The Experts below are selected from a list of 324 Experts worldwide ranked by ideXlab platform
Wenhua Liang - One of the best experts on this subject based on the ideXlab platform.
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single versus two port video assisted thoracic surgery in Mediastinal Tumor a propensity matched study
Journal of Thoracic Disease, 2019Co-Authors: Hengrui Liang, Yaoliang Zhang, Hui Liu, Hanyu Yang, Wenhua Liang, Jun LiuAbstract:Background: In this retrospective study, we aimed to compare single-port (SP) and two-port (TP) video- assisted thoracic surgery (VATS) for the surgical resection of Mediastinal Tumor. Methods: Between December 2015 and October 2018, a total of 191 consecutive Mediastinal Tumor patients who underwent SP- or TP-VATS in the First Affiliated Hospital of Guangzhou Medical University were enrolled. Propensity-matched analysis, incorporating preoperative clinical features, was used to compare the perioperative outcomes and analyse the safety and efficacy between SP-VATS and TP-VATS for Mediastinal Tumor. Results: There were 43 patients in the SP-VATS group, and 148 patients in the TP-VATS group from December 2015 to October 2018. Propensity matching produced 40 pairs in this retrospective study. The baseline characters were all well balanced. During the operation, the SP-VATS group showed shorter operation time (89.38 vs . 101.82 min; P=0.042) and less chest tube [16 (40.0%) vs . 28 (70.0%); P=0.007] than TP-VATS group. Postoperatively, SP and TP groups showed similar results in terms of morbidity and recovery. Conclusions: In this retrospective study, our experiences have shown that SP-VATS is a safe and promising technique and is not inferior to the TP-VATS.
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nonintubated spontaneous ventilation offers better short term outcome for Mediastinal Tumor surgery
The Annals of Thoracic Surgery, 2019Co-Authors: Hengrui Liang, Jun Liu, Yaoliang Zhang, Hui Liu, Hanyu Yang, Yi Zhao, Zhexue Hao, Wenhua LiangAbstract:Background Nonintubated spontaneous ventilation video-assisted thoracoscopic surgery (NI-VATS) has been investigated to reduce the adverse effects of tracheal intubation, mechanical ventilation, and general anesthesia in several thoracic diseases. We comparatively assess the comparison between NI-VATS vs intubated anesthesia VATS (I-VATS) on early outcomes of Mediastinal lesion resection. Methods Patients who underwent VATS resection for a Mediastinal Tumor between December 2015 and September 2018 were retrospectively included for analysis. Patients were divided into two groups according to anesthesia ventilation type: NI-VATS and I-VATS. Propensity score matching was applied to eliminate population bias. Intraoperative and postoperative variables were compared. Results A total of 198 patients was included; 75 patients underwent NI-VATS and 123 patients underwent I-VATS. After propensity score matching, both anesthesia time (173.81 vs 227.37 minutes, P Conclusions Mediastinal Tumor resection is safe and feasible under NI-VATS. Better short-term outcomes suggest NI-VATS facilitates a more rapid recovery. Further multicenter prospective randomized investigation is warranted.
Hengrui Liang - One of the best experts on this subject based on the ideXlab platform.
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non intubated video assisted thoracic surgery for subxiphoid anterior Mediastinal Tumor resection
Annals of Translational Medicine, 2021Co-Authors: Yong Mao, Hengrui Liang, Shiqi Deng, Yuan Qiu, Yanran Zhou, Hanzhang Chen, Long JiangAbstract:Background Subxiphoid approach for Mediastinal Tumor resection was reported to provide a better view and less postoperative pain. Non-intubated video-assisted thoracic surgery (NI-VATS) without muscle relaxant would decrease the possibility of postoperative airway collapse for anterior Mediastinal mass operation. Herein, we sought to describe the use of NI-VATS through subxiphoid approach for anterior Mediastinal Tumor resection. Methods In this retrospective cohort study, patients that underwent subxiphoid VATS resection for anterior Mediastinal Tumor between December 2015 and September 2019 were divided into two groups: NI-VATS and intubated VATS (I-VATS). Intraoperative and postoperative variables were compared. Results A total of 40 patients were included. Among them, 21 patients received NI-VATS (52.5%) and 19 were treated with I-VATS (47.5%). In total, intraoperative (4/21 vs. 2/19; P=0.446) and postoperative complications (5/21 vs. 7/19; P=0.369) were similar between NI-VATS and I-VATS group. The anesthesia time (231.76 vs. 244.71 min; P=0.218), the operation time (152.35 vs. 143.64 min; P=0.980), chest tube duration (1.81 vs. 1.84 days; P=0.08), the total volume (351.95 vs. 348.00 mL; P=0.223), post-operative pain scores (2.79 vs. 2.93, P=0.413), and the length of stay (9.47 vs. 10.57 days; P=0.970) were all comparable between two groups. Conclusions NI-VATS for Mediastinal Tumor resection via subxiphoid approach is a safe and technically feasible option in selected patients, which leads to comparable perioperative clinical outcomes when compared with I-VATS via the subxiphoid approach. This technique could be used as an alteration when intubation is not available.
