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Issard J, Vaudelin C, Imberton D, Vayssette A, Leroux M, Giol M, Khalife T, Camuset J, Debrosse D, Assouad J, Etienne H. In endometriosis-related pneumothorax surgery, presence of endometriotic nodules increases postoperative air leaks and long-term relapse. Eur J Obstet Gynecol Reprod Biol 2024; 296:1-5. [PMID: 38387250 DOI: 10.1016/j.ejogrb.2024.02.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2023] [Revised: 02/07/2024] [Accepted: 02/18/2024] [Indexed: 02/24/2024]
Affiliation(s)
- Justin Issard
- Department of Thoracic and Vascular Surgery, Hôpital Tenon, APHP, Paris.
| | - Clémence Vaudelin
- Department of Thoracic and Vascular Surgery, Hôpital Tenon, APHP, Paris
| | - Diane Imberton
- Department of Thoracic and Vascular Surgery, Hôpital Tenon, APHP, Paris
| | - Anna Vayssette
- Department of Thoracic and Vascular Surgery, Hôpital Tenon, APHP, Paris
| | - Marielle Leroux
- Department of Thoracic and Vascular Surgery, Hôpital Tenon, APHP, Paris
| | - Mihaela Giol
- Department of Thoracic and Vascular Surgery, Hôpital Tenon, APHP, Paris
| | - Theresa Khalife
- Department of Thoracic and Vascular Surgery, Hôpital Tenon, APHP, Paris
| | - Juliette Camuset
- Department of Thoracic and Vascular Surgery, Hôpital Tenon, APHP, Paris
| | - Denis Debrosse
- Department of Thoracic and Vascular Surgery, Hôpital Tenon, APHP, Paris
| | - Jalal Assouad
- Department of Thoracic and Vascular Surgery, Hôpital Tenon, APHP, Paris
| | - Harry Etienne
- Department of Thoracic and Vascular Surgery, Hôpital Tenon, APHP, Paris
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Jheon S, Ahmed ADB, Fang VWT, Jung W, Khan AZ, Lee JM, Nakajima J, Sihoe ADL, Thongcharoen P, Tsuboi M, Turna A. General thoracic surgery services across Asia during the 2020 COVID-19 pandemic. Asian Cardiovasc Thorac Ann 2020; 28:243-249. [PMID: 32396384 PMCID: PMC7218355 DOI: 10.1177/0218492320926886] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
The COVID-19 pandemic of 2020 posed an historic challenge to healthcare systems around the world. Besides mounting a massive response to the viral outbreak, healthcare systems needed to consider provision of clinical services to other patients in need. Surgical services for patients with thoracic disease were maintained to different degrees across various regions of Asia, ranging from significant reductions to near-normal service. Key determinants of robust thoracic surgery service provision included: preexisting plans for an epidemic response, aggressive early action to "flatten the curve", ability to dedicate resources separately to COVID-19 and routine clinical services, prioritization of thoracic surgery, and the volume of COVID-19 cases in that region. The lessons learned can apply to other regions during this pandemic, and to the world, in preparation for the next one.
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Affiliation(s)
- Sanghoon Jheon
- Department of Cardiothoracic Surgery, Seoul National University Bundang Hospital, Bundang, South Korea
| | - Aneez DB Ahmed
- Division of Thoracic Surgery, Department of General Surgery, Tan Tock Seng Hospital, Singapore, Singapore
| | - Vincent WT Fang
- Department of Thoracic Surgery, Shanghai Chest Hospital, Shanghai, China
| | - Woohyun Jung
- Department of Cardiothoracic Surgery, Seoul National University Bundang Hospital, Bundang, South Korea
| | - Ali Zamir Khan
- Department of Minimally Invasive & Robotic Thoracic Surgery, Medanta Hospital, Gurgaon, India
| | - Jang-Ming Lee
- Division of Thoracic Surgery, Department of Surgery, National Taiwan University Hospital, Taipei
| | - Jun Nakajima
- Department of Thoracic Surgery, University of Tokyo Graduate School of Medicine, Tokyo, Japan
| | - Alan DL Sihoe
- Department of Surgery, Gleneagles Hong Kong Hospital, Hong Kong SAR, China
| | | | - Masahiro Tsuboi
- Department of Thoracic Surgery, National Cancer Center Hospital East, Chiba, Japan
| | - Akif Turna
- Department of Cardiothoracic Surgery, Seoul National University Bundang Hospital, Bundang, South Korea
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3
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Udupa JK, Tong Y, Capraro A, McDonough JM, Mayer OH, Ho S, Wileyto P, Torigian DA, Campbell RM. Understanding Respiratory Restrictions as a Function of the Scoliotic Spinal Curve in Thoracic Insufficiency Syndrome: A 4D Dynamic MR Imaging Study. J Pediatr Orthop 2020; 40:183-189. [PMID: 32132448 PMCID: PMC6426694 DOI: 10.1097/bpo.0000000000001258] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
BACKGROUND Over the past 100 years, many procedures have been developed for correcting restrictive thoracic deformities which cause thoracic insufficiency syndrome. However, none of them have been assessed by a robust metric incorporating thoracic dynamics. In this paper, we investigate the relationship between radiographic spinal curve and lung volumes derived from thoracic dynamic magnetic resonance imaging (dMRI). Our central hypothesis is that different anteroposterior major spinal curve types induce different restrictions on the left and right lungs and their dynamics. METHODS Retrospectively, we included 25 consecutive patients with thoracic insufficiency syndrome (14 neuromuscular, 7 congenital, 4 other) who underwent vertical expandable prosthetic titanium rib surgery and received preimplantation and postimplantation thoracic dMRI for clinical care. We measured thoracic and lumbar major curves by the Cobb measurement method from anteroposterior radiographs and classified the curves as per Scoliosis Research Society (SRS)-defined curve types. From 4D dMRI images, we derived static volumes and tidal volumes of left and right lung, along with left and right chest wall and left and right diaphragm tidal volumes (excursions), and analyzed their association with curve type and major curve angles. RESULTS Thoracic and lumbar major curve angles ranged from 0 to 136 and 0 to 116 degrees, respectively. A dramatic postoperative increase in chest wall and diaphragmatic excursion was seen qualitatively. All components of volume increased postoperatively by up to 533%, with a mean of 70%. As the major curve, main thoracic curve (MTC) was associated with higher tidal volumes (effect size range: 0.7 to 1.0) than thoracolumbar curve (TLC) in preoperative and postoperative situation. Neither MTC nor TLC showed any meaningful correlation between volumes and major curve angles preoperatively or postoperatively. Moderate correlations (0.65) were observed for specific conditions like volumes at end-inspiration or end-expiration. CONCLUSIONS The relationships between component tidal volumes and the spinal curve type are complex and are beyond intuitive reasoning and guessing. TLC has a much greater influence on restricting chest wall and diaphragm tidal volumes than MTC. Major curve angles are not indicative of passive resting volumes or tidal volumes. LEVEL OF EVIDENCE Level II-diagnostic.
