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| No. | Article Type | Article Title | Article Page |
|---|---|---|---|
| 1 | Editorial | A New Beginning for the <i>Journal of Chest Surgery</i> | 1 - 2 |
| 2 | Editorial | A Milestone in Collaboration: The <i>Journal of Chest Surgery</i> Becomes the Joint Official Journal of the Korean Society for Thoracic and Cardiovascular Surgery and the Taiwan Society of Thoracic Surgeons | 3 - 4 |
| 3 | Review | Real-Time Fluorescence Imaging for Thoracic Duct Identification during Oesophagectomy: A Systematic Review of the Literature | 5 - 14 |
| 4 | Review | Current Trends in the Epidemiology and Treatment of Esophageal Cancer in South Korea | 15 - 20 |
| 5 | Clinical Research | Endoscopic-Assisted Multivessel Off-Pump Coronary Artery Bypass Grafting: Experience of the First 100 Procedures | 21 - 30 |
| 6 | Commentary | Commentary: Endoscopic Coronary Arterial Bypass: Strike A Balance | 31 - 33 |
| 7 | Clinical Research | Statewide Variation in Practices and Charges for Primary Spontaneous Pneumothorax in Maryland, United States: A Retrospective Study | 34 - 43 |
| 8 | Commentary | Commentary: Statewide Variation and Changes in Practices for Primary Spontaneous Pneumothorax in Maryland, United States: A Retrospective Study | 44 - 45 |
| 9 | Case Report | Histological Findings of ETosis in Hermansky-Pudlak Syndrome with Pulmonary Fibrosis: A Follow-Up Case Report | 46 - 49 |
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Korean J Thorac Cardiovasc Surg 2009; 42(3): 350-354
Published online June 5, 2009
Copyright © Journal of Chest Surgery.
Min Seop Jo, M.D.*, Deog Gon Cho, M.D.*, Seok Whan Moon, M.D.**, Young Kyu Moon, M.D.***, Chul Ung Kang, M.D.*, Kyu Do Cho, M.D.*, Keon Hyeon Jo, M.D.***
Department of Thoracic and Cardiovascular Surgery, St. Vincent's Hospital, The Catholic University of Korea, Department of Thoracic and Cardiovascular Surgery, St. Paul's Hospital, The Catholic University of Korea, Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary's Hospital, The Catholic University of Korea
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Background: Complicated pleural space occupying lesions (SOL) have been treated by thoracentesis, closed thoracotomy drainage (CTD) or surgical intervention with using a video thoracosocpe or open thoracotomy depending on the extent of the disease. With the development of video assisted thoracoscopic surgery (VATS), VATS pleural adhesiolysis and decortication have revealed good results as compared to those for open thorcotomy. To assess the effectiveness of VATS pleural adhesiolysis and decortication, we retrospectively analyzed the medical record and radiologic findings of the patients with complicated pleural SOL and who were treated by this surgery. Material and Method: From May 1996 to April 2006, 64 patients (mean age: 41.8 years) with complicated pleural SOL underwent 65 VATS. To analyze the surgical outcome, we classified the postoperative findings on the simple chest X-rays into 4 classes as Class I: no or minimal pleural lesion, Class II: blunting of the cardiophrenic angle and mild pleural thickening, Class III: an elevated diaphgram or persistent lung collapse and Class IV: complicated or recurrent effusion. Result: Before VATS, the patients underwent the diagnostic or therapeutic procedures: single or repeat diagnostic tapping for 41, thoracoscotomy drainage for 11, pigtail catheter drainage for 10 and intrapleural fibrinolytics for 10. The mean duration between the onset of symptom and surgery was 18.4 days. There was neither mortality nor severe complications. The surgical outcomes were class 1 for 28, class 2 for 13, class 3 for 19 and class 4 for 5. There were statistically significant differences between the symptom duration and the classes, and between the operation time and the classes. Conclusion: VATS pleural adhesiolysis and decortication are effective, safe treatments for managing complicated pleural SOL, and an earlier operation is needed for obtaining a better surgical outcome. Korean J Thorac Cardiovasc Surg 2009;42:350-354)
Keywords: 1. Video-assisted thoracic surgery (VATS), 2. Decortication, 3. Pleural effusion
Korean J Thorac Cardiovasc Surg 2009; 42(3): 350-354
Published online June 5, 2009
Copyright © Journal of Chest Surgery.
Min Seop Jo, M.D.*, Deog Gon Cho, M.D.*, Seok Whan Moon, M.D.**, Young Kyu Moon, M.D.***, Chul Ung Kang, M.D.*, Kyu Do Cho, M.D.*, Keon Hyeon Jo, M.D.***
Department of Thoracic and Cardiovascular Surgery, St. Vincent's Hospital, The Catholic University of Korea, Department of Thoracic and Cardiovascular Surgery, St. Paul's Hospital, The Catholic University of Korea, Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary's Hospital, The Catholic University of Korea
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Background: Complicated pleural space occupying lesions (SOL) have been treated by thoracentesis, closed thoracotomy drainage (CTD) or surgical intervention with using a video thoracosocpe or open thoracotomy depending on the extent of the disease. With the development of video assisted thoracoscopic surgery (VATS), VATS pleural adhesiolysis and decortication have revealed good results as compared to those for open thorcotomy. To assess the effectiveness of VATS pleural adhesiolysis and decortication, we retrospectively analyzed the medical record and radiologic findings of the patients with complicated pleural SOL and who were treated by this surgery. Material and Method: From May 1996 to April 2006, 64 patients (mean age: 41.8 years) with complicated pleural SOL underwent 65 VATS. To analyze the surgical outcome, we classified the postoperative findings on the simple chest X-rays into 4 classes as Class I: no or minimal pleural lesion, Class II: blunting of the cardiophrenic angle and mild pleural thickening, Class III: an elevated diaphgram or persistent lung collapse and Class IV: complicated or recurrent effusion. Result: Before VATS, the patients underwent the diagnostic or therapeutic procedures: single or repeat diagnostic tapping for 41, thoracoscotomy drainage for 11, pigtail catheter drainage for 10 and intrapleural fibrinolytics for 10. The mean duration between the onset of symptom and surgery was 18.4 days. There was neither mortality nor severe complications. The surgical outcomes were class 1 for 28, class 2 for 13, class 3 for 19 and class 4 for 5. There were statistically significant differences between the symptom duration and the classes, and between the operation time and the classes. Conclusion: VATS pleural adhesiolysis and decortication are effective, safe treatments for managing complicated pleural SOL, and an earlier operation is needed for obtaining a better surgical outcome. Korean J Thorac Cardiovasc Surg 2009;42:350-354)
Keywords: 1. Video-assisted thoracic surgery (VATS), 2. Decortication, 3. Pleural effusion
2010; 43(4): 454-457
2010; 43(4): 399-403
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