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Swyer-James-MacLeod syndrome; repeated chest drainages in a patient misdiagnosed with pneumothorax.

Swyer-James-MacLeod Syndrome (SJMS) occurs as a result of childhood bronchiolitis obliterans. Typically, this disorder is diagnosed in childhood after evaluations for recurrent respiratory infections. One of the reasons to explain the difficulty in diagnosis is that when patients develop little bronchiectasis, and therefore, few symptoms, then this syndrome may not be recognized until adulthood. Here, we are presenting a 22-year-old female patient who was diagnosed with SJMS who was initially misdiagnosed with a pneumothorax and treated by multiple chest tube drainages. This case highlights th

Toxic shock syndrome following thoracic surgery for lung cancer: report of a case.

Postoperative toxic shock syndrome (PTSS) caused by toxin-producing Staphylococcus aureus has incidentally been reported to be experienced following various surgical procedures or wounds. This syndrome includes sudden high fever, headache, muscle ache, a sunburn-like rash, hypotension, and tachycardia, while also often showing a rapid progression and a fatal outcome. To date, no such cases have ever been reported after thoracic surgery. We herein describe a highly probable case of PTSS in a 61-year-old man who underwent a pulmonary resection for lung cancer. The patient recovered after immedia

Efficiency of fleece-bound sealing (TachoSil) of air leaks in lung surgery: a prospective randomised trial.

OBJECTIVE: Persistent air leakage following pulmonary resection is a major limiting factor for discharge from hospital. The aim of this study was to evaluate the sealing capacity of TachoSil for the closure of alveolar air leaks following parenchymal resections and to determine its effect on time to chest drain removal and duration of hospitalisation. METHODS: A total of 173 patients undergoing lobectomy or segmentectomy were enrolled in a single-centre, randomised study to compare the efficacy of TachoSil with standard treatment. Alveolar air leaks were evaluated intraoperatively by submersi

Surgical treatment of adrenal metastasis following pulmonary resection for lung cancer: comparison of adrenalectomy with palliative therapy.

Although adrenal metastases from lung cancer are frequently detected during the late clinical stage or at autopsy, they are rarely surgically treated following pulmonary resection for lung cancer. We detected adrenal lesions as initial clinical recurrence in 9 (1%) of 904 patients who underwent pulmonary resection for lung cancer at our institute between 1980 and 1992. Adrenalectomy was performed in five who had developed unilateral adrenal metastasis. One underwent simultaneous operation for primary and metastatic lesions, and 4 underwent adrenal surgery following pulmonary resection. The adr

SUBJECT INDEX Volume 125 (JANUARY–JUNE, 2004)

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… in North America, 1224 test determinants of survival after cardiac transplantation, clinical determinants and, vol. 124:2000; clarification, vol. 125:1175 test, effect of age and end point on the prognostic value of, 1920 tolerance; actual and predicted postoperative changes in lung function after pneumonectomy … community-acquired legionellosis, 2135 Fluoroscopy-guided CT: See Tomography, computed FOCCUS task force, 1512, 1514, 1518 Food: See Nutrition Forced expiratory flow, term ambiguity, 797 Forced expiratory volume: See also Pulmonary function; actual and predicted postoperative changes in lung function after pneumonectomy …

Beyond the ports: outcomes in uni-port vs. multi-port video assisted thoracoscopic surgery (VATS) lung resections.

BACKGROUND: Video-assisted thoracoscopic surgery (VATS) has become the preferred minimally invasive approach for thoracic surgical procedures, with potential advantages over traditional thoracotomy. Perioperative and long-term outcomes between uni-port (U-VATS) versus multi-port (M-VATS) techniques remains under investigation. OBJECTIVES: To compare U-VATS and M-VATS in terms of operative outcomes, complications, and oncological parameters. DESIGN: Retrospective cohort study. SETTING: Single tertiary referral center, King Saud University Medical City (KSUMC), Riyadh, Saudi Arabia. PATIENTS

Optimizing peripheral lung nodule resection: benefits of CO2-infused micro-port VATS over single-port VATS.