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single versus two port video assisted thoracic surgery in Mediastinal Tumor a propensity matched study
Journal of Thoracic Disease, 2019Co-Authors: Hengrui Liang, Yaoliang Zhang, Hui Liu, Hanyu Yang, Wenhua Liang, Jun LiuAbstract:Background: In this retrospective study, we aimed to compare single-port (SP) and two-port (TP) video- assisted thoracic surgery (VATS) for the surgical resection of Mediastinal Tumor. Methods: Between December 2015 and October 2018, a total of 191 consecutive Mediastinal Tumor patients who underwent SP- or TP-VATS in the First Affiliated Hospital of Guangzhou Medical University were enrolled. Propensity-matched analysis, incorporating preoperative clinical features, was used to compare the perioperative outcomes and analyse the safety and efficacy between SP-VATS and TP-VATS for Mediastinal Tumor. Results: There were 43 patients in the SP-VATS group, and 148 patients in the TP-VATS group from December 2015 to October 2018. Propensity matching produced 40 pairs in this retrospective study. The baseline characters were all well balanced. During the operation, the SP-VATS group showed shorter operation time (89.38 vs . 101.82 min; P=0.042) and less chest tube [16 (40.0%) vs . 28 (70.0%); P=0.007] than TP-VATS group. Postoperatively, SP and TP groups showed similar results in terms of morbidity and recovery. Conclusions: In this retrospective study, our experiences have shown that SP-VATS is a safe and promising technique and is not inferior to the TP-VATS.
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nonintubated spontaneous ventilation offers better short term outcome for Mediastinal Tumor surgery
The Annals of Thoracic Surgery, 2019Co-Authors: Hengrui Liang, Jun Liu, Yaoliang Zhang, Hui Liu, Hanyu Yang, Yi Zhao, Zhexue Hao, Wenhua LiangAbstract:Background Nonintubated spontaneous ventilation video-assisted thoracoscopic surgery (NI-VATS) has been investigated to reduce the adverse effects of tracheal intubation, mechanical ventilation, and general anesthesia in several thoracic diseases. We comparatively assess the comparison between NI-VATS vs intubated anesthesia VATS (I-VATS) on early outcomes of Mediastinal lesion resection. Methods Patients who underwent VATS resection for a Mediastinal Tumor between December 2015 and September 2018 were retrospectively included for analysis. Patients were divided into two groups according to anesthesia ventilation type: NI-VATS and I-VATS. Propensity score matching was applied to eliminate population bias. Intraoperative and postoperative variables were compared. Results A total of 198 patients was included; 75 patients underwent NI-VATS and 123 patients underwent I-VATS. After propensity score matching, both anesthesia time (173.81 vs 227.37 minutes, P Conclusions Mediastinal Tumor resection is safe and feasible under NI-VATS. Better short-term outcomes suggest NI-VATS facilitates a more rapid recovery. Further multicenter prospective randomized investigation is warranted.
Jun Liu - One of the best experts on this subject based on the ideXlab platform.
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single versus two port video assisted thoracic surgery in Mediastinal Tumor a propensity matched study
Journal of Thoracic Disease, 2019Co-Authors: Hengrui Liang, Yaoliang Zhang, Hui Liu, Hanyu Yang, Wenhua Liang, Jun LiuAbstract:Background: In this retrospective study, we aimed to compare single-port (SP) and two-port (TP) video- assisted thoracic surgery (VATS) for the surgical resection of Mediastinal Tumor. Methods: Between December 2015 and October 2018, a total of 191 consecutive Mediastinal Tumor patients who underwent SP- or TP-VATS in the First Affiliated Hospital of Guangzhou Medical University were enrolled. Propensity-matched analysis, incorporating preoperative clinical features, was used to compare the perioperative outcomes and analyse the safety and efficacy between SP-VATS and TP-VATS for Mediastinal Tumor. Results: There were 43 patients in the SP-VATS group, and 148 patients in the TP-VATS group from December 2015 to October 2018. Propensity matching produced 40 pairs in this retrospective study. The baseline characters were all well balanced. During the operation, the SP-VATS group showed shorter operation time (89.38 vs . 101.82 min; P=0.042) and less chest tube [16 (40.0%) vs . 28 (70.0%); P=0.007] than TP-VATS group. Postoperatively, SP and TP groups showed similar results in terms of morbidity and recovery. Conclusions: In this retrospective study, our experiences have shown that SP-VATS is a safe and promising technique and is not inferior to the TP-VATS.