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Affiliation(s)
| | - Yubing Tong
- Medical Image Processing Group, Department of Radiology
| | - Anthony Capraro
- Center for Thoracic Insufficiency Syndrome, Children's Hospital of Philadelphia, Philadelphia, PA
| | - Joseph M McDonough
- Center for Thoracic Insufficiency Syndrome, Children's Hospital of Philadelphia, Philadelphia, PA
| | - Oscar H Mayer
- Center for Thoracic Insufficiency Syndrome, Children's Hospital of Philadelphia, Philadelphia, PA
| | - Suzanne Ho
- Center for Thoracic Insufficiency Syndrome, Children's Hospital of Philadelphia, Philadelphia, PA
| | - Paul Wileyto
- Department of Biostatistics, Epidemiology, and Informatics, University of Pennsylvania
| | | | - Robert M Campbell
- Center for Thoracic Insufficiency Syndrome, Children's Hospital of Philadelphia, Philadelphia, PA
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Abstract
BACKGROUND Implantable rib-based distraction devices have revolutionized the treatment of children with early onset scoliosis and thoracic insufficiency syndrome. Unfortunately, the need for multiple skin incisions and repeated surgeries in a fragile patient population creates considerable infection risk. In order to assess rates of infection for different incision locations and potential risk factors, we generated a prospectively collected database of patients treated with rib-based distraction devices. METHODS We analyzed a cohort of patients with thoracic insufficiency syndrome from various etiologies that our institution treated with rib-based distraction devices from 2013 to 2016. Surgery type (implantation, expansion, revision/removal), and surgeon adjudicated surgical site infection (SSI) were collected. For this study, we developed a novel, rib-based distraction device surgical site labeling system in which incisions could be labeled as either proximal or distal surgical exposure areas. Treating surgeons documented the operative site, procedure, and SSI site in real-time. RESULTS A total of 166 unique patients underwent 670 procedures during the study period, producing 1537 evaluable surgical sites; 1299 proximal and 238 distal. Patients were 6.81±4.0 years of age on average. Forty-seven procedures documented SSIs (7.0%), while 40 (24.1%) patients experienced an infection. Analysis showed significant variation in the rate of infection between implantation, and expansion, and revision procedures, with implantation procedures having the highest infection rate at 13.1% (P<0.01). Infections occurred more frequently at distal sites than proximal ones (P=0.02). CONCLUSIONS Our novel, surgeon-entered, prospective quality improvement database has identified distal surgical sites as being at higher risk for SSI than proximal ones. Further, rib-based distraction device implantation procedures were identified as being at a greater risk for SSI than expansion or revision procedures. We believe this data can lead to improved prevention measures, anticipatory guidance, and patient care. LEVEL OF EVIDENCE Level II-prognostic study.
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5
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Guerra M. [The doctor, the boss and the innovation! The good, the bad and the ugly!]. Rev Port Cir Cardiotorac Vasc 2018; 25:117-118. [PMID: 30599466] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Received: 12/18/2018] [Indexed: 06/09/2023]
Affiliation(s)
- Miguel Guerra
- Editor-Chefe da Revista Portuguesa de Cirurgia Cardio-Torácica e Vascular
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6
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Cabral G. [Welcome to SPCCTV 4D Visions18]. Rev Port Cir Cardiotorac Vasc 2018; 25:115-116. [PMID: 30599465] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Received: 12/18/2018] [Indexed: 06/09/2023]
Affiliation(s)
- Gonçalo Cabral
- Secretário-Geral da Sociedade Portuguesa de Cirurgia Cardio-Torácica e Vascular
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7
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Cabral G. [The change is here, the future is now]. Rev Port Cir Cardiotorac Vasc 2018; 25:11-12. [PMID: 30317703] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Received: 06/18/2018] [Indexed: 06/08/2023]
Affiliation(s)
- Gonçalo Cabral
- Secretário Geral da Sociedade Portuguesa de Cirurgia Cardio-Torácica e Vascular Hospital Beatriz Ângelo, Loures, Portugal
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8
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Issoufou I, Harmouchi H, Rabiou S, Belliraj L, Ammor FZ, Diarra AS, Lakranbi M, Sani R, Ouadnouni Y, Smahi M. [The surgery of diaphragmatic hydatidosis and their complications]. Rev Pneumol Clin 2017; 73:253-257. [PMID: 29054716 DOI: 10.1016/j.pneumo.2017.07.006] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/27/2017] [Accepted: 07/18/2017] [Indexed: 06/07/2023]
Abstract
Primary or secondary diaphragmatic echinococcosis is rare, accounting for 1% of the thoracic locations. They may be operative discovery or by their complication, hence a variable symptomatology making this localization a particular entity. The thoracic and abdominal CT allows a complete assessment. Surgery remains the only therapeutic approach. In complicated forms an additional surgery is required for complete care. The prognosis is generally good apart from the risk of recurrence. Through a series of 4 operated patients, we focus on the clinical and therapeutic features of this pathology and its complications.
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Affiliation(s)
- I Issoufou
- Service de chirurgie thoracique, CHU Hassan II, BP 1893, Km 2.200, route de Sidi-Harazem, 30000 Fès, Maroc.
| | - H Harmouchi
- Service de chirurgie thoracique, CHU Hassan II, BP 1893, Km 2.200, route de Sidi-Harazem, 30000 Fès, Maroc
| | - S Rabiou
- Service de chirurgie thoracique, CHU Hassan II, BP 1893, Km 2.200, route de Sidi-Harazem, 30000 Fès, Maroc
| | - L Belliraj
- Service de chirurgie thoracique, CHU Hassan II, BP 1893, Km 2.200, route de Sidi-Harazem, 30000 Fès, Maroc
| | - F Z Ammor
- Service de chirurgie thoracique, CHU Hassan II, BP 1893, Km 2.200, route de Sidi-Harazem, 30000 Fès, Maroc
| | - A S Diarra
- Laboratoire d'épidémiologie, recherche clinique et santé communautaire, faculté de médecine et de pharmacie de Fès, 30000 Fès, Maroc
| | - M Lakranbi
- Service de chirurgie thoracique, CHU Hassan II, BP 1893, Km 2.200, route de Sidi-Harazem, 30000 Fès, Maroc
| | - R Sani
- Service de chirurgie générale, HNN, Niamey, Niger; Faculté des sciences de la santé, université Abdou-Moumouni, Niamey, Niger
| | - Y Ouadnouni
- Service de chirurgie thoracique, CHU Hassan II, BP 1893, Km 2.200, route de Sidi-Harazem, 30000 Fès, Maroc; Faculté de médecine et de pharmacie, université Sidi-Mohamed-Ben-Abdellah, 30000 Fès, Maroc
| | - M Smahi
- Service de chirurgie thoracique, CHU Hassan II, BP 1893, Km 2.200, route de Sidi-Harazem, 30000 Fès, Maroc; Faculté de médecine et de pharmacie, université Sidi-Mohamed-Ben-Abdellah, 30000 Fès, Maroc
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9
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Gorman J, Funk D, Srinathan S, Embil J, Girling L, Kowalski S. Perioperative implications of thoracic decortications: a retrospective cohort study. Can J Anaesth 2017; 64:845-853. [PMID: 28493038 PMCID: PMC5506207 DOI: 10.1007/s12630-017-0896-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2016] [Revised: 03/09/2017] [Accepted: 05/02/2017] [Indexed: 11/30/2022] Open
Abstract
Purpose An increasing number of thoracic decortications have been performed in Manitoba, from five in 2007 to 45 in 2014. The primary objective of this study was to define the epidemiology of decortications in Manitoba. The secondary objective was to compare patients who underwent decortication due to primary infectious vs non-infectious etiology with respect to their perioperative outcomes. Methods Data for this cohort study were extracted from consecutive charts of all adult patients who underwent a decortication in Manitoba from 2007-2014 inclusive. Results One hundred ninety-two patients underwent a decortication. The most frequent disease processes resulting in a decortication were pneumonia (60%), trauma (13%), malignancy (8%), and procedural complications (5%). The number of decortications due to complications of pneumonia rose at the greatest rate, from three cases in 2007 to 29 cases in 2014. Performing a decortication for an infectious vs a non-infectious etiology was associated with a higher rate of the composite postoperative outcome of myocardial infarction, acute kidney injury, need of vasopressors for > 12 hr, and mechanical ventilation for > 48 hr (44.4% vs 24.2%, respectively; relative risk, 1.83; 95% confidence interval, 1.1 to 2.9; P = 0.01). Conclusion There has been a ninefold increase in decortications over an eight-year period. Potential causes include an increase in the incidence of pneumonia, increased organism virulence, host changes, and changes in practice patterns. Patients undergoing decortication for infectious causes had an increased risk for adverse perioperative outcomes. Anesthesiologists need to be aware of the high perioperative morbidity of these patients and the potential need for postoperative admission to an intensive care unit.
