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[PMID]:28109350
[Au] Autor:Rocco G
[Ad] Endereço:Department of Thoracic Surgical and Medical Oncology, Division of Thoracic Surgery, Istituto Nazionale Tumori, Pascale Foundation, Via Semmola 81, 80131, Naples, Italy. Electronic address: g.rocco@istitutotumori.na.it.
[Ti] Título:Invited Commentary.
[So] Source:Ann Thorac Surg;103(2):468-469, 2017 Feb.
[Is] ISSN:1552-6259
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Mh] Termos MeSH primário: Drenagem/tendências
Neoplasias Pulmonares/cirurgia
Nódulo Pulmonar Solitário/cirurgia
Cirurgia Torácica Vídeoassistida/métodos
[Mh] Termos MeSH secundário: Tubos Torácicos
Feminino
Seres Humanos
Intubação Intratraqueal
Masculino
Taiwan
Toracoscópios
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170123
[St] Status:MEDLINE


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[PMID]:27865474
[Au] Autor:Yang SM; Wang ML; Hung MH; Hsu HH; Cheng YJ; Chen JS
[Ad] Endereço:Department of Surgery, National Taiwan University Hospital Hsin-Chu Branch, Hsin-Chu, Taiwan; Division of Thoracic Surgery, Department of Surgery, National Taiwan University Hospital, Taipei, Taiwan.
[Ti] Título:Tubeless Uniportal Thoracoscopic Wedge Resection for Peripheral Lung Nodules.
[So] Source:Ann Thorac Surg;103(2):462-468, 2017 Feb.
[Is] ISSN:1552-6259
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Endotracheal intubation and chest tube drainage are considered mandatory for thoracoscopic pulmonary resection. The management of peripheral lung nodules by tubeless uniportal thoracoscopic surgical repair has not been reported previously. METHODS: From October 2015 through January 2016, 30 consecutive patients with peripheral lung nodules underwent uniportal thoracoscopic wedge resection without endotracheal intubation and chest tube drainage (tubeless group). The clinical outcomes were compared with the outcomes in 30 consecutive patients with peripheral lung nodules who underwent uniportal thoracoscopic wedge resection with chest tube drainage from April through October 2015 (chest tube group). RESULTS: The demographic, anesthetic, and operative characteristics of the patients were comparable in both groups. No major adverse events occurred after operation. A small residual pneumothorax was noted in 12 (40.0%) patients at 6 hours and day 1 and in 2 (6.6%) patients on day 14 in the tubeless group. No patient required reintervention or readmission to the hospital. Patients in the tubeless group had lower pain scale scores on postoperative day 1 (mean, 1.0 vs 1.5, p = 0.012) and shorter postoperative hospital stays (mean, 3.1 days vs 4.4 days, p = 0.011) than did those in the chest tube group. CONCLUSIONS: Tubeless uniportal thoracoscopic wedge resection is feasible and safe and may be a less invasive alternative for treating selected patients with peripheral lung nodules.
[Mh] Termos MeSH primário: Drenagem/tendências
Neoplasias Pulmonares/cirurgia
Nódulo Pulmonar Solitário/cirurgia
Cirurgia Torácica Vídeoassistida/métodos
Toracoscópios
[Mh] Termos MeSH secundário: Idoso
Tubos Torácicos
Estudos de Coortes
Bases de Dados Factuais
Feminino
Seguimentos
Seres Humanos
Intubação Intratraqueal
Tempo de Internação
Neoplasias Pulmonares/patologia
Masculino
Meia-Idade
Procedimentos Cirúrgicos Minimamente Invasivos/métodos
Posicionamento do Paciente
Segurança do Paciente
Seleção de Pacientes
Complicações Pós-Operatórias/epidemiologia
Complicações Pós-Operatórias/fisiopatologia
Estudos Retrospectivos
Nódulo Pulmonar Solitário/patologia
Taiwan
Centros de Atenção Terciária
Cirurgia Torácica Vídeoassistida/efeitos adversos
Cirurgia Torácica Vídeoassistida/instrumentação
Resultado do Tratamento
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161121
[St] Status:MEDLINE