BACKGROUND: Video-assisted thoracoscopic surgery (VATS) wedge resection is a common approach for peripheral lung nodules. Single-port video-assisted thoracic surgery (SP-VATS) is currently recognized as the optimal approach for performing wedge resection of peripheral lung nodules. However, rapid collapse of the lung during VATS and minimize invasiveness remain hot topics of discussion, we performed lung wedge resection combining CO2-infused micro-port VATS (CO2-MP-VATS). This study aimed to identify the advantages of CO2-MP-VATS in peripheral lung nodules wedge resection compared to SP-VATS.

Long-term Outcomes of Children Undergoing Thoracotomy Lung Resection for Congenital Lung Malformations.

PURPOSE: We evaluated the long-term outcomes of children undergoing thoracotomy lung resection for congenital lung malformations in terms of lung function, complications, and health-related quality of life (HRQOL). METHODS: We retrospectively reviewed 27 children who underwent thoracotomy at Osaka University Hospital (1992-2017) with at least five years of follow-up and postoperative lung function testing after six years of age. We compared the percent predicted vital capacity (%VC), percent predicted forced expiratory volume in 1 s (%FEV1), and FEV1 to FVC ratio (FEV1/FVC) as indicators of t

Effect of preventive precision multimodal analgesia (PPMA) on postoperative acute pain process and rehabilitation in adult patients undergoing thoracoscopic pulmonary resection: protocol for a prospective, multicentre, randomised controlled study.

INTRODUCTION: Postoperative acute pain following video-assisted thoracoscopic surgery (VATS) impedes patient rehabilitation. While multimodal analgesia effectively mitigates postoperative acute pain and facilitates the postoperative rehabilitation process, the efficacy of preventive precision multimodal analgesia (PPMA) remains uncertain. This study designs a PPMA strategy targeting incisional pain, inflammatory pain and visceral pain in VATS. It aims to investigate the impact of the PPMA strategy on the postoperative acute pain process and rehabilitation outcomes. METHOD AND ANALYSIS: This m

Multiplication of Alpha-Fetoprotein and Protein Induced by Vitamin K Absence-II is Associated with Prognosis After Pulmonary Metastasectomy in Hepatocellular Carcinoma.

BACKGROUND/PURPOSE: The role of pulmonary metastasectomy for hepatocellular carcinoma (HCC) has declined with the advent of effective systemic therapies, but selected patients may still benefit from surgical treatment. The AP factor, defined as alpha-fetoprotein (AFP) × protein induced by vitamin K absence-II (PIVKA-II), has been proposed as a prognostic biomarker for HCC. This study evaluated the association between the AP factor and outcomes in patients undergoing pulmonary metastasectomy for recurrent HCC after hepatectomy. METHODS: We retrospectively analyzed patients who underwent resect

Advancing minimally invasive thoracic surgery: comparative insights into uniportal and multiportal robotic approaches for non-small cell lung cancer.

BACKGROUND: Multiportal robotic-assisted thoracic surgery (mRATS) is the standard technique for which robotic systems were originally designed, while uniportal robotic-assisted thoracic surgery (uRATS) combines robotic precision with a single-incision approach. This study provides the first unicentric comparison, evaluating whether uRATS is non-inferior in postoperative recovery and safety. METHODS: This retrospective cohort study was conducted at a single center and included 402 patients undergoing RATS anatomical pulmonary resections for resectable NSCLC (February 2019-August 2024). Inverse

Impact of Treatment Decisions on Survival Outcomes in Elderly Patients With Non-Small Cell Lung Cancer: A Retrospective Real-World Study.

AIMS: Lung cancer (LC) is a leading cause of cancer-related mortality, particularly in elderly patients, who often receive less curative treatment and have poorer prognoses than younger individuals. The reasons for these disparities remain unclear. This study aimed to identify clinical factors influencing treatment decisions and survival outcomes in elderly patients with non-small cell lung cancer (NSCLC). MATERIALS AND METHODS: This retrospective study included 395 NSCLC patients diagnosed in 2018 at five Finnish hospitals. Patients were divided into four age cohorts: <61, 61 to 70, 71 to 80

Skeletal Muscle Gauge as a Prognosticator of Survival in Resected Early-Stage Non-small Cell Lung Cancer.

