Huseyin Yildiran

Assistant Training Using Videothoracoscopy

1. Tanaka A, Tuladhar SM, Onsager D, et al. The subclavian intraaortic balloon pump: a compelling bridge device for advanced heart failure. Ann Thorac Surg 2015;100:2151–8. 2. Raman J, Loor G, London M, Jolly N. Subclavian artery access for ambulatory balloon pump insertion. Ann Thorac Surg 2010;90:1032–4. 3. Onorati F, Impiombato B, Ferraro A, et al. Transbrachial intraaortic balloon pumping in severe peripheral atherosclerosis. Ann Thorac Surg 2007;84:264–6. 4. Onorati F, Bilotta M, Pezzo F, et al. Transbrachial insertion of a 7.5-Fr intra-aortic balloon pump in a severely atherosclerotic patient. Crit Care Med 2006;34:2231–3.

Training for Thoracoscopic Lobectomy

1. Riquet M, Arame A, Pricopi C. Is survival affected by nodal upstaging after lung cancer resection or surgical approach? (letter). Ann Thorac Surg 2016;102:1031. 2. Martin JT, Durbin EB, Chen L, et al. Nodal upstaging during lung cancer resection is associated with surgical approach. Ann Thorac Surg 2016;101:238–45. 3. Licht PB, Jørgensen OD, Ladegaard L, Jakobsen E. A national study of nodal upstaging after thoracoscopic versus open lobectomy for clinical stage I lung cancer. Ann Thorac Surg 2013;96:943–9; discussion 949–50. 4. Thoracoscopic lung cancer staging with the use of intraoperative ultrasound. Available at: https://clinicaltrials.gov/ ct2/show/NCT02218242. Accessed April 11, 2016. 5. CoC Quality of Care Measures. American College of Surgeons. Available at: https://www.facs.org/quality-programs/ cancer/ncdb/qualitymeasures. Accessed April 11, 2016.

Lung herniation or subcutaneous emphysema after cardiopulmonary resuscitation

Pneumothorax and subcutaneous emphysema are thoracic complications of cardiopulmonary resuscitation, especially in older patients or those whose cartilage development is incomplete. Fractures of the anterior ribs are commonly seen. A 73-year-old woman with hepatic cirrhosis suddenly developed cardiac arrest while eating at home. The emergency medical team performed intubation and started cardiac massage. At the 5th minute of heart massage, the emergency team noticed subcutaneous emphysema in the left hemithorax; they continued cardiopulmonary resuscitation. When the patient was transferred to hospital, her heart started to beat. Positive inotropic agents were administered and arterial blood pressure could be measured. A left pneumothorax was seen on computed tomography (Figure 1), and a chest tube was inserted into the left hemithorax. The patient underwent urgent dialysis because of hyperpotassemia. The lung expanded after tube thoracostomy and the subcutaneous emphysema decreased (Figure 2). This case is very interesting because of the computed tomography image which Asian Cardiovascular & Thoracic Annals 2018, Vol. 26(3) 245–246 The Author(s) 2018 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav DOI: 10.1177/0218492318760877 journals.sagepub.com/home/aan

Video-Assisted Thoracoscopic Lobectomy for Lung Cancer

要 旨:原 発 性 肺 癌 に 対 す る胸 腔 鏡 補 助 下 肺 葉 切 除 術(以 下VATS葉 切)の 意 義 につ い て 検 討 し た.当 施 設 で は1995 年4月 か ら2000年12月 ま で に98例 の 肺 癌 症 例 にVATS葉 切 を 施 行 し た.対 象 例 の 臨 床 病 期 はIA 80例,IB 13例,IIA 2例,IIIA 2例,IIIB 1例 で,病 理 病 期 はIA 65例,IB 18例,IIA 4例,IIB 3例,IIIA 7例,IIIB 1 例 で あ っ た.VATS葉 切 に 要 し た 手 術 時 間 は183.7±52.5分(95~330分),術 中 出 血 量 は203.9±230.0ml (15~1345ml)で あ っ た.cIA期VATS葉 切 施 行 例 を 同 時 期 に 開胸 に よ っ て 葉 切 を施 行 したcIA 57例 と比 較 す る と,3年 生 存 率 は 開 胸 症 例 が73.0%,VATS葉 切 が91.7%で 有 意 にVATS葉 切 が 予 後 良 好 で あ っ た(p =0.02).無 再 発3年 生 存 率 お よび 腫 瘍 径2cm以 上 の 症 例 の 無 再 発3年 生 存 率 は 差 が な か っ た.術 後 在 院 日 数

Pain Control With Bupivacaine After Lung Resections

1. Manenti A, Melegari G, Zizzo M, Barbieri A. Contemporary thoracic aortic and abdominal injuries: an emergency strategy (letter). Ann Thorac Surg 2017;103:1359. 2. Topcu AC, Ciloglu U, Bolukcu A, Dagsali S. Management of traumatic aortic and splenic rupture in a patient with ascending aortic aneurysm. Ann Thorac Surg 2016;102: e81–2. 3. Roselli EE, Idrees J, Greenberg RK, Johnston DR, Lytle BW. Endovascular stent grafting for ascending aorta repair in highrisk patients. J Thorac Cardiovasc Surg 2015;149:144–5. 4. Lu Q, Feng J, Zhou J, et al. Endovascular repair of ascending aortic dissection: a novel treatment option for patients judged unfit for direct surgical repair. J Am Coll Cardiol 2013;61: 1917–24. 5. Estrera AL, Miller CC, 3rd, Guajardo-Salinas G, Coogan S, Charlton-Ouw K, Safi HJ. Update on blunt thoracic aortic injury: fifteen-year single-institution experience. J Thorac Cardiovasc Surg 2013;145:154–8. 6. Santaniello JM, Miller PR, Croce MA. Blunt aortic injury with concomitant intra-abdominal solid organ injury: treatment priorities revisited. J Trauma 2002;53:442–5.