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[PMID]:27765176
[Au] Autor:Ujiie H; Kato T; Hu HP; Hasan S; Patel P; Wada H; Lee D; Fujino K; Hwang DM; Cypel M; de Perrot M; Pierre A; Darling G; Waddell TK; Keshavjee S; Yasufuku K
[Ad] Endereço:Division of Thoracic Surgery, Toronto General Hospital, University of Toronto, Toronto, Ontario, Canada.
[Ti] Título:Evaluation of a New Ultrasound Thoracoscope for Localization of Lung Nodules in Ex Vivo Human Lungs.
[So] Source:Ann Thorac Surg;103(3):926-934, 2017 Mar.
[Is] ISSN:1552-6259
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Localization of small, nonvisible and nonpalpable nodules is challenging during video-assisted thoracoscopic surgery. We evaluated the feasibility of using a new ultrasound thoracoscope to localize nodules in resected ex vivo human lungs. METHODS: The tumor was localized and measured in its greatest dimension with a prototype ultrasound thoracoscope (XLTF-UC180; Olympus Corporation, Tokyo, Japan) at different frequencies (5.0 to 12.0 MHz) and different lung specimen states (deflated, semiinflated). Measured tumor size and depth from lung surface were compared and correlated to the true diameter and depth from lung surface acquired from pathologic morphology. RESULTS: Ex vivo evaluation was performed on 16 solid nodules and nine part solid ground-glass nodules. All tumors were successfully localized in the deflated lung specimens (average size, 13.7 ± 5.2 mm). The tumor boundaries were best evaluated with an ultrasound frequency of 10 MHz. Solid nodules were more easily visualized than ground-glass nodules. Part solid ground-glass nodules were not easily detected in the semiinflated specimen owing to peritumoral air surrounding the tumor. Tumor boundaries were also difficult to identify in deeply situated tumors and in lungs with underlying disease. A strong positive correlation existed between the ultrasound measurement and true measurement of tumor size (R = 0.89, p < 0.001). CONCLUSIONS: The ultrasound thoracoscope can be used to localize nodules in resected human lungs. The clarity of the tumor boundaries is influenced by the tumor type and depth and the underlying pulmonary disease. Complete lung deflation and the use of 10 MHz ultrasound frequency optimize the visualization of target tumors.
[Mh] Termos MeSH primário: Endossonografia/instrumentação
Neoplasias Pulmonares/diagnóstico por imagem
Nódulo Pulmonar Solitário/diagnóstico por imagem
Nódulo Pulmonar Solitário/cirurgia
Cirurgia Torácica Vídeoassistida/instrumentação
Toracoscópios
[Mh] Termos MeSH secundário: Estudos de Viabilidade
Seres Humanos
Neoplasias Pulmonares/cirurgia
Técnicas de Cultura de Órgãos
Pneumonectomia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170606
[Lr] Data última revisão:
170606
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161022
[St] Status:MEDLINE


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[PMID]:27926954
[Au] Autor:Loddenkemper R
[Ad] Endereço:Lungenklinik Heckeshorn, Abteilung Pneumologie II.
[Ti] Título:[On the History and Future of Thoracoscopy].
[Ti] Título:Zur Geschichte und Zukunft der Thorakoskopie..
[So] Source:Pneumologie;70(S 02):S114-S121, 2016 Dec.
[Is] ISSN:1438-8790
[Cp] País de publicação:Germany
[La] Idioma:ger
[Mh] Termos MeSH primário: Pneumopatias/diagnóstico
Pneumopatias/cirurgia
Toracoscópios/história
Toracoscópios/tendências
Toracoscopia/história
Toracoscopia/tendências
[Mh] Termos MeSH secundário: Europa (Continente)
Previsões
História do Século XIX
História do Século XX
História do Século XXI
Seres Humanos
Estados Unidos
[Pt] Tipo de publicação:HISTORICAL ARTICLE; JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170406
[Lr] Data última revisão:
170406
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161208
[St] Status:MEDLINE


