European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery
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Eur J Cardiothorac Surg · Apr 2012
The impact of chest tube removal on pain and pulmonary function after pulmonary resection.
The aim of this study was to assess the immediate influence of chest tube removal on chest pain and forced expiratory volume in 1 s (FEV1) after pulmonary resection. ⋯ The removal of a chest tube reduces pain and improves ventilatory function, independent of surgical access and particularly in the early post-operative phase. A fast track chest tube removal policy may favour patients' recovery.
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Eur J Cardiothorac Surg · Apr 2012
Three-dimensional imaging navigation during a lung segmentectomy using an iPad.
The requirement for anatomical lung segmentectomies has increased in recent years but this surgical procedure is relatively difficult. We herein present the benefits of using three-dimensional (3D) imaging navigation during a lung segmentectomy via the intra-operative use of an iPad. ⋯ A 3D computed tomography navigation using an iPad enhances the ability to perform a safe and secure segmentectomy.
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Eur J Cardiothorac Surg · Apr 2012
False-positivity of mediastinal lymph nodes has negative effect on survival in potentially resectable non-small cell lung cancer.
It has been shown that increased metabolic activity of primary tumour has a negative effect on survival in non-small cell lung cancer (NSCLC) staged with positron emission tomography integrated computed tomography (PET/CT). We hypothesized that an increased metabolic activity of mediastinal lymph nodes would have worse survival even if it is false. ⋯ We have shown that false-positivity of mediastinal lymph nodes had yielded worse survival in surgically staged or resected NSCLC patients staged with PET/CT. This result may help to allocate patients with potentially poor prognosis for considered additional therapy.
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The aim of this study was to report a single referral centre experience in robotic extended thymectomy for clinical early-stage thymomas, evaluating its safety, feasibility and efficacy, with special regard to oncological outcomes. ⋯ Robotic thymectomy is a safe and feasible technique, with a short operative time and low morbidity. Even on a small series with short follow-up, robotic extended thymectomy for thymoma appeared to be an effective treatment for early-stage thymomas.
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Eur J Cardiothorac Surg · Apr 2012
Durability of aortic valve preservation with root reconstruction for acute type A aortic dissection.
We evaluated the durability of aortic valve preservation with root reconstruction for acute type A aortic dissection (AAAD). ⋯ Aortic valve preservation and root reconstruction appear to be an appropriate surgical approach to AAAD.