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nonintubated spontaneous ventilation offers better short term outcome for Mediastinal Tumor surgery
The Annals of Thoracic Surgery, 2019Co-Authors: Hengrui Liang, Jun Liu, Yaoliang Zhang, Hui Liu, Hanyu Yang, Yi Zhao, Zhexue Hao, Wenhua LiangAbstract:Background Nonintubated spontaneous ventilation video-assisted thoracoscopic surgery (NI-VATS) has been investigated to reduce the adverse effects of tracheal intubation, mechanical ventilation, and general anesthesia in several thoracic diseases. We comparatively assess the comparison between NI-VATS vs intubated anesthesia VATS (I-VATS) on early outcomes of Mediastinal lesion resection. Methods Patients who underwent VATS resection for a Mediastinal Tumor between December 2015 and September 2018 were retrospectively included for analysis. Patients were divided into two groups according to anesthesia ventilation type: NI-VATS and I-VATS. Propensity score matching was applied to eliminate population bias. Intraoperative and postoperative variables were compared. Results A total of 198 patients was included; 75 patients underwent NI-VATS and 123 patients underwent I-VATS. After propensity score matching, both anesthesia time (173.81 vs 227.37 minutes, P Conclusions Mediastinal Tumor resection is safe and feasible under NI-VATS. Better short-term outcomes suggest NI-VATS facilitates a more rapid recovery. Further multicenter prospective randomized investigation is warranted.
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tubeless video assisted thoracoscopic surgery vats under non intubated intravenous anesthesia with spontaneous ventilation and no placement of chest tube postoperatively
Journal of Thoracic Disease, 2016Co-Authors: Fei Cui, Jun Liu, Weiqiang Yin, Xu Xin, Wenlong ShaoAbstract:Background: To assess the feasibility and safety of tubeless video-assisted thoracoscopic surgery (VATS) under non-intubated, intravenous anesthesia with spontaneous ventilation and no placement of a chest tube postoperatively compared with VATS under intubated anesthesia with single-lung mechanical ventilation. Methods: A total of 91 patients undergoing tubeless VATS (60 sympathectomies, 22 bullae resections, and 9 Mediastinal Tumor resections) between December 2012 and December 2015 were included. Additionally, 82 patients were treated by VATS by the same team while under intubated general anesthesia (52 sympathectomies, 19 bullae resections, and 11 Mediastinal Tumor resections). Comprehensive early outcome data, including intraoperative and postoperative variables, were compared between the subgroups. Results: In total, 89 patients in the tubeless group underwent an effective operation and exhibited good postoperative recovery, while 2 (one sympathectomy and one bullae resection) had their operation aborted for some reason. The tubeless group showed advantages in the postoperative fasting time, the mean duration of the postoperative hospital stay, and postoperative pain scores, while no significant difference was found in intraoperative blood loss, the operation time or postoperative complications between the tubeless group and the intubated group. Furthermore, 83% (49/59) of sympathectomies, 81% (17/21) of bullae resections, and 56% (5/9) of Mediastinal Tumor resections were achieved via day surgery. Conclusions: In this study, our experience has shown that tubeless VATS is a safe and feasible surgery with certain advantages in selected patients with thoracic disease and that we can achieve day surgery in these cases.
Hikaru Matsuda - One of the best experts on this subject based on the ideXlab platform.
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Surgical rescue for life-threatening hypoxemia caused by a Mediastinal Tumor
The Annals of thoracic surgery, 1999Co-Authors: Shin'ichi Takeda, Shinichiro Miyoshi, Ken Ichi Omori, Meinoshin Okumura, Hikaru MatsudaAbstract:We recently encountered a patient with a large anterior Mediastinal Tumor who developed severe hypoxemia during general anesthesia. This life-threatening hypoxemia was treated by extracorporeal membrane oxygenation using emergent percutaneous cardiopulmonary support followed by extirpation of the Tumor. We found that total arteriovenous shunt resulting from compression by the Mediastinal Tumor caused this severe hypoxemia (total obstruction of left main bronchus and of the right pulmonary artery).
Motomi Shiono - One of the best experts on this subject based on the ideXlab platform.
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Thymic and Pulmonary Mucosa-Associated Lymphoid Tissue Lymphomas
The Annals of thoracic surgery, 2013Co-Authors: Takashi Muramatsu, Yoko Tanaka, Ryota Higure, Misato Iizuka, Hiroaki Hata, Motomi ShionoAbstract:A 52-year-old woman with no history of autoimmune disease was found to have a Mediastinal Tumor and focal airspace opacity in the right lung. Tissue diagnosis was obtained by resection of the Mediastinal Tumor and open fine needle aspiration of the right pulmonary tissue through a median sternotomy. Histopathologic examination and immunohistochemistry of the thymus Tumor and cytologic analysis of the pulmonary tissue were both consistent with mucosa-associated lymphoid tissue (MALT) lymphoma. This case suggests that multiorgan MALT lymphoma can also develop in the absence of an autoimmune disease such as Sjogren's syndrome.