Use of Magill Forceps to Remove Foreign Bodies in Children

Introduction  Esophageal foreign body (FB) in all age groups can cause serious morbidity or mortality. The study aims to report our experience retrieving FBs from the upper esophagus in children using Magill forceps. Materials and Methods  In this study, 88 patients (45 males [51.1%] and 43 females [48.9%]) were presented with suspected FB ingestion. FB ingestion was determined via endoscopic analysis, or lateral and posterior-anterior radiographies, including oropharynx, neck, chest, and abdomen. Cases were classified into seven groups, according to history, diagnostic method, and postintervention findings, as follows: (1) coins, (2) toys, (3) metals, (4) bones, (5) battery, (6) glass, and (7) food. A laryngoscope was used to elevate the larynx and expose the esophageal entrance. Magill forceps were advanced into the esophagus and opened to observe and extract the FB. Results  All 88 patients who underwent endoscopic examination due to suspected FB ingestion were confirmed to have ingested a FB. Median age was 12 years; 15 patients were aged < 5 years; 63 (71.5%) were diagnosed based on routine radiographic findings, and others were diagnosed based on physical findings and history. The most common type of FB was coins ( n  = 51 [57.9%]). Mean surgical duration was 20 minutes. Conclusion  FBs located at cervical esophageal level are usually the most difficult to remove. Magill forceps should be used before other methods.

İnterkostal schwannomanın olgusunun iki port insizyon ile videotorakoskopik rezeksiyonu

Schwannoma iyi huylu bir tümör olup sinir kılıfı hücrelerinden köken alarak servikal, sempatik, parasempatik, alt ekstermite ve üst ekstemite ganglionlarında ve interkostal sinirlerde görülebilmektedir1. Nörofibromların üçüncü formu olarak görülmektedir. Görülme sıklığı 6. dekatta pik yapmaktadır. Mikroskobik görünüm açısından Antoni A ve Antoni B hücreleri ile karakterizedir2. Olgumuz parankim dışı schwannomanın sadece iki port ile videotorakoskopik olarak daha az operatif zarar ve kısa operasyon süresi ile minimal invazif yaklaşımın önemi açısından sunulmuştur.

Monthly recurrent pneumothorax.

Catamenial pneumothorax is a rare cause of spontaneous pneumothorax. The pathophysiology is not clear but diaphragmatic abnormalities seem to play a role in its pathogenesis. Pneumothorax can occur when air enters the peritoneal cavity through the genital tract during menstruation, then passes into the right hemithorax through fenestrations on that side of the diaphragm. The fenestrations can be detected via Asian Cardiovascular & Thoracic Annals 2017, Vol. 25(4) 323–324 The Author(s) 2016 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav DOI: 10.1177/0218492316638606 journals.sagepub.com/home/aan

Multiple Primary Tumors: Evaluation Accompanied by a Rare Case

Multipl primer tumorler, ayni hastada es ya da farkli zamanda birbirinden farkli gelisen tumorlerdir. Bu yazida cok nadir rastlanan bazal hucreli karsinom, skuamoz hucreli karsinom ve akciger adenokarsinomu birlikteligi sunulmustur. 70 yasinda, erkek, sigara icicisi hastanin frontal cilt bolgesindeki tumoru eksize edilmis bazal hucreli karsinom olarak raporlanmistir. Fizik muayenesinde nefes darligi saptanan ve ileri tetkikler neticesinde akciger adenokarsinomu nedeni ile opere olan hastada eszamanli olarak temporal ciltte orbitaya invaze bazal hucreli karsinom saptanmis, goze ekzantarasyon ve anterolateral uyluk flebi ile rekonstruksiyon yapilmistir. Bu cerrahiden yaklasik 1 ay sonra mandibula uzerindeki ciltteki skuamoz hucreli karsinom nedeni ile hasta yeniden opere edilmistir. Bizim olgumuzdaki gibi akciger ve cildin primer kanserlerinin birlikteligi cok nadirdir. Kanserli bir hastada ikincil primer tumor olasiliginin yuksek oldugu her zaman goz onunde tutulmali, hastaliga degil hastaya yaklasim saglanmalidir.

Videothoracoscopy for Pulmonary Hydatidosis

M IS C E L L A N E O U S implications of the margin cytology findings and margin/tumor size ratio in patients who underwent pulmonary excision for peripheral non-small cell lung cancer. Surg Today 2012;42: 238–44. 4. Ohnishi H, Araki T. Stereotactic body radiation therapy for stage I non-small-cell lung cancer: a historical overview of clinical studies. Jpn J Clin Oncol 2013;43:345–50. 5. Mohiuddin K, Haneuse S, Sofer T, et al. Relationship between margin distance and local recurrence among patients undergoing wedge resection for small ( 2 cm) non-small cell lung cancer. J Thorac Cardiovasc Surg 2014;147:1169–75.