The authors summarizes a personal experience with 529 patients undergoing VATS operations under local anesthesia and sedation. No nerve block, epidural, laryngeal mask airway, or endotracheal intubation was used. Indications were lung nodule, hemothorax, empyema, pleural effusion, pericardial effusion, chylothorax, etc. There was one unsuccessful
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Pleura
January 10, 2018
The authors review their clinical experience with management of postoperative chylothorax among 97 patients. They favor duct ligation over embolization, and recommend intervention in patients with outputs greater than 1,100/day.
December 13, 2017
As many will recall, world chess champion Garry Kasparov was defeated by IBM's Deep Blue computer in 1997. Now machine-learning algorithms have bested trained pathologists in differentiating between benign and malignant changes in sentinel lymph nodes in breast cancer patients. We can expect to see increasing involvement of AI in pathology as well
October 31, 2017
In this single institution study, the prognostic role of soluble mesothelin-related peptides (SMRP) was evaluated in patients with pleural mesothelioma. Preoperative levels of SMRP were related to tumor volume and disease-free survival. Percent change in postoperative SMRP was predictive of tumor recurrence.
October 24, 2017
From one of the few relatively unbiased sources of information regarding surgical treatment of pleural mesothelioma, the authors describe populations of patients undergoing EPP or P/D and their outcomes. Survival was compared between propensity matched cohorts, demonstrating no difference in OS.
October 9, 2017
The authors present the case of a 72-year-old gentleman who suddenly went into pulseless electrical activity during a peroral endoscopic myotomy for achalasia.
September 20, 2017
We urgently need more answers for the patients affected by mesothelioma, a devastating diasese whose prognosis is 6-9 months from the diagnosis. We are now living the era of plateau of the epidemiology due to industrial use of amiantus of the last century.
August 18, 2017
Patient Care
Several private hospitals in Kolkata, India, have applied for licenses to perform heart and lung transplants in a region underserved for transplant of these organs.
July 17, 2017
The authors present the case of a 65-year-old male patient who, during an episode of pneumonia, underwent a bronchoscopy that revealed a right upper lobe endobronchial lesion.
April 4, 2017
Chest tube insertion is a procedure commonly performed by residents and fellows throughout their general and cardiothoracic surgical training. Learn tips and tricks for successful insertion of a chest tube, whether on the floor or in the operating room.