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Affiliation(s)
- Jay Gorman
- Max Rady College of Medicine, University of Manitoba, Winnipeg, MB, Canada
| | - Duane Funk
- Department of Anesthesiology and Perioperative Medicine, University of Manitoba, 2nd Floor Harry Medovy House, 671 William Avenue, Winnipeg, MB, Canada
| | | | - John Embil
- Internal Medicine, Section of Infectious Diseases, University of Manitoba, Winnipeg, MB, Canada
| | - Linda Girling
- Department of Anesthesiology and Perioperative Medicine, University of Manitoba, 2nd Floor Harry Medovy House, 671 William Avenue, Winnipeg, MB, Canada
| | - Stephen Kowalski
- Department of Anesthesiology and Perioperative Medicine, University of Manitoba, 2nd Floor Harry Medovy House, 671 William Avenue, Winnipeg, MB, Canada.
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10
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Chabi ML. [What's new in thoracic imaging?]. Rev Pneumol Clin 2017; 73:1-2. [PMID: 28236904 DOI: 10.1016/j.pneumo.2017.01.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Affiliation(s)
- M-L Chabi
- Service d'imagerie médicale, hôpital Foch, 40, rue Worth, 92151 Suresnes, France.
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11
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Shimoyama T, Kimura B. [Hourglass Transmural Lipoma;Report of a Case]. Kyobu Geka 2016; 69:885-887. [PMID: 27586324] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
This case report describes a 73-year-old male with an hourglass-type transmural lipoma who was referred because of an abnormal chest shadow. Computed tomography showed a well-defined fatty mass within the intra-and extra-thorax at the right 3rd intercostal portion. Magnetic resonance imaging showed a high-intensity mass that had the same signal level as fat tissue. Therefore, the tumor was diagnosed as an hourglass transmural lipoma. Tumor resection was performed with video-assisted thoracic surgery, and 3rd intercostal muscle tissue approximately 1cm from the tumor border was also resected. The tumor was 6.5×4.5×3.0 cm in size, and histologically diagnosed as an intramuscular lipoma-infiltrating type, without malignancy. Since infiltrating types of intramuscular lipoma often cause recurrence without malignant appearance, tumor specimens require careful examination. Thoracoscopic surgery was useful to determine the excision line from the intra-thorax, for complete resection of the hourglass tumor.
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Affiliation(s)
- Takehiko Shimoyama
- Department of Thoracic Surgery, Yokohama City Minato Red Cross Hospital, Yokohama, Japan
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12
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Rabiou S, Ghalimi J, Issoufou I, Lakranbi M, Ouadnouni Y, Smahi M. [Hydatidosis bone wall chest: About three cases]. Rev Pneumol Clin 2016; 72:264-268. [PMID: 27368138 DOI: 10.1016/j.pneumo.2016.04.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/01/2014] [Accepted: 04/27/2016] [Indexed: 06/06/2023]
Abstract
INTRODUCTION Bone hydatidosis of the chest wall is rarely reported in the literature. Costal and sternal location are uncommon. Through 3 observations and literature review, we report particular pathophysiological and diagnostic aspects of costal and sternal hydatidosis. We also discuss therapeutic and prognostic aspects of this disease. OUR CASES: we report the cases of 45, 41 and 17 years old male patients, 2 of them had previous surgery for thoracic wall mass in general surgery service. Clinical presentation was thoracic wall painful mass sticking to bone. One patient had isolated costal location, the 2 others had sternal location; in one of them, the disease is located in sterno-costo-clavicular area. In all 3 cases, the disease was diagnosed by computed tomography (CT) scan, showing bone lysis or mediastinum enlargement. Patients undergo extended bone resection removing away all destructed parts of the bone. After surgery, albendazole has been prescribed to all patients. No recurrence was observed after 12 months follow-up. CONCLUSION Chest wall bone hydatidosis is unusual even in endemic regions, with slow evolution and inconspicuous symptoms. Radiology plays a key role in the management of this disease. Extended surgical resection associated with medical treatment (albendazole) is a reliable treatment without recurrence.
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Affiliation(s)
- S Rabiou
- Service de chirurgie thoracique, CHU Hassan II, Fès, Maroc.
| | - J Ghalimi
- Service de chirurgie thoracique, CHU Hassan II, Fès, Maroc
| | - I Issoufou
- Service de chirurgie thoracique, CHU Hassan II, Fès, Maroc
| | - M Lakranbi
- Service de chirurgie thoracique, CHU Hassan II, Fès, Maroc
| | - Y Ouadnouni
- Service de chirurgie thoracique, CHU Hassan II, Fès, Maroc; Faculté de médecine et de pharmacie, université Sidi-Mohamed-Ben-Abdellah, Fès, Maroc
| | - M Smahi
- Service de chirurgie thoracique, CHU Hassan II, Fès, Maroc; Faculté de médecine et de pharmacie, université Sidi-Mohamed-Ben-Abdellah, Fès, Maroc
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Sebit S, Tunc H, Gorur R, Isitmangil T, Yildizhan A, Us MH, Pocan S, Balkanli K, Ozturk OY. The Evaluation of 13 Patients with Intrathoracic Extrapulmonary Hydatidosis. J Int Med Res 2016; 33:215-21. [PMID: 15790133 DOI: 10.1177/147323000503300209] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Cases of intrathoracic extrapulmonary hydatid cysts are very rare. We identified 13 patients with intrathoracic extra-pulmonary hydatid cysts in our clinic over 12 years. Four patients had extra-pulmonary cysts only; nine patients had both intrapulmonary and extrapulmonary cysts. Cysts were identified in the pleural space, extrapleural region, diaphragm and chest wall. Thoracotomy was used in all patients, and extrapulmonary lesions were removed by cyst extirpation from surrounding tissue or by pericystectomy. In one patient with chest wall involvement, partial rib resections were performed because of rib destruction. In two patients with liver cysts passing through the diaphragm to the thorax, the diaphragm was cut, cysts on the liver roof were removed and then the diaphragm was repaired. There was no mortality, morbidity, or disease recurrence during the post-operative period in any of the 13 patients. We conclude that these rare cases give a new insight into hydatid cyst pathophysiology.
