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Pleural lump after paragonimiasis treated by thoracoscopy: A case report

World Journal of Clinical Cases 2021年第3期9卷 666-671页

作者： Yue Xie Ya-Rui Luo Meng Chen Yi-Min Xie Chen-Yu Sun Qiang Chen Department of Burns and Plastic Surgery Children’s Hospital of Chongqing Medical UniversityChongqing 400010China Outpatient Department Chongqing University Three Gorges HospitalChongqing 404000China Department of Pediatric Surgery Chongqing University Three Gorges HospitalChongqing 400010China Department of Internal Medicine AMITA Health Saint Joseph Hospital ChicagoChicagoIL 60657United States

BACKGROUND Paragonimiasis is a parasitic disease that has multiple symptoms,with pulmonary types being *** to our clinical practices,the pleural effusion of our patients is full of fibrous ***,praziquantel,and triclabendazole are recommended for the treatment,but when fibrous contents are contained in pleural effusion,surgical interventions are ***,no related reports have been ***,we present a case of pulmonary paragonimiasis treated by *** SUMMARY A 12-year-old girl presented to our outpatient clinic complaining of shortness of breath after exercise for several ***-linked immunosorbent assay revealed positivity for antibodies against Paragonimus westermani,serological test showed eosinophilia,and moderate left pleural effusion and calcification were detected on computed tomography(CT).She was diagnosed with paragonimiasis,and praziquantel was ***,radiography showed an egg-sized nodule in the left pleural cavity during *** was then admitted to our hospital *** serological results were normal except slight *** scan displayed a cystic-like node in the lower left pleural *** patient underwent a thoracoscopic mass resection.A mass with a size of 6 cm×4 cm×3 cm adhered to the pleura was *** pathological examination showed that the mass was composed of non-structured necrotic tissue,indicating a *** patient remainded asymptomatic and follow-up X-ray showed complete removal of the *** This case highlights that thoracoscopic intervention is necessary when fibrous contents are present on CT scan or chest roentgenogram to avoid later fibrous lump formation in patients with pulmonary paragonimiasis.

关键词： Pulmonary paragonimiasis Paragonimus thoracoscopy Pleural lump Pleural effusion Case report

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thoracoscopy for diagnosis and management of refractory hepatic hydrothorax

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Chinese Medical Journal 2006年第5期119卷 430-434页

作者： LIN Dian-jie ZHANG Min GAO Gui-xin LI Bin WANG Mao-fen ZHU Ling XUE Li-fu Department of Respiratory Diseases Shandong UniversityShandong Provincial Hospital Jinan 250002 China

The prevalence of pleural effusion caused by hepatocirrhosis ranges from 0.4% to 30%. Some patients with hepatic hydrothorax （HH） fail to respond to aggressive medical management such as albumin application, diuretics, and thoracentesis, and remain refractory massive pleural fluid. The repeated suctions to relieve the symptoms such as respiratory distress are associated with significant hyponatremia and hypoalbuminemia caused by the large volumes of fluid loss. Review of the literature has revealed that, to date, no therapy is ideal. This report describes our experiments in treating HH of patients with cirrhosis and ascites by thoracoscopy and talc poudrage, to offer our efforts to approach the pathogenesis of HH and to explore the new therapeutic strategy.

关键词： hepatic hydrothorax thoracoscopy pleurodesis talc poudrage

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thoracoscopy in Cameroon: Indications, Technics and Short Term Results

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Surgical Science 2024年第4期15卷 278-288页

作者： Guy Aristide Bang Richard II Mbele Fabrice Stephane Arroye Betou Arlette Joelle Moukitek Banaken Amos Bella Ela Charles Mve Mvondo Arthur Essomba Department of Surgery and Specialities Faculty of Medicine and Biomedical Sciences Yaound&#233 I University Yaound&#233 Cameroon Department of Surgery and Specialities Yaound&#233 Teaching Hospital Yaound&#233 Cameroon General Surgery Service Mvog-Ada District Hospital Yaound&#233 Cameroon Department of Cardiothoracic and Vascular Surgery Laquintinie Hospital Douala Cameroon Department of Cardiothoracic and Vascular Surgery Yaound&#233 General Hospital Yaound&#233 Cameroon Cardiac Center Shisong St. Elizabeth Catholic General Hospital Shisong Kumbo Cameroon

