'Shonda Revels, Peyman Benharash
Summary: This study found a relationship between institutional robotic-assisted pulmonary lobectomy volume and hospitalization costs. The high cost of robotic-assisted surgery is a factor that deters some hospitals from adopting the technique. The results also showed that high-volume hospitals had better outcomes in terms of adverse events, length of stay, and costs.
Article
Oncology
Arpad Hasenauer, Celine Forster, Johan Hungerbuhler, Jean Yannis Perentes, Etienne Abdelnour-Berchtold, Joachim Koerfer, Thorsten Krueger, Fabio Becce, Michel Gonzalez
Summary: This study aimed to evaluate the impact of CT-derived preoperative sarcopenia on postoperative outcomes and survival in patients that underwent thoracoscopic anatomical pulmonary resection for non-small cell lung cancer. The results showed that CT-derived sarcopenia has a small impact on early postoperative outcomes but no effect on overall survival. Preoperative sarcopenia screening may be a useful tool in surgical risk assessment.
Editorial Material
Cardiac & Cardiovascular Systems
Jianbin Zhang, Hongwei Li, Caihua Yu, Yilv Zhu
Summary: This article reports a rare case of combined variation of bronchus and pulmonary vein in a 32-year-old male patient with lung adenocarcinoma. Three-dimensional computed tomography bronchography and angiography revealed the unique anatomical variation in the right upper lobe, and accurate combined pulmonary segmentectomy was performed.
ANNALS OF THORACIC SURGERY
(2022)
Article
Cardiac & Cardiovascular Systems
Noriaki Sakakura, Takeo Nakada, Suguru Shirai, Hirotomo Takahara, Keita Nakanishi, Takuya Matsui, Harushi Ueno, Yusuke Takahashi, Hiroaki Kuroda
Summary: The robotic 'open-thoracotomy-view approach' with vertical port placement and upside-down monitor setting for robotic lung resections showed successful outcomes, with safe procedures, short duration of surgery and postoperative hospital stay.
INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY
(2021)
Article
Oncology
Takaaki Hasegawa, Hiroaki Kuroda, Noriaki Sakakura, Yozo Sato, Shohei Chatani, Shinichi Murata, Hidekazu Yamaura, Takeo Nakada, Yuko Oya, Yoshitaka Inaba
Summary: The hybrid treatment involving surgery and radiofrequency ablation showed promising outcomes for patients with multiple lung metastases. However, complications such as empyema, pneumothorax, and lung abscess were observed. During follow-up, 59% of patients developed new metastases, with a 5-year disease-free survival rate of 32%. Factors such as having four or fewer lung metastases and metastases from colorectal carcinoma significantly influenced disease-free survival.
Article
Oncology
Hiroaki Kuroda, Yusuke Sugita, Katsuhiro Masago, Yusuke Takahashi, Takeo Nakada, Eiichi Sasaki, Noriaki Sakakura, Rui Yamaguchi, Hirokazu Matsushita, Toyoaki Hida
Summary: Evidence-based guidelines are valuable in improving patient treatment and outcomes by reducing clinical variability. Personalized treatments based on genomic and immune profiles show potential benefits in prognosis. Guideline-consistent treatment options in pathological stage III NSCLC significantly improve 5-year survival rates, indicating the importance of adherence to guidelines in clinical practice.
Article
Orthopedics
Takeo Nakada, Aiko Nakai, Yusuke Takahashi, Noriaki Sakakura, Takashi Ohtsuka, Hiroaki Kuroda
Summary: The study found that the combined use of intravenous analgesics and intercostal nerve blocks during thoracoscopic lobectomy can reduce postoperative pain without complications.
ASIAN JOURNAL OF ENDOSCOPIC SURGERY
(2022)
Article
Cardiac & Cardiovascular Systems
Takamasa Shibazaki, Shohei Mori, Yuki Noda, Yo Tsukamoto, Daiki Kato, Takeo Nakada, Mitsuo Yabe, Hideki Matsudaira, Jun Hirano, Takashi Ohtsuka
Summary: Resected lung lobe can affect the accuracy of the subsegment counting method, but not that of 3D-CT volumetry in predicting postoperative FEV1. Furthermore, 3D-CT volumetry can predict postoperative FEV1 independent of the resected lobe.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2022)
Article
Oncology
Takashi Ohtsuka, Daiki Kato, Yo Tsukamoto, Takamasa Shibazaki, Takeo Nakada, Mitsuo Yabe, Jun Hirano
Summary: Esophagobronchial fistula formation is a severe complication of advanced thoracic malignancies. This case report describes the treatment of an 80-year-old man with advanced esophageal cancer complicated by EBF formation, who underwent placement of a partially covered SEMS and a silicone Y stent to stabilize the condition, leading to a stable postoperative course.
Article
Health Care Sciences & Services
Noriaki Sakakura, Takeo Nakada, Yusuke Takahashi, Ayumi Suzuki, Shuichi Shinohara, Hiroaki Kuroda
Summary: The three-arm robotic open thoracotomy-view (OTVA) approach provides natural thoracotomy views and can be an alternative for segmentectomy and lobectomy. The use of a fluorescence imaging system allows for clear visualization of cranial-side intrathoracic structures that are often hidden in the conventional look-up-view method. The console operation time is significantly shorter for segmentectomy, and more staplers are used compared to lobectomy.
