General thoracic and cardiovascular surgery
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Gen Thorac Cardiovasc Surg · Jan 2015
ReviewRisk assessment of lung resection for lung cancer according to pulmonary function: republication of systematic review and proposals by guideline committee of the Japanese association for chest surgery 2014.
This manuscript provides preoperative physiologic assessments for patients considered for surgical resection of lung cancer. ⋯ Careful preoperative physiologic assessment is useful for identifying patients at increased risk for standard lung cancer resection and enabling informed decisions by the patient about an appropriate therapeutic approach for their lung cancer.
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Gen Thorac Cardiovasc Surg · Jan 2015
ReviewCardiac strangulation from epicardial pacemaker leads: diagnosis, treatment, and prevention.
Cardiac strangulation from epicardial leads is a rare but potentially lethal complication associated with epicardial pacemaker implantation in growing children. Early diagnosis and quick lead removal are required to rescue patients suffering from cardiac strangulation. In April 2013, the Japanese Association for Thoracic Surgery, Japan Society of Arrhythmia and Japan Cardiovascular Surgery Society published information about cardiac strangulation from epicardial leads in children on the home page of each organization's website to increase awareness of this condition Here, we review ten previously reported cases and discuss cardiac strangulation from the point of view of the pediatric cardiologist.
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Gen Thorac Cardiovasc Surg · Jan 2015
Preemptive ultrasound-guided paravertebral block and immediate postoperative lung function.
The aim of this study was to investigate the effects of preemptive ultrasound-guided thoracic paravertebral block versus intercostal block on postoperative respiratory function and pain control in patients undergoing video-assisted thoracoscopic surgery. ⋯ When compared to intercostal blocks, ultrasound-guided thoracic paravertebral block appears to preserve lung function and provide better pain control in the immediate postoperative period after video-assisted thoracoscopic surgery.
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Gen Thorac Cardiovasc Surg · Dec 2014
ReviewVideo-assisted thoracic surgery for lung cancer: republication of a systematic review and a proposal by the guidelines committee of the Japanese Association for Chest Surgery 2014.
Patients with early-stage non-small cell lung cancer (NSCLC) are candidates for surgical intervention with curative intent. For these early-stage lung cancer surgeries, video-assisted thoracic surgery (VATS) is considered. The purpose of this article is to propose a recommendation for this according to the evidence and provide information for patients with operable early-stage lung cancer from the Japanese Association for Chest Surgery. The clinical question here is whether VATS lobectomy is recommended for patients with clinical stage I NSCLC. ⋯ VATS lobectomy by an experienced surgeon is associated with minimal invasiveness and an outcome equivalent to that of open lobectomy in stage I NSCLC. (Recommendation grade: Level C1).
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Gen Thorac Cardiovasc Surg · Dec 2014
Case ReportsHoarseness caused by arytenoid dislocation after surgery for lung cancer.
The patient was a 64-year-old woman with no history of laryngeal disorders. She underwent video-assisted right lower lobectomy and node dissection for lung cancer. Using a stylet while the patient was under general anesthesia, tracheal intubation with a 35-French gauge left-sided double-lumen endobronchial tube was successfully performed on the first attempt. ⋯ This revealed severe dysfunction of the right vocal cord and arytenoid dislocation, which we treated through reduction using a balloon catheter. By 6 months, the patient's vocal cord mobility had improved. Arytenoid dislocation is a rare complication, but should be suspected when patients have right vocal fold paralysis after lung cancer surgery.