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[PMID]:27461706
[Au] Autor:Vaidya PJ; Kate AH; Mehta D; Dhabar BN; Chhajed PN
[Ad] Endereço:Institute of Pulmonology, Medical Research and Development; Lung Care Team, Fortis Hospitals, Mumbai, Maharashtra, India.
[Ti] Título:ALK positivity on pleuroscopic pleural biopsy in lung adenocarcinoma.
[So] Source:J Cancer Res Ther;12(2):1090-2, 2016 Apr-Jun.
[Is] ISSN:1998-4138
[Cp] País de publicação:India
[La] Idioma:eng
[Ab] Resumo:Lung cancer is the leading cause of cancer deaths worldwide, and around 75% to 80% of lung cancers are detected in advanced stage. Multiple genetic mutations are identified and reported in adenocarcinoma of the lung. Various pulmonary samples can be tested for molecular mutations in lung cancer. However, feasibility of molecular profiling of pleuroscopic pleural biopsies in lung adenocarcinoma is not reported. We describe a case of advanced adenocarcinoma of lung with positive anaplastic lymphoma tyrosine kinase mutation on pleuroscopic pleural biopsy and improved with oral crizotinib. The current case highlights the feasibility of pleuroscopy.-guided pleural biopsies in molecular profiling of lung adenocarcinoma.
[Mh] Termos MeSH primário: Adenocarcinoma/diagnóstico
Adenocarcinoma/genética
Neoplasias Pulmonares/diagnóstico
Neoplasias Pulmonares/genética
Pleura/patologia
Receptores Proteína Tirosina Quinases/genética
Toracoscópios
[Mh] Termos MeSH secundário: Adenocarcinoma/terapia
Biomarcadores Tumorais
Biópsia
Terapia Combinada
Seres Humanos
Imuno-Histoquímica
Neoplasias Pulmonares/terapia
Meia-Idade
Mutação
Radiografia Torácica
Receptores Proteína Tirosina Quinases/metabolismo
Receptor do Fator de Crescimento Epidérmico/genética
Tomografia Computadorizada por Raios X
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Biomarkers, Tumor); EC 2.7.10.1 (Receptor Protein-Tyrosine Kinases); EC 2.7.10.1 (Receptor, Epidermal Growth Factor); EC 2.7.10.1 (anaplastic lymphoma kinase)
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170316
[Lr] Data última revisão:
170316
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160728
[St] Status:MEDLINE
[do] DOI:10.4103/0973-1482.154053


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[PMID]:26989820
[Au] Autor:Lee P; Mathur PN
[Ad] Endereço:aDivision of Respiratory and Critical Care Medicine, National University Hospital, Singapore, Singapore bClinical Medicine, Division of Pulmonary, Critical Care, Sleep and Occupational Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA.
[Ti] Título:Advances in pleural diseases: what is the future for medical thoracoscopy?
[So] Source:Curr Opin Pulm Med;22(3):297-308, 2016 May.
[Is] ISSN:1531-6971
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE OF REVIEW: Medical thoracoscopy provides the physician a window into the pleural space. The procedure allows biopsy of the parietal pleura under direct visualization with good accuracy. In addition, it achieves therapeutic goals of fluid drainage, guided chest tube placement, and pleurodesis. RECENT FINDINGS: Comparable diagnostic yield is achieved with the flexi-rigid pleuroscope even though pleural biopsies are smaller using the flexible forceps as compared to rigid thoracoscopy. Flexi-rigid pleuroscopy is extremely well tolerated and can be performed safely as an outpatient procedure. Biopsy quality can be further enhanced with accessories that are compatible with the flex-rigid pleuroscope such as the insulated tip knife and cryoprobe. SUMMARY: With more sensitive tools to image the pleura such as contrast-enhanced computed tomography, MRI, ultrasonography, PET, increased yield with image-guided biopsy as well as advances in cytopathology, what lies in the future for medical thoracoscopy remains to be seen. However, it is the authors' opinion that medical thoracoscopy will evolve with time, complement novel techniques, and continue to play a pivotal role in the evaluation of pleuropulmonary diseases.
[Mh] Termos MeSH primário: Doenças Pleurais/diagnóstico
[Mh] Termos MeSH secundário: Biópsia
Seres Humanos
Biópsia Guiada por Imagem
Toracoscópios
Toracoscopia/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1609
[Cu] Atualização por classe:160402
[Lr] Data última revisão:
160402
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160319
[St] Status:MEDLINE
[do] DOI:10.1097/MCP.0000000000000265


