37 research outputs found
Accidental Superior Vena Cava Access to Central Venous System Lately Disclosed by Thoracotomy
No full textWe report the case of a 51-year-old woman who underwent hemicolectomy for colon cancer and subsequent hepatic metastasectomy for liver metastases. Right percutaneous infraclavicular subclavian venous port catheterization was performed during the initial operation for chemotherapy. She received chemotherapy after each operation with no reported complications. During a right thoracotomy for lung metastases 2 years after the catheter placement, we noticed the catheter perforating the right subclavian vein and directly entering the superior vena cava. To prevent hemorrhaging during catheter removal, we initially performed the lung metastasectomy, after which we decided to intrathoracically remove the catheter. No complication was observed. To the best of our knowledge, this case is the first of its kind to be reported in the published literature
Left-sided thoracoscopy in the prone position for surgery of distal esophageal benign pathologies
No full textExposure of the distal esophagus can be achieved by a wide variety of surgical approaches. The standard procedure is mostly by laparoscopy. In cases where laparoscopy is relatively contraindicated, thoracoscopy is preferred. In this case, exposure of the distal esophagus from the aorta, heart and lung is technically challenging using thoracoscopy in the right lateral decubitus position. Surgery in the prone position for esophageal cancer has been successfully described in previous literature. We present our experience with left-sided thoracoscopy in the prone position in three patients with benign distal esophageal pathologies. This approach provided a much better exposure of the distal esophagus and enabled a successful surgery to be done in all patients with less manipulation of the lung
Preoperative Chemoradiation Therapy Decreases the Number of Lymph Nodes Resected During Esophagectomy
No full textBackground This study aimed to analyze the effect of preoperative chemoradiation on the adequacy of lymph node dissection. Methods Patients with esophageal cancer treated with esophagectomy by the same surgeon between 2004 and 2011 were reviewed. Specimens were examined by the same pathologist. Patients were grouped into two depending on the type of treatment received. Results Forty-seven patients with curative esophagectomy were included in the study. Twenty patients had preoperative chemoradiation followed by surgery and 27 had surgery alone. Open and hybrid esophagectomy approaches were used. The average number of lymph nodes dissected was 16 +/- 10 (1-39). There was a significant decrease in the number of lymph nodes examined in patients with preoperative chemoradiotherapy in comparison to surgery alone (p = 0.001). Median length of stay was 12 days. R0 resection rate was 96 %. The median survival was 36.3 months, with a 42 % 5-year survival. Seven patients (25 %) had complete pathologic response following chemoradiation. No significant difference was recorded in terms of disease recurrence (p = 0.3). While morbidity was higher in the preoperative therapy group with 30 day mortality of 10 %, type of surgical approach does not seem to influence the number of lymph nodes dissected (p = 0.7). Conclusions Preoperative chemoradiation decreases the number of harvested lymph nodes following esophagectomy regardless of the surgical technique used. The optimum number of lymph nodes currently recommended to be dissected for accurate nodal staging and survival needs revision in this group of patients
Two Unusual Cases of Adult Onset Congenital Bronchoesophageal Fistulas Treated With Fistula Division
No full textAdult onset congenital bronchoesophageal fistula is a very rare entity. We report 2 cases of adult onset type II congenital bronchoesophageal fistula between the distal thoracic esophagus and the lower lobe superior segmental bronchi surgically treated through a right and left thoracotomy, respectively. In both cases the fistula was transected and sutured with no parenchyma resection. Both patients had an uneventful recovery. Resection of the underlying parenchyma during surgery for bronchoesophageal fistula is not always necessary as the lung can heal in time after performing just fistulectomy. (C) 2014 by The Society of Thoracic Surgeon
Resection of synchronous ipsilateral giant bullae and bronchial carcinoid tumor
No full textSynchronous bronchial carcinoid tumor and giant bullae are rare entities. In this article, we report a 62-year-old male presenting with dyspnea, cough and chest pain. No improvement was achieved with medical treatment. Examinations revealed right lower lobe endobronchial carcinoid tumor and upper lobe giant bullae. Simultaneous bullectomy and bronchotomy and carcinoid tumor resection through right thoracotomy, as well as postoperative tracheostomy were performed. The patient who had 2 lt/minute oxygen was discharged on the 16th postoperative day without any complication. Radiological, apprearance, clinical situation and pulmonary functions were improved and better quality of life was observed at six months after surgery. Forced expiratory volume in 1 second (FEV1) increased from 0.90 liter (29% predicted) to 1.13 liter (37% predicted). Patient continued to smoke and died due to cor pulmonale one year after discharge
Prof. Thomas F. DeFrantz on Dancing a Black Social – an interview
No full textProf. Thomas DeFrantz on Dancing a Black Social and Re-Orientations, sharing insights from his prolific research into Black American dance past, present and future. Molloy interviewed the Professor on the 9th of May 2024, in person at SLIPPAGE lab, Northwestern University, Illinois, USA.Intro/outro music : drum-dance jam at the market stall of Burkinabe instrument-maker Issaka Compaore at the annual Africlap street festival August 2024, Toulouse, France.Interview and recordings by the author on a Zoom H1N field mic. Photography, editing and audio production by the author. Research-creation / fieldwork conducted in partial completion of a PhD at University College Cork and University of Toulouse, with the support of an ERASMUS+ mobility grant and the UCC Danijela Kulezic-Wilson scholarship.Prof. Thomas DeFrantz on Dancing a Black Social and Re-Orientations, sharing insights from his prolific research into Black American dance past, present and future. Molloy interviewed the Professor on the 9th of May 2024, in person at SLIPPAGE lab, Northwestern University, Illinois, USA.Intro/outro music : drum-dance jam at the market stall of Burkinabe instrument-maker Issaka Compaore at the annual Africlap street festival August 2024, Toulouse, France.Interview and recordings by the author on a Zoom H1N field mic. Photography, editing and audio production by the author. Research-creation / fieldwork conducted in partial completion of a PhD at University College Cork and University of Toulouse, with the support of an ERASMUS+ mobility grant and the UCC Danijela Kulezic-Wilson scholarship
