Surgical resection of voluminous epiphrenic diverticula.
Surgical resection of voluminous epiphrenic diverticula. Acta Chir Belg. 2019 Nov 12;:1-12 Authors: Maertens V, Lagarde S, Wijnhoven B Abstract A 52-year-old male and 55-year-old female underwent surgical resection of a voluminous symptomatic epiphrenic diverticulum via a right thoracotomy. A formal myotomy of the distal esophagus was not performed. The first patient had an uncomplicated recovery whilst the other patient still suffers from an esophageal-cutaneous fistula and repetitive abscesses, treated by intravenous antibiotics and percutaneous drainage. The authors discuss the indication for resection, surgical techniques and complications. PMID: 31718462 [PubMed - as supplied by publisher]
Conditions: Pleural Effusion; Pneumothorax; Chest Trauma; Video-assisted Thoracoscopic Surgery; Thoracotomy; Pleural Diseases; Chylothorax; Empyema; Pyothorax; Thoracic Diseases; Thoracic Injury Intervention: Procedure: Insertion of chest tube Sponsors: University of Ibadan; SHALINA HEALTHCARE Not yet recruiting
Condition: Post-thoracotomy Pain Syndrome Intervention: Procedure: Thoracic epidural analgesia , superficial serratus plane block and deep serratus plane block Sponsor: National Cancer Institute, Egypt Recruiting
We report a case of a 53-year-old lady who was incidentally diagnosed to have giant anterior mediastinal mass while undergoing preoperative evaluation for another surgery. She came for surgery after 2 years when she became symptomatic. A large 6.7-lb (2800 g) tumor occupying both hemithoraces and engulfing heart was excised in its entirety through a clamshell thoracotomy under cardiopulmonary bypass standby. Histopathology revealed the final diagnosis as well as differentiated liposarcoma. She is now able to walk 2 km without any symptoms at the end of a 24-month follow-up.
Coronary artery bypass grafting represents one of the most commonly performed cardiac surgeries worldwide. Recently, interest has increased in providing patients with a less invasive approach to cardiac surgery, such as thoracotomy and endoscopic techniques using robotic technology as an alternative to traditional sternotomy. As the population gets older, the need for additional methods to provide care for sick patients will continue to expand. These advancements will further allow physicians to provide cardiac surgical procedures with less pain and faster recovery for patients.
AbstractMediastinal staging for lung cancer includes both the assessment of mediastinal lymph nodes status before treatment and the postoperative pathological staging obtained by lymph-node removal performed during surgery. In patients with early stage NSCLC, the aim is to exclude with the highest certainty and the lowest morbidity the presence of mediastinal node involvement. Before treatment, mediastinal staging is based on imaging techniques, endoscopic techniques, and surgical procedures. Final pathological staging is based on lymph-node removal performed with lung resection according with different modalities (samplin...
CONCLUSION: With respect to health-related quality of life, thoracotomy and video-assisted thorascopic surgery are equivalent in the long term. But there was a trend to improvement with both summary scores that might indicate superiority of video-assisted thoracoscopic surgery. PMID: 31791091 [PubMed - as supplied by publisher]
Authors: Edelman B, Selvaraj BJ, Joshi M, Patil U, Yarmush J Abstract Tracheoesophageal fistula (TEF) is a rare congenital developmental anomaly, affecting 1 in 2500-3000 live births. The H-type TEF, consisting of a fistula between the trachea and a patent esophagus, is one of the rare anatomic subtypes, accounting for 4% of all TEFs. The presentation and perioperative management of neonates with H-type TEFs and all other TEFs are very similar to each other. Patients present with congenital heart disease and other defects and are prone to recurrent aspirations. A barium esophagogram or computed tomography of the ch...
We report here the results of a continuous and consecutive monocentric experience.
Conclusion: Adoption of uniportal VATS appears to be feasible and safe, without compromising oncologic principles or increasing intraoperative resource utilization. Larger, prospective studies can help confirm these findings. PMID: 31782644 [PubMed - as supplied by publisher]