BACKGROUND: Sarcopenia has emerged as a prognostic biomarker in lung cancer, yet the optimal radiological metric for its assessment remains debated. Skeletal Muscle Gauge (SMG), a composite of muscle volume and density, may offer superior prognostic utility compared with individual measures. PATIENTS AND METHODS: We retrospectively analyzed 343 patients who underwent lung resection for clinical stage I-IIB NSCLC between 2010 and 2021 and had a preoperative positron emission tomography (PET) scan. Volumetric body composition metrics, skeletal muscle index, skeletal muscle area, skeletal muscle

Clinical impact of preoperative adipopenia on postoperative outcomes in non-small cell lung cancer surgery.

BACKGROUND: This study aimed to clarify the relationship between preoperative adipopenia and clinicopathological factors, including sarcopenia and myosteatosis, in patients with surgically resected non-small cell lung cancer (NSCLC), and to evaluate short- and long-term outcomes. METHODS: We analyzed 300 patients who underwent complete resection of p-Stage I-IIIA NSCLC via lobectomy. Body composition was assessed by computed tomography at the L3 vertebral level, with fat and muscle areas normalized to height to calculate the total fat (TFI), visceral fat (VFI), subcutaneous fat (SFI), and ske

Limited Benefit of Additional Chartis® Assessments for Collateral Ventilation Evaluation in Patients with Software Quantified Intact Target Lobe Fissure - Results from a Retrospective Analysis of the German Lung Emphysema Registry.

BACKGROUND: Endoscopic lung volume reduction (ELVR) with valves is a treatment option for selected patients with emphysema. Collateral Ventilation (CV) is measured directly with the Chartis® bronchoscopic assessment system (PulmonX Inc. Redwood City, CA, USA) and indirectly via fissure completeness score (FCS) on computed-tomography (CT). It remains unclear, whether the additional Chartis® assessment improves treatment outcome when the target lobe shows intact fissure (FCS ≥95%). STUDY DESIGN AND METHODS: This retrospective analysis used data from the German Lungenemphysemregister e.V. a pros

Predictors of prolonged hospital stay after segmentectomy.

OBJECTIVE: Segmentectomy is becoming the standard of care for small, peripheral non-small cell lung cancer. To improve perioperative management in this population, this study aims to identify factors influencing hospital length of stay after segmentectomy. METHODS: Patients who underwent segmentectomy for any indication between January 2018 and May 2023 were identified using a prospectively maintained institutional database. Multivariable logistic regression models were used to estimate associations between clinical features and prolonged (≥3 days) hospital stay. A nomogram was designed to un

Solitary Renal Metastases From Stage IA Primary Lung Adenocarcinoma With Co-Alteration of EGFR, RB1, and MAP3K1: A Case Report.

We report a case of 59-year-old female with solitary bilateral renal metastases after surgery of stage IA primary lung adenocarcinoma who underwent next-generation sequencing (NGS) of both lesions. The patient received right upper lobectomy and lymph node dissection, which revealed primary invasive lung adenocarcinoma (pT1cN0M0, stage IA3). Two years following this, positron emission tomography-computed tomography (PET/CT) revealed multiple masses in both kidneys without other distant metastases, and ultrasonography-guided puncture biopsy indicated the presence of metastatic lung adenocarcinom

What alters prognosis in patients who were operated for lung cancer with lymph node metastasis?

INTRODUCTION: In this study, we investigated the clinical outcomes of patients who underwent surgery with proven lymph node metastasis. METHODS: Patients who were operated for lung cancer with pN1 or pN2 were examined in the study. The clinicopathological features and survival of the subjects were evaluated according to pN1-pN2 status, presence of neoadjuvant treatment, Positron emission tomography and computed tomography (PET/CT) avidity on mediastinal lymph nodes and specific lymph node stations. RESULTS: The study examines 100 patients operated from January 2016 to December 2021. Number o

Outcomes of CT-Guided Deeper Localization Technique for Superficial Pulmonary Nodules.

BACKGROUND: The possibility of coil dislocation in computed tomography (CT)-guided microcoil localization of superficial pulmonary nodules is relatively high. The aim of the study is to investigate the outcomes of deeper localization technique during CT-guided microcoil localization of superficial pulmonary nodules before video-assisted thoracoscopic surgery (VATS). METHODS: Fifty-seven identified superficial pulmonary nodules (nodule-pleural distance ≤ 1 cm on CT image) from 51 consecutive patients underwent CT-guided microcoil localization, and subsequent VATSs were included. The rate of te