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Affiliation(s)
- S Sebit
- Department of Thoracic Surgery, Haydarpasa Training Hospital, Gulhane Military Medical Academy, Istanbul, Turkey.
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Berthet JP, Solovei L, Bommart S, Ambard D, Canaud L, Alric P, Marty-Ané CH. Reply. Ann Thorac Surg 2016; 101:833-4. [PMID: 26777962 DOI: 10.1016/j.athoracsur.2015.10.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/26/2015] [Revised: 09/26/2015] [Accepted: 10/05/2015] [Indexed: 11/15/2022]
Affiliation(s)
- Jean-Philippe Berthet
- Thoracic Surgery Department, University Hospital Arnaud de Villeneuve, 91, avenue Doyen Gaston, Giraud34090 Montpellier, France; U1046, INSERM, Montpellier University 1, Montpellier University 2, Montpellier, France.
| | - Laurence Solovei
- Thoracic Surgery Department, University Hospital Arnaud de Villeneuve, Montpellier, France
| | - Sébastien Bommart
- Thoracic Surgery Department, University Hospital Arnaud de Villeneuve, Montpellier, France
| | - Dominique Ambard
- University of Montpellier and Technology Institute of Nîmes, GMP Department, Civil Engineering Laboratory, BioTiC team, Montpellier, France
| | - Ludovic Canaud
- Thoracic Surgery Department, University Hospital Arnaud de Villeneuve, Montpellier, France
| | - Pierre Alric
- Thoracic Surgery Department, University Hospital Arnaud de Villeneuve, Montpellier, France
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Abstract
Pneumothorax associated with thoracic endometriosis (TE) generally occurs in women around 30 years old and it usually affects the right pleural cavity. We herein report two cases of TE associated with left-sided pneumothorax in young women. The prevalence of TE in younger patients may be underestimated if these cases are treated as spontaneous pneumothorax. Pneumothorax occurring in younger patients has not been reported to show laterality. TE-related or catamenial pneumothorax in young women must therefore represent a different clinical entity from the condition seen in older patients.
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Affiliation(s)
- Shungo Yukumi
- Department of Surgery, National Hospital Organization Ehime Medical Center, Japan
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16
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Hamel CC, de Kruif JH, Jansen JP, Barendregt WB. [Thoracic endometriosis with aspecific manifestation]. Ned Tijdschr Geneeskd 2016; 160:A9883. [PMID: 27405565] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
BACKGROUND Endometriosis is a common disease, especially in subfertile women. The most common location is in the pelvis, but extragenital locations are also possible. This far less common condition has been described in almost all tissues in the body. Symptoms occurring cyclically are characteristic of endometriosis. CASE DESCRIPTION A 37-year-old woman was discovered by chance to have ascites and pleural effusion. She had no symptoms of this. Thoracoscopy showed an image consistent with thoracic endometriosis. After initial drug therapy was unsuccessful, surgical intervention was performed. CONCLUSION Thoracic endometriosis is a rare disease, in which the cyclical nature of the symptoms often leads to correct diagnosis. Drug therapy is the preferred treatment for patients.
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Affiliation(s)
- C C Hamel
- Canisius Wilhelmina Ziekenhuis, Nijmegen
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Masuda M, Kuwano H, Okumura M, Amano J, Arai H, Endo S, Doki Y, Kobayashi J, Motomura N, Nishida H, Saiki Y, Tanaka F, Tanemoto K, Toh Y, Yokomise H. Thoracic and cardiovascular surgery in Japan during 2012 : annual report by The Japanese Association for Thoracic Surgery. Gen Thorac Cardiovasc Surg 2015; 62:734-64. [PMID: 25355583 PMCID: PMC4254159 DOI: 10.1007/s11748-014-0464-0] [Citation(s) in RCA: 115] [Impact Index Per Article: 12.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
| | - Munetaka Masuda
- Department of Surgery, Yokohama City University, Yokohama, Japan
| | - Hiroyuki Kuwano
- Department of General Surgical Science (Surgery I) Gunma University, Graduate School of Medicine, Gunma, Japan
| | - Meinoshin Okumura
- Department of General Thoracic Surgery, Osaka University Graduate School of Medicine, Osaka, Japan
| | - Jun Amano
- Department of Cardiovascular Surgery, Fujimi-Kogen Medical Center, Nagano, Japan
| | - Hirokuni Arai
- Department of Cardiovascular Surgery, Tokyo Medical and Dental University Graduate School of Medical and Dental Sciences, Tokyo, Japan
| | - Shunsuke Endo
- Department of Thoracic Surgery, Jichi Medical University, Tochigi, Japan
| | - Yuichiro Doki
- Department of Gastroenterological Surgery Graduate School of Medicine, Osaka University, Osaka, Japan
| | - Junjiro Kobayashi
- Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Osaka, Japan
| | - Noboru Motomura
- Department of Cardiovascular Surgery, Toho University, Sakura Medical Center, Chiba, Japan
| | - Hiroshi Nishida
- Department of Cardiovascular Surgery, The Heart Institute of Japan, Tokyo Women’s Medical University, Tokyo, Japan
| | - Yoshikatsu Saiki
- Division of Cardiovascular Surgery, Tohoku University Graduate School of Medicine, Miyagi, Japan
| | - Fumihiro Tanaka
- Second Department of Surgery, University of Occupational and Environmental Health, Japan, Fukuoka, Japan
| | - Kazuo Tanemoto
- Department of Cardiovascular Surgery, Kawasaki Medical School, Okayama, Japan
| | - Yasushi Toh
- Department of Gastroenterological Surgery, National Kyushu Cancer Center, Fukuoka, Japan
| | - Hiroyasu Yokomise
- Department of General Thoracic Surgery, Faculty of Medicine, Kagawa University, Kagawa, Japan
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18
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Razumovskiĭ AI, Alkhasov AB, Mitupov ZB, Stepanenko NS. [Report "Endosurgery for thoracic organs defects in children" Protocol No295 of Moscow Thoracic surgeons Society session from March 24.2015]. Khirurgiia (Mosk) 2015:52-54. [PMID: 26753202 DOI: 10.17116/hirurgia20158252-55] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Affiliation(s)
- A Iu Razumovskiĭ
- N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia, Moscow; N.F. Filatov Children's City Clinical Hospital #13, Moscow Department of Health, Russia
| | - A B Alkhasov
- N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia, Moscow; N.F. Filatov Children's City Clinical Hospital #13, Moscow Department of Health, Russia
| | - Z B Mitupov
- N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia, Moscow; N.F. Filatov Children's City Clinical Hospital #13, Moscow Department of Health, Russia
| | - N S Stepanenko
- N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia, Moscow; N.F. Filatov Children's City Clinical Hospital #13, Moscow Department of Health, Russia
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19
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Vyzhigina MA, Parshin VD, Titov VA, Alekseev AV. [Actual respiratory technologies in thoracic surgery: traditional problems and innovative solutions]. Khirurgiia (Mosk) 2015:20-32. [PMID: 26753198 DOI: 10.17116/hirurgia20158220-32] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
The problem of efficient gas exchange maintenance is always actual in anesthetic management of thoracic surgery and determines the selection of appropriate method of anesthesia. The article presents an experience of anesthesia during operations on lungs, trachea, bronchi and mediastinal structures performed from 1963 to 2015. Current concept of safety and efficacy of anesthetic management in thoracic surgery is presented. The role of actual current respiratory technologies and methods of anesthesia per se to maximize the efficiency of gas exchange in all stages of thoracicsurgery is emphasized. Absolute coherence of anesthesiologist and surgeon based on correct interaction is the most important condition of successful surgery. Effectiveness of special respiratory technologies for thoracic surgery associated with one-lung ventilation and prolonged wide dissection of airways is described. The research results and pathophysiological rationale for the use of special respiratory technologies including different variants of differentiated independent lung ventilation especially important for patients with concomitant cardiorespiratory pathology are presented. We reported experience of effective gas exchange maintenance in reconstructive surgery of trachea and main bronchi including traditional mechanical ventilation with "shunt-breath" system, use of jet high-frequency ventilation and relatively new respiratory technology such as flow apnoeic oxygenation.