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[PMID]:26898871
[Au] Autor:Zhou MG; Hu SH; Zhang L
[Ad] Endereço:Department of Otorhinolaryngology Head and Neck Surgery, Sir Run Run Shaw Hospital, Medical College, ZheJiang University, Hangzhou 310016, China.
[Ti] Título:[Thoracic duct ligation under thoracoscope to deal with severe neck chyle leakage after neck dissection].
[So] Source:Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi;51(2):128-9, 2016 Feb.
[Is] ISSN:1673-0860
[Cp] País de publicação:China
[La] Idioma:chi
[Mh] Termos MeSH primário: Quilo
Esvaziamento Cervical
Ducto Torácico/cirurgia
Toracoscópios
[Mh] Termos MeSH secundário: Seres Humanos
Ligadura
Pescoço
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1609
[Cu] Atualização por classe:160222
[Lr] Data última revisão:
160222
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160223
[St] Status:MEDLINE
[do] DOI:10.3760/cma.j.issn.1673-0860.2016.02.012


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[PMID]:26896363
[Au] Autor:Kim S; Idowu O; Palmer B; Lee SH
[Ad] Endereço:Division of Pediatric Surgery, UCSF Benioff Children's Hospitals, Oakland, Calif.
[Ti] Título:Use of transthoracic cryoanalgesia during the Nuss procedure.
[So] Source:J Thorac Cardiovasc Surg;151(3):887-888, 2016 Mar.
[Is] ISSN:1097-685X
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Analgesia/métodos
Crioterapia/métodos
Tórax em Funil/cirurgia
Nervos Intercostais/cirurgia
Procedimentos Ortopédicos/efeitos adversos
Dor Pós-Operatória/prevenção & controle
Toracoscopia
[Mh] Termos MeSH secundário: Adolescente
Analgesia/instrumentação
Temperatura Baixa
Crioterapia/instrumentação
Desenho de Equipamento
Tórax em Funil/diagnóstico
Seres Humanos
Nervos Intercostais/fisiopatologia
Masculino
Dor Pós-Operatória/diagnóstico
Dor Pós-Operatória/etiologia
Dor Pós-Operatória/fisiopatologia
Toracoscópios
Toracoscopia/instrumentação
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1607
[Cu] Atualização por classe:170727
[Lr] Data última revisão:
170727
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:160221
[St] Status:MEDLINE


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[PMID]:26514138
[Au] Autor:Chen JF; Lin JB; Tu YR; Lin M; Li X; Lai FC; Du Q; Dai YD
[Ad] Endereço:Department of Thoracic Surgery, The First Affiliated Hospital of Fujian Medical University, No 20 Chazhong Road, Fuzhou, 350005, People's Republic of China.
[Ti] Título:Nonintubated transareolar single-port thoracic sympathicotomy with a needle scope in a series of 85 male patients.
[So] Source:Surg Endosc;30(8):3447-53, 2016 Aug.
[Is] ISSN:1432-2218
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Traditional endoscopic thoracic sympathicotomy is usually performed through an axillary incision with 5-mm thoracoscope under general anesthesia with endotrachea intubation. Nonintubated transareolar single-port thoracic sympathicotomy with a needle scope has rarely been attempted. The objective of this study is to evaluate the feasibility and safety of this minimally invasive technique in managing primary palmar hyperhidrosis (PPH). METHODS: From May 2012 to May 2014, a total of 85 male patients with severe PPH underwent transareolar single-port thoracic sympathicotomy by use of a 2-mm needle scope under total intravenous anesthesia without endotrachea intubation. RESULTS: All procedures were successfully performed with a mean operating time of 13.5 min. The palms of all patients became dry and warm as soon as the sympathetic chain was cut off. There were no sore throat, and all the patients regained consciousness rapidly after surgery. Eighty-two patients (96.5 %) were discharged from the hospital on the first postoperative day. The postoperative complications were minor, and no patients developed Horner's syndrome. At 6 months postoperatively, there is no obvious surgical scar on the chest wall, and none of the patients complained about postoperative pain. Compensatory sweating appeared in 31 patients. No recurrent symptoms were observed in our study. One-year follow-up revealed an excellent cosmetic result and degree of satisfaction. CONCLUSIONS: Nonintubated transareolar single-port needlescopic thoracic sympathicotomy is a safe, effective and minimally invasive therapeutic procedure, which can be performed in routine clinical practice for male PPH patients.
[Mh] Termos MeSH primário: Hiperidrose/cirurgia
Simpatectomia/métodos
Toracoscópios
Toracoscopia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Estudos de Viabilidade
Seres Humanos
Masculino
Meia-Idade
Duração da Cirurgia
Satisfação do Paciente
Simpatectomia/instrumentação
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:171010
[Lr] Data última revisão:
171010
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151031
[St] Status:MEDLINE
[do] DOI:10.1007/s00464-015-4628-5