Introduction: thoracoscopy is a video-assisted surgical approach that mirrors the techniques used in thoracotomy. Our aim is to map the current state of thoracoscopy practice in Cameroon’s hospitals. Methods: This was a descriptive study that collected both retrospective and prospective data over 57 months across four hospitals in Cameroon. It included 13 patients and focused on variables such as socio-demographic factors, clinical profiles, surgical procedures, and postoperative follow-up. Results: Thirteen patients, predominantly male (84.6%, n = 11), with a mean age of 37.5 ± 16 years, were enrolled. Alcohol use (61.5%) and smoking (38.5%) were the most common past histories. The major complaints were dyspnea (84.6%) and chest pain (58.3%). The primary surgical procedure was clot-free thoracoscopy in 30.8% of cases, mainly for persistent hemothorax (41.8%). Most surgeries were elective (76.9%) and performed under general anesthesia with selective intubation (61.5%). The most common approach was single-port thoracoscopy (U-VATS) (76.9%), with no reported difficulties;however, one intraoperative incident occurred and was successfully treated. Drainage was performed systematically in all patients, and one case required conversion to open surgery. Postoperative complications were minor (Clavien-Dindo grade I) and mainly consisted of pain, with a mortality rate of 15.4%. No significant association was found between risk factors and the occurrence of complications or postoperative mortality. Conclusion: thoracoscopy, a novel approach in our context, primarily focuses on minor thoracic surgeries.

关键词： thoracoscopy Single-Port Hemothorax Cameroon

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thoracoscopy: Outstanding Interventional Modality in Diagnosis of Pleural Nosologies

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Open Journal of Respiratory Diseases 2014年第4期4卷 119-121页

作者： I. Sotiriou N. Siddique Kettering General Hospital Northamptonshire UK

thoracoscopy is a well established invasive method for the diagnosis and management of pleural nosologies. The role and the impact that this procedure exerts in settings alongside the diagnostic yield in pleural malignancies are unquestionable. New insights and novel techniques promise an even greater future towards the usefulness of this technique in interventional pneumonology. This is a short review highlighting the principles and novel aspects in the evolutionary progress of pleuroscopy.

关键词： thoracoscopy Cancer Pleural Effusion Autofluorescence

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Diagnostic and therapeutic value of thoracoscopy for pleural effusions： experience from 628 consecutive cases in China

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Chinese Medical Journal 2009年第10期122卷 1227-1230页

作者： JIANG Shu-juan ZHANG Song SU Li-li LIU Yi Department of Respiratory Diseases Provincial Hospital Affiliated to Shandong University Jinan Shandong 250021 China

Pleural effusions, the excessive accumulations of fluid in pleural space, are frequently associated with a variety of clinical diseases, such as cancer, tuberculosis, pneumonia, etc. This means that both malignant and benign diseases can cause pleural effusions. Therefore, it is essential for clinicians to determine the etiology prior to the treatment of patients with pleural effusions.

关键词： thoracoscopy pleural effusion etiology diagnosis

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Laparoskopy and thoracoscopy in Complex Inspection and Treatment Patients with Locally Extended Esophageal Cancer

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海外英语 2010年第8X期 345-347页

作者： Khairuddinov Rafik Vahidovich The Republican Research Centre of Oncologyunder the Ministry of Health of the Republic of Uzbekistan

The great attention has been paid to the mini-invasive methods of the distribution of the malignant process in the thoracic and abdominal cavities for last time. In the Thoracic department of the Republican Research Oncological Centre of the Republic of Uzbekistan during the period from 2004 to 2008 in the plan of investigation of the patients with esophageal and stomach cancer including roentgenoscopy and (or) roentgenography of the thoracic chest, contrast esophageal and stomach roentgenoscopy, EPGDS and ultrasonography of the mediastinal and abdominal cavity organs additionally computed tomography and diagnostic thoraco-and (or) laparoscopy were included. The cancer of mesothoracic esophageal part with invasion into the upper thoracic part was diagnosed in 2 patients, the cancer of mesothoracic esophageal part-in 12 patients, the cancer of the middle and the lower parts-in 7 patients, the cancer the lower thorax part-in 7 patients, the cardioesophageal cancer-in 9 patients, a total cancer of a stomach with affection of the bottom third of the oesophagus-in 1 patient. thoracoscopy and laparoscopy allow determination of the respectability of the tumorous process in the esophageal and stomach cancer considerably lowering the number of exploratory thoracotomies and laparotomies.