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Affiliation(s)
- M A Vyzhigina
- acad. B.V. Petrovskiy Russian Scientific Center for Surgery, Moscow; I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia, Moscow, Russia
| | - V D Parshin
- I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia, Moscow, Russia
| | - V A Titov
- I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia, Moscow, Russia
| | - A V Alekseev
- I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia, Moscow, Russia
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Abstract
AIM To analyze patients with Castleman disease who were diagnosed by surgery. MATERIALS AND METHODS We retrospectively investigated the postoperative pathological records of operations performed between January 1992 and December 2012 in our hospital. Files of 19 patients with the diagnosis of Castleman disease were analyzed. RESULTS There were 13 male and 6 female patients with a mean age of 40.1 + 11.4 (range: 20-57) years. Fifteen thoracotomies and 3 video-assisted thoracoscopies, 12 on the right side and 6 on the left side, and 1 mediastinoscopy were performed. Biopsies and mass excisions were performed in 2 and 17 cases, respectively. Histopathological findings were hyaline vascular-type (n = 16), plasma cellular- type (n = 2), and hyaline vascular plus plasma cellular-type (n = 1) Castleman disease. CONCLUSION Castleman disease can occur in all areas of the thorax, but the mediastinum and hilum are the most common locations. Surgical excision is the best method of diagnosis and treatment. Complete excision is curative for local forms of the disease. However, complete excision may not be possible at all times due to local invasion and hypervascularization. Multimodal treatment, including chemotherapy, is recommended in patients with a multicentric form of the disease, and they should be followed closely.
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21
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Hernández-Ascencio JA, Rios-Cruz D, Grube-Pagola P, Gómez-Calzada JG. [Intrathoracic-mediastinal myofibroblastic tumor. Report and experience of one case]. CIR CIR 2014; 82:412-417. [PMID: 25167352] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
BACKGROUND Inflammatory pseudotumor is a little known and uncommon condition. The debate continues whether it represents an inflammatory lesion or is a true neoplasm. It is considered a reactive process usually characterized by irregular growth of inflammatory cells. It has been described at various sites, the most common being the lung. The aim of this report is to emphasize the difficulty in the initial diagnosis. CLINICAL CASE We present the case of a 56-year-old male who reports an 8-month history of dry cough, dyspnea, fatigue, weakness and weight loss of 20 kg. We performed two biopsies, one positive for malignancy without response to medical treatment and the second reporting chronic granulomatous inflammation. The patient underwent sternotomy, revealing a tumor of 20 × 17 × 10 cm, weighing approximately 2 kg. The tumor was dependent on the anterior mediastinum surrounding large vessels, and venous brachiocephalic, pericardium and both pleuras with firm adhesions to the right lung. Pathological report was as follows: inflammatory myofibroblastic tumor with positive immunohistochemistry for CD20 and CD3. Postoperative course was satisfactory and 1 year after surgery there was no evidence of recurrence. CONCLUSION Inflammatory pseudotumor is a benign neoplasm of unknown origin with a chronic course. It can simulate a malignant tumor, causing constitutional manifestations, airway obstruction, cardiac alterations or other symptoms according to their location. Diagnosis is based on radiological features and direct biopsy. Treatment of choice is complete resection of the tumor with a favorable long-term outcome.
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Affiliation(s)
- Julio Abraham Hernández-Ascencio
- Departamento de Cirugía General, Hospital Regional de Alta Especialidad de Veracruz Dr. Virgilio Uribe. Servicios Estatales de Salud del Estado de Veracruz, Veracruz, Veracruz, Mexico.
| | - Daniel Rios-Cruz
- Departamento de Cirugía General, Hospital Regional de Alta Especialidad de Veracruz Dr. Virgilio Uribe. Servicios Estatales de Salud del Estado de Veracruz, Veracruz, Veracruz, Mexico
| | - Peter Grube-Pagola
- Departamento de Patología, Hospital Regional de Alta Especialidad de Veracruz Dr. Virgilio Uribe. Servicios Estatales de Salud del Estado de Veracruz, Veracruz, Veracruz, Mexico
| | - Juan Gabriel Gómez-Calzada
- Departamento de Cirugía Cardiotorácica, Hospital Regional de Alta Especialidad de Veracruz Dr. Virgilio Uribe. Servicios Estatales de Salud del Estado de Veracruz, Veracruz, Veracruz, Mexico
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Chen YY, Huang TW, Chang H, Hsu HH, Lee SC. Intrathoracic caudate lobe of the liver: A case report and literature review. World J Gastroenterol 2014; 20:5147-5152. [PMID: 24803833 PMCID: PMC4009555 DOI: 10.3748/wjg.v20.i17.5147] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/01/2013] [Revised: 02/09/2014] [Accepted: 03/05/2014] [Indexed: 02/06/2023] Open
Abstract
Heterotopic supradiaphragmatic livers are rare. A total of 23 cases of primary supradiaphragmatic livers have been reported in the literature. The clinical presentations of heterotopic supradiaphragmatic liver are variable. The simultaneous detection of intrathoracic accessory liver and pulmonary sequestration is extremely rare, and only one case has previously been reported. It is difficult to make a correct diagnosis preoperatively. We presented a 53-year-old woman with complaints of an intermittent, productive cough and dyspnea for two months that was refractory to medical treatment. She had no previous history of trauma or surgery. A chest radiograph only showed a widening of the mediastinum. Contrast-enhanced computed tomography of the chest revealed a well-circumscribed homogenous soft-tissue mass, approximately 4.35 cm × 2.5 cm × 6.14 cm in size, protruding through the right diaphragmatic crura to the right pleural cavity, attached to the inferior vena cava, esophagus and liver. There was no conclusive diagnosis before surgery. After the operation, we discovered that this patient was the first case of a supradiaphragmatic heterotopic liver, which passed through the inferior vena cava foramen and was coincidentally combined with an intralobar pulmonary sequestration that was found intraoperatively. We discussed its successful management with surgical resection via a thoracic approach and reviewed the published literature.