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[PMID]:26424150
[Au] Autor:Chen J; Lin J; Tu Y; Lin M; Li X; Lai F
[Ad] Endereço:Department of Thoracic Surgery, First Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian, China.
[Ti] Título:Nonintubated Transareolar Endoscopic Thoracic Sympathectomy with a Flexible Endoscope: Experience of 58 Cases.
[So] Source:Ann Thorac Cardiovasc Surg;22(1):12-9, 2016.
[Is] ISSN:2186-1005
[Cp] País de publicação:Japan
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Natural orifice transluminal endoscopic surgery (NOTES) has recently become a hot spot in the field of minimally invasive surgery. But, most of the procedures are still in the early stages of development and limited to animal experiments. Transareolar endoscopic surgery could work as a viable intermediate step before thoracic NOTES. Under intravenous anesthesia without endotracheal intubation, transareolar endoscopic thoracic sympathectomy (ETS) with a flexible endoscope has rarely been attempted. The objective of this study is to evaluate the feasibility and safety of this novel minimally invasive technique in managing primary palmar hyperhidrosis (PPH). METHODS: From June 2012 to July 2014, a total of 58 male patients with severe PPH underwent transareolar ETS by use of a flexible endoscope. Under intravenous anesthesia without endotracheal intubation, a flexible endoscope was introduced through the incision on the edge of the areola into the thoracic cavity. The thoracic sympathetic chain was ablated at the level of the fourth rib. RESULTS: All procedures were successfully performed with a mean operating time of 33.6 ± 8.3 min. All patients regained consciousness rapidly and none of them complained about sore throat after surgery. There were no operative mortality and conversion to open procedure. The symptoms of all patients disappeared as soon as the sympathetic chain was cut off. Fifty six patients (96.6%) were discharged from the hospital on the first postoperative day. The postoperative complications were minor, and no patients developed Horner's syndrome. At 3 months postoperatively, there was no obvious surgical scar on the chest wall, and none of the patients complained about postoperative pain. Compensatory hyperhidrosis (CH) appeared in 19 patients. No recurrent symptoms were observed in our study. One year follow-up revealed an excellent cosmetic result and degree of satisfaction. CONCLUSION: Nonintubated transareolar ETS with a flexible endoscope is a safe, effective and minimally invasive therapeutic procedure, which has the possible advantages of thoracic NOTES and can be performed in routine clinical practice for male PPH patients.
[Mh] Termos MeSH primário: Hiperidrose/cirurgia
Mamilos/cirurgia
Simpatectomia/instrumentação
Toracoscópios
Toracoscopia/instrumentação
[Mh] Termos MeSH secundário: Adolescente
Adulto
China
Desenho de Equipamento
Estudos de Viabilidade
Seres Humanos
Hiperidrose/diagnóstico
Hiperidrose/fisiopatologia
Tempo de Internação
Masculino
Meia-Idade
Duração da Cirurgia
Satisfação do Paciente
Complicações Pós-Operatórias/etiologia
Sudorese
Fatores de Tempo
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1612
[Cu] Atualização por classe:170220
[Lr] Data última revisão:
170220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151002
[St] Status:MEDLINE
[do] DOI:10.5761/atcs.oa.15-00241



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