关键词： esophageal and stomach cancer laparo-and thoracoscopy locally extended

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Minimally invasive esophagectomy

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World Journal of Gastroenterology 2010年第30期16卷 3811-3815页

作者： Fernando A Herbella Marco G Patti Department of Surgery University of Chicago Pritzker School of MedicineChicagoIL 60637United States

Esophageal resection is associated with a high morbidity and mortality rate. Minimally invasive esophagectomy (MIE) might theoretically decrease this rate. We reviewed the current literature on MIE, with a focus on the available techniques, outcomes and comparison with open surgery. This review shows that the available literature on MIE is still crowded with heterogeneous studies with different techniques. There are no controlled and randomized trials, and the few retrospective comparative cohort studies are limited by small numbers of patients and biased by historical controls of open surgery. Based on the available literature, there is no evidence that MIE brings clear benef its compared to conventional esophagectomy. Increasing experience and the report of larger series might change this scenario.

关键词： Esophageal resection Transhiatal esophagectomy Transthoracic esophagectomy Esophageal cancer Minimally invasive esophagectomy Laparoscopy thoracoscopy

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Three-dimensional image simulation of primary diaphragmatic hemangioma: A case report

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World Journal of Clinical Cases 2019年第24期7卷 4307-4313页

作者： Pei-Yi Chu Kuan-Hsun Lin Hao-Lun Kao Yi-Jen Peng Tsai-Wang Huang Division of Thoracic Surgery Department of SurgeryTri-Service General HospitalNational Defense Medical CenterTaipei 114Taiwan Department of Radiology Tri-Service General HospitalNational Defense Medical CenterTaipei 114Taiwan Department of Pathology Tri-Service General HospitalNational Defense Medical CenterTaipei 114Taiwan

BACKGROUND Fewer than 200 cases of diaphragmatic tumors have been reported in the past century. Diaphragmatic hemangiomas are extremely rare. Only nine cases have been reported in English literature to date. We report a case of cavernous hemangioma arising from the diaphragm. Pre-operative three-dimensional(3D)simulation and minimal invasive thoracoscopic excision were performed successfully, and we describe the radiologic findings and the surgical procedure in the following *** SUMMARY A 40-year-old man was referred for further examination of a mass over the right basal lung without specific symptoms. Contrast-enhanced computed tomography revealed a poorly-enhanced lesion in the right basal lung, abutting to the diaphragm, measuring 3.1 cm × 1.5 cm in size. The mediastinum showed a clear appearance without evidence of abnormal mass or lymphadenopathy. A preoperative 3D image was reconstructed, which revealed a diaphragmatic lesion. Video-assisted thoracic surgery was performed, and a red papillary tumor was found, originating from the right diaphragm. The tumor was resected, and the pathological diagnosis was cavernous *** In this rare case of diaphragmatic hemangioma, 3D image simulation was helpful for the preoperative evaluation and surgical decision making.

关键词： Diaphragmatic tumor Hemangioma Case report Three-dimensional image simulation Video-assisted thoracic surgery thoracoscopy

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Efficacy of thoracoscopic anatomical segmentectomy for small pulmonary nodules

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World Journal of Clinical Cases 2020年第11期8卷 2227-2234页

作者： Hui Li Yang Liu Bao-Cun Ling Bo Hu Cardiothoracic Surgery Department Zibo Hospital960 Hospital of PLAZibo 255300Shandong ProvinceChina

