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Innovations in Thoracic Surgery, An Issue of Thoracic Surgery Clinics of North America, E-Book

Innovations in Thoracic Surgery, An Issue of Thoracic Surgery Clinics of North America, E-Book

Kazuhiro Yasufuku

(2016)

Additional Information

Book Details

Abstract

This issue of Thoracic Surgery Clinics of North America focuses on Innovations in Thoracic Surgery. Articles will include: Advances in Image Guided Thoracic Surgery; Evolving Applications of Extracorporeal Membrane Oxygenation (ECMO) in Thoracic Surgery; Novel Technologies for Isolated Lung Perfusion – Beyond Lung Transplant; Peroral Endoscopic Myotomy (POEM) for Achalasia; Bioengineered Organs: Dream or a Reality?; Credentialing for New Technology; Endoscopic Resection and Ablation for Early Stage Esophageal Cancer; Novel Technologies in Bronchoscopic Lung Volume Reduction; Advances in Uniportal Video-Assisted Thoracoscopic Surgery: Pushing the Envelope; Guided Bronchoscopy for Peripheral Pulmonary Nodules; Nanotechnology: Applications in Thoracic Surgery?; Present and Future Application of Energy Devices in Thoracic Surgery; and more!

Table of Contents

Section Title Page Action Price
Front Cover Cover
Innovations in\rThoracic Surgery i
Copyright ii
Contributors iii
CONSULTING EDITOR iii
EDITOR iii
AUTHORS iii
Contents v
Preface: Innovations in Thoracic Surgery v
Advances in Image-Guided Thoracic Surgery v
Novel Technologies for Isolated Lung Perfusion: Beyond Lung Transplant v
Per Oral Endoscopic Myotomy for Achalasia: A Detailed Description of the Technique and Review of the Literature v
Bioengineering Lungs for Transplantation vi
Endoscopic Resection and Ablation for Early-Stage Esophageal Cancer vi
Novel Technologies in Endoscopic Lung Volume Reduction vi
Advances in Uniportal Video-Assisted Thoracoscopic Surgery: Pushing the Envelope vi
Electromagnetic Navigational Bronchoscopy for Peripheral Pulmonary Nodules vii
From Diagnosis to Treatment: Clinical Applications of Nanotechnology in Thoracic Surgery vii
Present and Future Application of Energy Devices in Thoracic Surgery vii
Index vii
THORACIC SURGERY CLINICS viii
FORTHCOMING ISSUES viii
August 2016 viii
November 2016 viii
February 2017 viii
RECENT ISSUES viii
February 2016 viii
November 2015 viii
August 2015 viii
Errata ix
Preface:\rInnovations in Thoracic Surgery xi
Advances in Image-Guided Thoracic Surgery 129
Key points 129
INTRODUCTION 129
LOCALIZATION OF SMALL PULMONARY NODULES 129
Intraoperative Localization with Ultrasonography 129
Preoperative Percutaneous Insertion of Hook Wire and Suture 130
Preoperative Percutaneous Injection of Radiolabeled Aggregates 130
Preoperative Percutaneous Insertion of Microcoils 131
Preoperative Percutaneous Injection of Liquid Agents 131
Navigational Bronchoscopy Techniques 131
Summary 132
IMAGE GUIDANCE FOR SEGMENTAL RESECTION 133
Three-Dimensional Multidetector Computed Tomographic Rendering 133
Dye-Based Methods 135
Virtual-Assisted Lung Mapping 136
REFERENCES 136
Novel Technologies for Isolated Lung Perfusion 139
Key points 139
INTRODUCTION 139
GENERAL CONCEPTS OF ISOLATED LUNG PERFUSION 139
THE EVOLVING ROLE OF ISOLATED LUNG PERFUSION IN THORACIC ONCOLOGY 140
In Vivo Lung Perfusion Technique 141
In vivo lung perfusion circuit 141
Priming the circuit 141
Perfusion strategy 143
Terminating in vivo lung perfusion and reperfusion phase 143
Experimental Studies of In Vivo Lung Perfusion 143
Clinical Studies of In Vivo Lung Perfusion 143
Other Techniques for Delivery of High-Dose Chemotherapy to the Lungs 144
SUMMARY AND FUTURE PERSPECTIVES 144
REFERENCES 144
Per Oral Endoscopic Myotomy for Achalasia 147
Key points 147
INTRODUCTION 147
SURGICAL TECHNIQUE 147
Preoperative Planning 147
Diagnosis 147
Contraindications 148
Treatment of fungal infection 148
Preparation and Patient Positioning 148
Endoscopy equipment 148
Premedication 148
Preparation of the esophagus 148
Choice of anesthetic 148
Patient position 149
Abdominal exposure 149
Procedural Approach 149
Inspection 149
Selection of length 149
Selection of location 150