JOURNAL OF PERSONALIZED MEDICINE
(2022)
Article
Surgery
Yo Tsukamoto, Makoto Odaka, Takeo Nakada, Mitsuo Yabe, Eriko Harada, Tadashi Akiba, Naoki Toya, Takashi Ohtsuka
Summary: This study evaluated the feasibility of non-intubated video-assisted thoracoscopic surgery with local anesthesia for parapneumonic effusion and empyema resistant to conservative treatment. The study found some differences between patients who received local anesthesia and general anesthesia during surgery, but there were no significant differences in postoperative drainage duration, postoperative complication rate, and postoperative 30-day mortality rate.
ASIAN JOURNAL OF SURGERY
(2023)
Review
Health Care Sciences & Services
Noriaki Sakakura, Takashi Eguchi
Summary: This narrative review summarizes the variations in approaches and port placements used for robotic lung resections. The four-arm, look-up-view method is considered the mainstream approach worldwide. Several variations have been devised, including horizontal open-thoracotomy-view techniques and fewer port and incision techniques. Familiarity with these variations allows thoracic surgeons to choose the optimal procedure for each patient.
JOURNAL OF PERSONALIZED MEDICINE
(2023)
Article
Cardiac & Cardiovascular Systems
Takeo Nakada, Yusuke Takahashi, Noriaki Sakakura, Katsuhiro Masago, Hiroshi Iwata, Takashi Ohtsuka, Hiroaki Kuroda
Summary: After using propensity score matched, there was no significant difference in recurrence-free survival (RFS) and overall survival (OS) between the LDCT and conventional CT groups for pathological stage I non-small-cell lung cancer (NSCLC) patients. Retrospective comparisons suggest no disadvantages of using LDCT for postoperative surveillance.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2022)
Article
Cardiac & Cardiovascular Systems
Takeo Nakada, Yo Tsukamoto, Daiki Kato, Takamasa Shibazaki, Mitsuo Yabe, Jun Hirano, Takashi Ohtsuka
Summary: This study investigated the association between weight loss after lung cancer surgery and short-mid-term prognosis. The results showed that weight loss from 6 to 12 months after surgery was associated with poor prognosis. Ongoing nutritional management is important to prevent life-threatening weight loss in patients with predictive factors.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2022)
Article
Oncology
Takeo Nakada, Yusuke Takahashi, Noriaki Sakakura, Hiroshi Iwata, Takashi Ohtsuka, Hiroaki Kuroda
Summary: This study found that prognostic radiological tools and surgical outcomes for radiologically pure solid adenocarcinomas and squamous cell carcinoma in clinical stage IA were similar. SUVmax was useful in predicting recurrence, while tumor diameter and SUVmax were helpful in predicting pathological lymph node metastasis.
Article
Cardiac & Cardiovascular Systems
Yasuyuki Kanamoto, Yukinori Sakao, Hiroaki Kuroda, Noriaki Sakakura, Momoko Asami, Yuichi Saito, Masafumi Kawamura
Summary: The study found that MD, CD, and C/T are significant factors related to lymph node metastasis, with potential predictive value. For patients with cIA lung adenocarcinoma and normal CEA levels, MD, CD, and C/T may be reliable indicators for omitting lymph node dissection.
ANNALS OF THORACIC AND CARDIOVASCULAR SURGERY
(2021)
Article
Oncology
Masashi Nishimura, Yoshifumi Kimizuka, Takunori Ogawa, Motohiro Tsuchiya, Yoshiki Kato, Akira Matsukida, Shunya Igarashi, Koki Ito, Yusuke Serizawa, Tomomi Tanigaki, Yuji Fujikura, Yuka Katsurada, Sho Ogata, Akihiko Kawana
Summary: This study reports a case of IgG4-related retroperitoneal fibrosis occurring after chemotherapy. The patient showed improvement after discontinuing immunotherapy and receiving steroid treatment.
Article
Oncology
Yuta Ohishi, Yoko Nakanishi, Yukari Hirotani, Atsuko Suzuki, Tomoyuki Tanino, Haruna Nishimaki-Watanabe, Hiroko Kobayashi, Fumi Nozaki, Sumie Ohni, Xiaoyan Tang, Kentaro Hayashi, Yoshiko Nakagawa, Tetsuo Shimizu, Ichiro Tsujino, Noriaki Takahashi, Yasuhiro Gon, Shinobu Masuda
Summary: This study aimed to investigate the clinicopathological differences and therapeutic response of NSCLC patients with SDC4::ROS1 fusion to crizotinib. The study found that different ROS1 fusion partners may affect the efficacy of crizotinib and patient prognosis. In addition, higher expression levels of ROS1 and pERK1/2 in tumor cells of case 2 may be related to the therapeutic response and prognosis.
Review
Oncology
Zitong Zheng, Juanjuan Liu, Junling Ma, Runting Kang, Zhen Liu, Jiangyong Yu
Summary: Small cell lung cancer (SCLC) is a highly aggressive malignancy with limited treatment options. Over the past decade, immunotherapy has made progress in the treatment of SCLC, but current immune checkpoint inhibitors have limited benefits for patient survival. Therefore, it is important to explore new targets and develop drugs with novel mechanisms for immunotherapy in SCLC.
Article
Oncology
Kazuto Sugai, Kojiro Nakaoka, Rika Tobita, Shinji Kikuchi, Kei Inoue, Midori Enokido, Moriyuki Kiyoshima
Summary: This article presents a case of multilocular mediastinal cyst leading to the development of thymic cancer. Resection of multilocular anterior mediastinal cysts should be considered due to the challenges in preoperative diagnosis, the potential for coexisting tumors with cysts, and the risk of malignant tumor development.