BACKGROUND Small pulmonary nodules are tissue shadows and thoracoscopic segmentectomy in China is still at the exploratory stage with limited *** To evaluate the efficacy of thoracoscopic anatomical segmentectomy for small pulmonary *** Medical records of 86 patients with small pulmonary nodules treated at our hospital between August 2016 and October 2019 were retrospectively analyzed;40 cases who underwent thoracoscopic lobectomy were set as a reference group,and 46 cases who underwent thoracoscopic anatomical segmentectomy were set as an observation *** and postoperative parameters were measured in both groups,including the percentage of forced expiratory volume in the first second(FEV1%),the percentage of forced vital capacity(FVC%),and the FEV1/FVC ratio(FEV1/FVC).Patients with positive pathological diagnosis received tests for neuron-specific enolase,carbohydrate antigen 125(CA125),CA19-9,and squamous cell carcinoma *** bleeding volume,drainage volume,the number of dissected lymph nodes,drainage time,hospital stay,treatment cost,postoperative complications,and postoperative pain condition were compared between the two *** No significant difference was observed in the results of four serum tumor marker(CA125,CA19-9,squamous cell carcinoma antigen,and neuron-specific enolase),the number of dissected lymph nodes,treatment cost,or preoperative pulmonary ventilation index between the two *** bleeding volume,drainage volume,drainage time,hospital stay,and visual analogue scale score were significantly lower in the observation group(P<0.05).The results of FEV1%,FVC%,and FEV1/FVC were significantly higher in the observation group(P<0.05).CONCLUSION The efficacy of thoracoscopic anatomical segmentectomy and lobectomy for small pulmonary nodules shows no significant difference in terms of lesion removal,but anatomical segmentectomy is less invasive with fewer postoperative complication

关键词： thoracoscopy Small pulmonary nodules Anatomical segmentectomy Clinical efficacy Lobectomy

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Thoracoscopic segmentectomy and lobectomy assisted by threedimensional computed-tomography bronchography and angiography for the treatment of primary lung cancer

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World Journal of Clinical Cases 2021年第34期9卷 10494-10506页

作者： Yun-Jiang Wu Qing-Tong Shi Yong Zhang Ya-Li Wang Department of Thoracic Surgery The Affiliated Hospital of Yangzhou UniversityYangzhou UniversityYangzhou 225009Jiangsu ProvinceChina Department of Radiology The Affiliated Hospital of Yangzhou UniversityYangzhou UniversityYangzhou 225009Jiangsu ProvinceChina Department of Respiratory Medicine Renji HospitalSchool of MedicineShanghai Jiao Tong UniversityShanghai 200127China

BACKGROUND Anatomical segmentectomy has been proposed as a substitution for lobectomy for early-stage lung ***,it requires technical meticulousness due to the complex anatomical variations of segmental vessels and *** To assess the safety and feasibility of three-dimensional computed-tomography bronchography and angiography(3D-CTBA)in performing video-assisted thoracoscopic surgery(VATS)for lung *** In this study,we enrolled 123 patients who consented to undergo thoracoscopic segmentectomy and lobectomy assisted by 3D-CTBA between May 2017 and June *** image data of enhanced computed tomography(CT)scans was reconstructed three-dimensionally by the Mimics *** results of preoperative 3D-CTBA,in combination with intraoperative navigation,guided the *** A total of 59 women and 64 men were enrolled,of whom 57(46.3%)underwent segmentectomy and 66(53.7%)underwent *** majority of tumor appearance on CT was part-solid ground-glass nodule(pGGN;55.3%).The mean duration of chest tube placement was 3.5±1.6 d,and the average length of postoperative hospital stay was 6.8±1.8 *** complications included one case of pneumonia and four cases of prolonged air leak lasting>5 ***,there was no intraoperative massive hemorrhage,postoperative intensive-care unit stay,or 30-d *** 3D-CTBA images can display clearly and vividly the targeted structure and the variations of vessels and *** reduce the risk of locoregional recurrence,the application of 3D-CTBA with a virtual 3D surgical margin help the VATS surgeon determine accurate distances and positional relations among the tumor,bronchial trees,and the intersegmental ***-dimensional navigation was performed to confirm the segmental structure,precisely cut off the targeted segment,and avoid intersegmental veins *** VATS and 3D-CTBA worked in harmony in our *** combination also provided a new pattern of transi

关键词： thoracoscopy Segmentectomy Lobectomy Three-dimensional computed tomography Bronchography and angiography

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