Submucosal injection 150
Mucosal incision 151
Creation of submucosal tunnel 151
Myotomy 151
Confirmation of adequate length 153
Mucosal closure 154
Immediate Postprocedural Care 154
Studies 154
Diet 155
Medications 155
Discharge 155
Follow-up 155
CLINICAL RESULTS IN THE LITERATURE 156
Short-Term Outcomes (<2 Years) 156
Long-Term Outcomes (﹥2 Years) 156
Post Per Oral Endoscopic Myotomy Reflux 156
Comparison with Heller Myotomy 156
POTENTIAL COMPLICATIONS AND MANAGEMENT 157
Insufflation-Related 157
Prevention 157
Management 158
Bleeding 158
Procedural 158
Delayed 158
Perforation 158
Aspiration 159
Leukopenia 159
Death 159
SUMMARY 159
REFERENCES 159
Bioengineering Lungs for Transplantation 163
Key points 163
INTRODUCTION 163
THE SCAFFOLD: DECELLULARIZED NATIVE EXTRACELLULAR MATRIX 164
AIRWAY: REGENERATING LUNG EPITHELIUM 165
VASCULATURE: REGENERATING THE LUNG ENDOTHELIUM 166
FROM CELL-SEEDED CONSTRUCTS TO FUNCTIONAL TISSUE: BIOREACTORS AND WHOLE ORGAN CULTURE 167
APPLICATION: TRANSPLANTATION OF REGENERATED LUNG CONSTRUCTS 168
SUMMARY 169
REFERENCES 169
Endoscopic Resection and Ablation for Early-Stage Esophageal Cancer 173
Key points 173
INTRODUCTION 173
Nature of the Problem 173
Patient Selection 173
Preprocedure Planning 174
Procedure for Endoscopic Resection 174
Procedure for Mucosal Ablation 174
Potential Complications and Postoperative Instructions 174
CLINICAL RESULTS 174
SUMMARY 175
REFERENCES 175
Novel Technologies in Endoscopic Lung Volume Reduction 177
Key points 177
VALVE IMPLANTATION 178
Impact of Lobar Occlusion and Collateral Ventilation 178
Further Predictors for Success of Valve Placement 181
Complications: Management and Prevention 181
Summary 182
LUNG VOLUME REDUCTION COIL IMPLANTATION 182
Coils Implantation in Clinical Trials 182
Complications 183
Summary 183
BRONCHOSCOPIC THERMAL VAPOR ABLATION 183
Bronchoscopic Thermal Vapor Ablation in Clinical Trials 183
Advances in Uniportal Video-Assisted Thoracoscopic Surgery 187
Key points 187
INTRODUCTION 187
IMPROVEMENTS IN SURGICAL TECHNIQUE: DEVELOPMENT OF USEFUL TRICKS 188
Upper Lobe Vein Division 188
Left Upper Lobe Bronchus 189
Camera and Instrumentation Management 189
Energy Devices for Vascular Dissection and Division 190
Lymph Node Dissection 190
Bleeding Control 191
NONINTUBATED MAJOR PULMONARY RESECTIONS: REDUCING TRAUMA TO THE PATIENT 192
RECONSTRUCTIVE TECHNIQUES: PUSHING THE LIMITS 192
SUBXIPHOID APPROACH: A NOVEL CONCEPT 193
VISUALIZING SURGERY 195
UNIPORTAL VATS: NOT AS WE KNOW IT 197
SUMMARY 198
SUPPLEMENTARY DATA 198
REFERENCES 198
Electromagnetic Navigational Bronchoscopy for Peripheral Pulmonary Nodules 203
Key points 203
INTRODUCTION 203
ELECTROMAGNETIC NAVIGATIONAL BRONCHOSCOPY 204
PLANNING PHASE 204
PROCEDURE REGISTRATION 204
AUTOMATIC REGISTRATION 205
MANUAL REGISTRATION 206
NAVIGATION PHASE 207
BIOPSY TECHNIQUE 208
DATA ON DIAGNOSTIC YIELD 208
PREDICTORS FOR SUCCESS 208
ELECTROMAGNETIC NAVIGATIONAL BRONCHOSCOPY AND THE ROLE OF RAPID ONSITE CYTOPATHOLOGIC EVALUATION 210
THERAPEUTIC APPLICATIONS OF ELECTROMAGNETIC NAVIGATIONAL BRONCHOSCOPY 210
BRACHYTHERAPY 210
TISSUE ADEQUACY FOR MOLECULAR MARKERS 211
SAFETY 211
SUMMARY 211
REFERENCES 211
From Diagnosis to Treatment 215
Key points 215
INTRODUCTION 215
MATERIAL PLATFORMS FOR NANOTECHNOLOGY 216
Nanocrystals 216
Quantum Dots 217
Liposomes 217
Dendrimers 218
Carbon Nanotubes 218
Polymeric Nanoparticles 219
Micelles 219
POTENTIAL CLINICAL APPLICATION OF NANOTECHNOLOGY IN THORACIC SURGERY 219
Nanotechnology in Imaging: Diagnostics and Intraoperative Platforms 219
Stimuli-Responsive Drug Release Nanoparticles 221
Lymphatic Drug Delivery 223
Active Tumor-Targeting Platforms 223
Nanoparticles for Gene Delivery 223
NANOTHERANOSTICS: A NEW FRONTIER IN THORACIC SURGERY 223
SUMMARY 225
REFERENCES 225
Present and Future Application of Energy Devices in Thoracic Surgery 229
Key points 229
INTRODUCTION 229
ELECTROCAUTERY: MONOPOLAR AND BIPOLAR DEVICES 230
ULTRASONIC DEVICES 231
BRACHYTHERAPY 232
RADIOFREQUENCY ABLATION 232
ARGON PLASMA COAGULATION 233
CRYOTHERAPY/CRYOABLATION 234
SUMMARY 234
REFERENCES 234
Index 237