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23
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Ekpe EE, Ette VF, Akpan A. Pattern of cardiothoracic surgical diseases in a new cardiothoracic surgery unit in Nigeria. Niger J Med 2014; 23:77-82. [PMID: 24946459] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023] Open
Abstract
BACKGROUND Cardiothoracic surgical pathologies are available in all geographical regions of the world. Human and material resources are necessary for prompt diagnosis and proper treatment of these cases. METHODOLOGY Retrospective analysis of cardiothoracic surgical cases in the first five years of our new cardiothoracic surgery unit was done. RESULTS A total of 714 cases were seen during the study period with age range one month to 76 years with mean age of 37.12 +/- 11.24 and male female ratio of 2:1. The yearly admissions from 2007 to 2011 were 14%, 17%, 21%, 21% and 26% respectively. Cardiovascular diseases occurred in 22.30%, with 6% of children suffering from congenital heart defect and 6% of men suffering from acquired vascular disease. Surgical complications of pleuropulmonary tuberculosis occurred in 21.4% while thoracic trauma occurred in upto 21% of the patients. Aerodigestive tract foreign bodies were encountered in 10.1% of cases and Pyogenic diseases occurred in 8.68%. Oesophageal lesions were diagnosed in 6.4% of the patients, pulmonary tumours including primary and secondary tumours were found in 4.3% while nontraumatic chest wall pathologies which included chest wall tumours, congenital deformities and chronic osteomyelities accounted for 3.2%. Mediastinal pathologies occurred in 0.98% and in the remaining 1.5% rare diseases were diagnosed such as third degree heart block, pulmonary embolism and thoracic endometriosis syndrome. CONCLUSION This study shows that cardiothoracic surgical pathologies are common in our centre with predominance of thoracic pathologies, and therefore need to prioritize and ensure manpower development for treatment of all kinds of thoracic pathologies.
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Voskresenskiĭ OV, Smoliar AN, Damirov MM, Galankina IE, Zhelev IG. [Thoracic endometriosis and catamenial pneumothorax]. Khirurgiia (Mosk) 2014:4-9. [PMID: 25484144] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
It was analyzed own experience of diagnosis and treatment of catamenial (menstrual) pneumothorax and thoracic endometriosis and literature review. It is shown that catamenial pneumothorax has specific clinical and instrumental signs allowing to establish the diagnosis before surgery. It was proposed surgical treatment including the removal of trans diaphragmatic way of pneumothorax development, removal of thoracic endometriosis and the establishment of reliable pleurodesis. It was demonstrated that this volume of surgery can be successfully implemented by using of thoracoscopic access. Relapse prevention includes hormonal therapy for the 6 months after surgery under the supervision of an obstetrician-gynecologist.
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25
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Pichurov AA, Orzheshkovskiĭ OV, Dvorakovskaia IV, Romanova LA, Ivanishchak BE, Karel'skaia EA, Petrun'kin AM, Petrov AS, Atiukov MA, Iablonskiĭ PK. [Thoracic endometriosis--the rare pathology in thoracic surgery]. Vestn Khir Im I I Grek 2014; 173:26-29. [PMID: 25055505] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
Thoracic hematogenic endometriosis is a rare pathology. A clinical course hasn't pathognomic symptoms, because of it, the diagnosis is established due to histological study. The article presented two cases of female patients, who were suffering from thoracic endometriosis. They were hospitalized to the department of thoracic surgery of Municipal multifield hospital No 2 in Saint-Petersburg. The first patient had a posterior mediastinum tumor with asymptomatic disease course. The second patient was with recurrent catamenial pneumothorax.
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26
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Plaksin SA, Petrov ME. [Optimization of surgical strategy in complications after thoracic operations demanding recurrent surgical interventions]. Vestn Khir Im I I Grek 2014; 173:54-59. [PMID: 25823336] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
A frequency of postoperative complications varied from 1-2% after endoscopic thoracal operations to 4-12% after open operations using thoracotomic access. There isn't any common approach to indications and terms of the recurrent endoscopic intervention. An analysis of postoperative complications was made after 2795 thoracothomies and 3632 videothoracoscopies required the recurrent operation in 139 patients (2.2%). The rethoracoscopies were performed on 62 patients (44.6%), thoracoscopies were carried out after thoracotomies in 40 cases (28.8%) and rethoracotomies were in 37 cases (26.6%). The more frequent indication to recurrent operation was bleeding (26.6%), pleural empyema (20.9%), fragmented pleuritis (11.5%). It was shown that thoracoscopy was an alternative to rethoracotomy as the rethoracoscopy in case of nonmassive intrapleural bleeding, clotted hemothorax, postoperative fragmented pleuritis, non-sanitized empyema region, the presence of sequestrums in this area, limited postoperative pleuritis, chylothorax, bronchopleural fistula of the size of 1-2 mm, leakage of the lung, a foreign body in pleural cavity. The lethality consisted of 35.1% after rethoracotomies and it was 12.7% after recurrent endoscopic operations.
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27
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Miyazaki T, Inose T, Tanaka N, Suzuki S, Hara K, Ozawa D, Yokobori T, Sakai M, Souda M, Fukuchi M, Kuwano H. [Re-thoracotomy for intrathoracic complications after esophagectomy for esophageal cancer]. Kyobu Geka 2013; 66:762-766. [PMID: 23917201] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
We reviewed the indications for re-thoracotomy after esophagectomy for esophageal cancer. Hemothorax, chylothorax, tracheobronchial injury (fistula), pneumothorax, and pyothorax were the main causes of re-thoracotomy. Indications for emergency thoracotomy were as follows. 1)Hemothorax:bleeding through the chest drain continuing at >100 ml/hour for ≥5 hour, or in cases when normal blood pressure cannot be maintained without blood transfusion. 2)Chylothorax:in cases with ≥1.5 l/day of chyle drainage for >5 days under conservative treatment. Healing is not seen for 14 days after conservative treatment. Nutritional status of the patient has worsened. 3)Tracheobronchial injury:at 1st respiration state should be understood. After we maintain the patient's airway, fistula is treated by closure and plombage with omentum or muscle flap. Appropriate diagnosis and timing are important for re-thoracotomy for complications after esophagectomy.
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Affiliation(s)
- Tatsuya Miyazaki
- Department of General Surgical Science, Gunma University, Maebashi, Japan
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28
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Mirzoian OS, Parshin VD, Parshin VV. [The benefits of mobile digital thoracic drainage systems in thoracic surgery]. Khirurgiia (Mosk) 2013:62-64. [PMID: 23503353] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
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29
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Mayhew PD. Surgical views: thoracoscopy: basic principles, anesthetic concerns, instrumentation, and thoracic access. Compend Contin Educ Vet 2013; 35:E3. [PMID: 23532726] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
Thoracoscopic surgery offers an exciting method for treating a variety of thoracic disease processes. To date, several thoracoscopic procedures have been described in veterinary patients. This article discusses the basic principles of thoracoscopic surgery and thoracic access, anesthetic concerns, and required instrumentation. A companion article discussing the surgical techniques of thoracoscopic pericardial window creation, subphrenic pericardectomy, thoracoscopic lung biopsy, lung lobectomy, thoracic duct ligation, and cranial mediastinal mass excision will be published in the February 2013 issue.
