Pleural adhesion, robotic adhesiolysis

ASVIDE ◽  
2020 ◽  
Vol 7 ◽  
pp. 280-280
Author(s):  
Sara Ricciardi ◽  
Federico Davini ◽  
Gaetano Roman ◽  
Carmelina Zirafa ◽  
Franca Melfi
Keyword(s):  
Pleural Adhesion

scholarly journals Efficacy of mistletoe for chemical pleurodesis in rats without malignancy

Open Medicine ◽  
2015 ◽  
Vol 10 (1) ◽  
Author(s):  
Hyo Yeong Ahn ◽  
Jeong Su Cho ◽  
Yeong Dae Kim ◽  
Hoseok I ◽  
Yeon Ji Kim ◽  
...  
Keyword(s):  
Lavage Fluid ◽  
Giant Cells ◽  
Saline Group ◽  
Large Animal ◽  
Sprague Dawley ◽  
Chemical Pleurodesis ◽  
Pleural Adhesion ◽  
Fluid Analysis ◽  
Significant Difference ◽  
Group B

AbstractChemical pleurodesis is an effective treatment modality to reduce recurrence of malignant effusion. Several agents have been used in chemical pleurodesis but, it is not yet clear which is better. Eighteen Sprague- Dawley rats were used and classified into three groups: a group intrapleurally injected normal saline (group A, n=6), 400mg/kg talc (group B, n=6), and 9mg/kg mistletoe extraction (ME) (group C, n=6). Autopsy was performed to evaluate the pleural adhesion, pathologic examination of pleura and lung and bronchoalveolar lavage fluid analysis 4 weeks after pleurodesis. Both group B and C showed an obvious pleural adhesion and there was no significant difference in grade of pleural adhesion between two groups (p=0.58). The parietal pleural thickness in talc group than ME group was significantly thicker (p=0.002) and the visceral pleura of talc group showed marked foreign body reaction with fibrosis and many multinucleated giant cells associated with talc crystal. This study suggests that pleurodesis using ME in condition without malignancy has comparable effect to pleurodesis using talc. However, additional experimental study in large animal or clinical trials would be required to prove a safety and an efficacy of pleurodesis using ME.

Is it True That Thoracoscopic Surgery Causes Less Pleural Adhesion Than Thoracotomy? Comparison Between Cases of Second Surgery After Thoracoscopic Surgery and Thoracotomy

2018 ◽  
Vol 27 ◽  
pp. S564
Author(s):  
Naoko Kimura ◽  
Makoto Wakatabe ◽  
Shinji Yuhara ◽  
Tadasu Kohno ◽  
Sakashi Fujimori ◽  
...  
Keyword(s):  
Thoracoscopic Surgery ◽  
Pleural Adhesion ◽  
Second Surgery

Preoperative assessment of localized pleural adhesion: Utility of software-assisted analysis on dynamic-ventilation computed tomography

2020 ◽  
Vol 133 ◽  
pp. 109347
Author(s):  
Yukihiro Nagatani ◽  
Masayuki Hashimoto ◽  
Yasuhiko Oshio ◽  
Shigetaka Sato ◽  
Jun Hanaoka ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Preoperative Assessment ◽  
Pleural Adhesion ◽  
Assisted Analysis

Novel biodegradable powder for preventing postoperative pleural adhesion

2013 ◽  
Vol 179 (1) ◽  
pp. e13-e19 ◽  
Author(s):  
Katsunori Takagi ◽  
Tomoshi Tsuchiya ◽  
Masato Araki ◽  
Naoya Yamasaki ◽  
Takeshi Nagayasu ◽  
...  
Keyword(s):  
Pleural Adhesion

scholarly journals Association between Image Characteristics on Chest CT and Severe Pleural Adhesion during Lung Cancer Surgery

PLoS ONE ◽  
2016 ◽  
Vol 11 (5) ◽  
pp. e0154694 ◽  
Author(s):  
Kwang Nam Jin ◽  
Yong Won Sung ◽  
Se Jin Oh ◽  
Ye Ra Choi ◽  
Hyoun Cho ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Lung Cancer Surgery ◽  
Chest Ct ◽  
Cancer Surgery ◽  
Pleural Adhesion ◽  
Image Characteristics

scholarly journals Effective new membrane for preventing postthoracotomy pleural adhesion by surface water induction technology

PLoS ONE ◽  
2017 ◽  
Vol 12 (6) ◽  
pp. e0179815 ◽  
Author(s):  
Akiko Uemura ◽  
Mary Nakata ◽  
Seijirow Goya ◽  
Toshiharu Fukayama ◽  
Ryou Tanaka
Keyword(s):  
Surface Water ◽  
Pleural Adhesion

Application of Modified Tailed Microcoil in Preoperative Localization of Small Pulmonary Nodules: A Retrospective Study

2020 ◽  
Vol 68 (06) ◽  
pp. 533-539
Author(s):  
Saisai Sun ◽  
Kaichao Liu ◽  
Xiang Gao ◽  
Binhui Ren ◽  
Lei Sun ◽  
...  
Keyword(s):  
Methylene Blue ◽  
Thoracoscopic Surgery ◽  
Pulmonary Nodules ◽  
Operation Time ◽  
Preoperative Localization ◽  
Visceral Pleura ◽  
Pleural Adhesion ◽  
Significant Difference ◽  
Male Patients ◽  
Small Pulmonary Nodules

Abstract Background The localization of small pulmonary nodules (SPNs) during video-assisted thoracoscopic surgery (VATS) is challenging thoracic surgeon, especially in patients with severe pleural adhesion or visceral pleura pigmentation due to low success rate and future conversion to thoracotomy. This study aims to compare the efficacy and safety between modified microcoil and methylene blue in preoperative localization of small nodules, particularly patients with severe pleural adhesion or visceral pleura pigmentation. Materials and Methods From January 2018 to February 2019 in our institute, 342 patients who underwent computed tomography-guided localization of SPN were recruited in this retrospective cohort study and divided into the modified microcoil group (n = 239) and the methylene blue group (n = 103) according to the localization method. Clinical characteristics and perioperative complications were collected to analyze. Results All SPNs were successfully marked in both groups. Location-related complications, the duration of localization procedure, and the length of hospital stay were not different between the two groups. The operation time of modified microcoil and the duration of removal of nodule in operation were both shorter than the methylene blue (p = 0.014 and p = 0.047). The analysis stratified by gender showed that similar results were found in male patients (p = 0.01 and p = 0.00), while in female patients, no significant difference was found. Additionally, in senior patients (older than 60 years), the operation time in modified microcoil groups was less than methylene blue group (p = 0.024). Conclusion Compared with methylene blue, modified microcoil achieved a shorter operation time of removal of nodule in VATS, especially for patients with pleural adhesion and the pigmentation of the lung surface as well as the male patients and the patients older than 60 years.

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