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30
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Parshin VD, Grigir'eva SP, Parshin VV, Khetagurov MA, Dydykin SS, Laptina VI. [Posterior thoracotomy in ventral decubitus]. Khirurgiia (Mosk) 2013:15-22. [PMID: 23715388] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
The rigidity of the chest wall, thank to its bone framework, determines the variety of operative access in thoracic surgery, both thoracoscopic and open. The posterior thoracotomy on the bed of the resected rib in ventral decubitus is traditionally but gratuitously rarely used access. The method permits comfortable access to trachea, bifurcation, main bronchi and thoracic esophagus. It can also be used in cases of foregoing thoracothomy. Authors own the experience of 111 cases with the use of posterior thoracotomy in ventral decubitus. The access proved to be preferable for the operations on the membranous part of the trachea and main bronchi, some localizations of thoracic tracheoesophageal fistula. The access suggests fast mobilization of the root of the lung without foregoing pneumolisis, which is important in cases of pleural cavity obliteration after tuberculosis or pleural empyem.
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31
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Maĭstrenko NA. [Peter Andreevich Kupriyanov (1893-1963)]. Vestn Khir Im I I Grek 2013; 172:9-11. [PMID: 24738194] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
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32
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Sawatsubashi T, Nakatsuka H, Morioka N, Shimizu T, Tsuchida M, Miyashita K. [A case of recurrent breast cancer with pneumothorax treated by chest wall reconstruction]. Gan To Kagaku Ryoho 2012; 39:2083-2085. [PMID: 23267984] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
We report a case of a 41-year-old woman who underwent mastectomy and axillary lymph node dissection for right breast cancer(T3N3cM0) in 2004. She was treated with chemotherapy for multiple bone metastases and recurrence in the iliopsoas from January 2008. Right chest wall recurrence was observed in May 2010 and it progressed to ulcer. She was admitted to our hospital complaining of dyspnea on December 2, 2011. We diagnosed open pneumothorax and inserted a chest tube, and then packed the ulcer. No recurrence was observed in the liver and lungs. After stabilization of her general condition, we performed chest wall resection and reconstruction with a latissimus dorsi flap. She was discharged 2 weeks after surgery without severe complications. Although there were distant metastases, this surgical procedure may be effective for patients with open pneumothorax from recurrent breast cancer in order to maintain quality of life.
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Takahashi M, Matsukura T, Hirai T, Mino N. Recurrent catamenial hemopneumothorax treated by coverage with polyglycolic acid sheets. J Thorac Cardiovasc Surg 2012; 145:300-2. [PMID: 22982032 DOI: 10.1016/j.jtcvs.2012.08.054] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/08/2012] [Revised: 08/14/2012] [Accepted: 08/23/2012] [Indexed: 11/18/2022]
Affiliation(s)
- Mamoru Takahashi
- Department of Chest Surgery, Fukui Red Cross Hospital, Fukui, Japan.
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Abstract
A 64-year-old man with a history of esophageal adenocarcinoma status postneoadjuvant therapy underwent esophagogastrectomy. Postoperatively he was found with increasing dyspnea and oxygen requirements. Computed tomography of the chest showed retrocardiac herniation of atelectatic lung into the contralateral hemithorax.
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Affiliation(s)
- John E Moss
- Division of Pulmonary and Critical Care Medicine, Mayo Clinic Florida, Jacksonville, Florida 32224, USA.
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36
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Chamsy DJ, Qasim S, Kho KA. Thoracic endometriosis: a case report. J Reprod Med 2012; 57:178-180. [PMID: 22523882] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
BACKGROUND Endometriosis is a benign gynecologic disorder that affects women of reproductive age. It can be asymptomatic or can cause pelvic pain or subfertility. On rare occasions it may manifest outside of the pelvis, leading to a multitude of symptoms that can be life-threatening if proper diagnosis is delayed. CASE A 35-year-old, nulliparous female presented with dyspnea and pleuritic chest pain. She was diagnosed with a rare case of thoracic endometriosis. Her symptoms improved with combined surgical and medical management. CONCLUSION The diagnosis of this rare entity often goes unrecognized unless physicians have a high clinical suspicion and make a temporal association between patients' pulmonary symptoms and menstruation. Diagnosis can be confirmed only by pathological examination and immunohistochemical staining. Management should be guided by symptom severity and the patient's desire to conserve future fertility.
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Affiliation(s)
- Dina J Chamsy
- Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, Dallas, TX 75390-9032, USA
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Merrill WH. Preparing the next generation of residents to care for patients with cardiothoracic disease. Tex Heart Inst J 2012; 39:878-879. [PMID: 23304044 PMCID: PMC3528240] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Affiliation(s)
- Walter H Merrill
- Department of Cardiac Surgery, Vanderbilt University Medical Center, Nashville, Tennessee 37232-2102, USA.
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38
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Sadovnichiĭ VA, Sokolov MÉ, Butenko AV, Pikin OV, Barmin VV. [The mechanoreceptor tactile diagnostics of thoracic diseases]. Khirurgiia (Mosk) 2012:27-30. [PMID: 22968500] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
The novel system of tactile analysis was used in the mechanoreceptor device. The local pressure measurement is carried out in in cameras, divided by the elastic membrane from the analyzed organ. The devise allows fast and adequate real-time measurement of tissue density and elasticity. The results, acquired with the use of the mechanoreceptor device were checked microscopically. The study showed high compatibility and adequacy of the novel mechanoreceptor.
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39
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Plaksin SA, Petrov ME. [Early rethoracotomies for diseases and chest traumas]. Vestn Khir Im I I Grek 2012; 171:20-23. [PMID: 23227738] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
Rethoracotomies were performed on 34 patients operated for diseases and traumas of the chest, diseases of the esophagus which made up 1.3%. Emergency and reoperations were performed on 14 (46%) patients for ongoing intrapleural bleeding, clotted hemothorax and pulmonary bleeding. Emergency and delayed rethoracotomies were performed on 7 patients for non-hermeticity of the lung and incompetence of the bronchus suture, on 5 patients for incompetence of esophagogastroanastomosis, necrosis of the transplant and gastric wall, 3 patients for chylothorax not-arrested conservatively, 2 patients for gangrene of the residual lung lobe due to disturbed venous outflow. Postoperative complications resulted in death of 12 (37.5%) patients. Causes of lethal outcomes were purulent complications (pleural empyema, mediastinitis, sepsis, polyorganic insufficiency--in 5), massive blood loss with the development of coagulopathy (in 4), pneumonia of the only lung after pulmonectomy (in 2), pulmonary embolism (in 1). In addition, torsion of the residual lung lobe, foreign body in the pleural cavity can be considered as indications for rethoracotomy.
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Shipulin PP, Baĭdan VV, Baĭdan VI, Martyniuk VA, Kiriliuk AA, Severgin VE, Koziar ON, Poliak SD, Ageev SV, Agrakhari A. [Video-assisted thoracoscopic surgeries for thoracic diseases and trauma]. Klin Khir 2011:39-42. [PMID: 22295550] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
The experience of videothoracoscopic operations, performed for various diseases of the thoracic organs, was summarized. The reduction of the operation traumaticity, the complications rate, lethality, the patients rehabilitation duration permits to consider videothoracoscopic operations as the method of choice in many thoracic diseases and trauma.
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Crawford FA. Changes in cardiothoracic surgery education. J S C Med Assoc 2011; 107:120-121. [PMID: 22057741] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
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Athanasiadis AP, Zafrakas M, Arnaoutoglou C, Karavida A, Papasozomenou P, Tarlatzis BC. Prenatal diagnosis of thoracic kidney in the 2nd trimester with delayed manifestation of associated diaphragmatic hernia. J Clin Ultrasound 2011; 39:221-224. [PMID: 21480288 DOI: 10.1002/jcu.20769] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/17/2010] [Accepted: 09/23/2010] [Indexed: 05/30/2023]
Abstract
Ectopic kidney is a rare congenital malformation, caused by renal malpositioning during embryogenesis. We report a rare case of ectopic kidney located in the left hemithorax of a male fetus. The unique features in this case were early sonographic prenatal diagnosis of thoracic kidney at 22 weeks' gestation, which was confirmed by fetal MRI, and delayed sonographic manifestation of the associated congenital diaphragmatic hernia at 27 weeks.
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Affiliation(s)
- Apostolos P Athanasiadis
- 1st Department of Obstetrics and Gynecology, Medical School, Aristotle University of Thessaloniki, Papageorgiou Hospital, Thessaloniki, Greece
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Loira Bamio FJ, Outomuro Pérez JM, López López AM, Guitián Iglesias R. [Incidental finding of intrathoracic kidney: contribution of renal scintigraphy]. Rev Esp Med Nucl 2011; 30:114. [PMID: 21334771 DOI: 10.1016/j.remn.2010.09.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/03/2010] [Revised: 06/10/2010] [Accepted: 09/03/2010] [Indexed: 05/30/2023]
Affiliation(s)
- F J Loira Bamio
- Servicio de Medicina Nuclear, Hospital do Meixoeiro, Vigo, Pontevedra, Spain.
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Plaksin SA, Petrov ME. [Causes and results of repeated videothoracoscopy]. Vestn Khir Im I I Grek 2011; 170:91-93. [PMID: 21848247] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
For 7 years videothoracoscopies for diseases and traumas of the chest were fulfilled in 2075 patients, abscessoscopy in 27 patients. Repeated videothoracoscopies were fulfilled in 41 (2%) patients operated for spontaneous pneumothorax, pleural empyema, exudative pleurisy and injuries to the chest due to recurrent hydropneumothorasx, prolonged abundant release by drainage, bleedings by drainage or formation of clotted hemothorax, not effectiveness of sanation, of the empyema cavity, reabscessoscopy - in 2 patients. Revideothoracoscopies were divided into groups with the presence of drainages or removed drainages according to the terms - into emergent (on the first day, immediately after the development of complications), urgent (from 2 to5 days), postponed (from 6 to 15 days), and late (more than 15 days). In 4 cases the conversion to minithoracotomy had to be done due to continuing bleeding, the absence of lung hermetism. All patients with spontaneous pneumothorax, pleuritis and chest trauma recovered. Lethal outcome was in 1 (2.4%) case from lung artery thromboembolism. It was concluded that revideothoracoscopy was an alternative thoracotomy of full value in reinterventions.
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Kataoka K, Nishikawa T, Fujiwara T, Matsuura M. [Thoracoscopically removed thoracolithiasis]. Kyobu Geka 2010; 63:1066-1069. [PMID: 21066850] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
Thoracolithiasis is a rare condition with only 16 cases of surgically removed nodules reported in the literature in Japan. We report an additional thoracoscopically removed case. A 62-year-old man was pointed out an abnormal shadow behind the left diaphragmatic dome on a routine health examination. Computed tomography (CT) revealed a round mass lesion with calcification, about 11 mm in diameter, in the left thorax. Video-assisted thoracic surgery (VATS) was performed and a white 11 mm completely free nodule in the left pleural cavity was removed. Pathological findings revealed necrotic fat tissue in the center surrounded by hyalinized fibrous tissue, being consistent with thoracolithiasis.
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Affiliation(s)
- K Kataoka
- Department of Thoracic Surgery, Hiroshima City Hospital, Hiroshima, Japan
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Assouad J, Grunenwald D. Are we moving towards a new era in minimally invasive thoracic surgery? J Gastrointest Surg 2010; 14:1464; author reply 1465. [PMID: 20585994 DOI: 10.1007/s11605-010-1267-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/11/2009] [Accepted: 06/15/2010] [Indexed: 01/31/2023]
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Abstract
Intrathoracic kidneys are rare and are often only diagnosed incidentally. The literature on intrathoracic kidneys in children and adults is reviewed and discussed, focusing on diagnostic procedures and surgical therapy. Additionally, the case of a 35-year-old woman with a relapse of a left-sided intrathoracic kidney after pregnancy is reported. Diagnostic procedures and the surgical management are discussed.
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Affiliation(s)
- N Fischer
- Klinik und Poliklinik für Urologie, Universitätskliniken Bonn, Deutschland.
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Gasmi M, Jemaï R, Fitouri F, Sahli S, Hamzaoui M. Presternal giant epidermal cyst: 2 cases. Tunis Med 2010; 88:250-252. [PMID: 20446258] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
BACKGROUND Epidermal cysts are a common benign lesion, occurring often above the shoulder and within the face and the scalp. Presternal site and huge volume are quite rare, especially in children. AIM The authors report on two paediatric cases, discuss etiopathogenesis and diagnostic difficulties. CASES A 2, 5 and 3-year-old boys were admitted for voluminous subcutaneous tumour of the chest. The lesions had appeared since neonatal period with rapid growth after a minimal trauma for the last year. The physical examination found a great presternal cystic mass of 70 mm in diameter which is painless round and mobile. Ultrasonography and magnetic resonance imaging, showed a subcutaneous cystic mass with no mediastinal involvement or other localization in both. Complete surgical excision including the overlying skin with direct cutaneous closure was performed in both cases. The histological examinations confirmed the diagnosis of epidermal cyst. Postoperative courses were uneventful with no recurrence during respectively 18 months and 5 years follow-up periods. CONCLUSIONS Giant presternal epidermal cyst is uncommon and can raise diagnostic problems. Imaging investigations facilitate accurate diagnosis. Because of malignant degeneration, surgical excision should be mandatory.
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Affiliation(s)
- Manef Gasmi
- Department of paediatric surgery "A", Children Hospital, Tunis, Tunisia
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Shashidharan S, Karras R, Henry G. Use of Veritas acellular collagen matrix in chest wall reconstruction: an emerging choice. Am Surg 2010; 76:218-220. [PMID: 20336906] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
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50
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Murphy T, Jobe BA. Endoluminal management of anastomotic dehiscence after esophagectomy: an increasing quiver of options reflects the difficulty in realizing a definitive therapy. Gastrointest Endosc 2010; 71:387-9. [PMID: 20152315 DOI: 10.1016/j.gie.2009.09.033] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/15/2009] [Accepted: 09/27/2009] [Indexed: 12/10/2022]
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