Asian perspectives in thoracic surgery: clinical innovation in Taiwan

Liu, Chao-Yu; Lin, Cheng‐Chieh; Liu, Chia‐Chuan

doi:10.21037/jtd.2016.08.64

Cited by 5 publications

(4 citation statements)

References 49 publications

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“…However, some patients still complain of severe acute pain after thoracoscopic lobectomy, and the incidence of chronic pain was reported up to 30% (1,2). Penetration of the chest wall by trocars, torque at trocar, and compression of the intercostal nerves have all been suggested to cause pain after thoracoscopic lobectomy (3,4). Current analgesic options for acute pain include thoracic epidural analgesia, intravenous patientcontrolled analgesia (iv-PCA), thoracic paravertebral block, and continuous paravertebral infusion (c-PVI) of local anesthetics.…”

Section: Introductionmentioning

confidence: 99%

A prospective randomized trial of continuous paravertebral infusion versus intravenous patient-controlled analgesia after thoracoscopic lobectomy for lung cancer

Lee¹,

Narm²,

Lee³

et al. 2018

J. Thorac. Dis.

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Section: Introductionmentioning

confidence: 99%

A prospective randomized trial of continuous paravertebral infusion versus intravenous patient-controlled analgesia after thoracoscopic lobectomy for lung cancer

Lee¹,

Narm²,

Lee³

et al. 2018

J. Thorac. Dis.

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“…In recent decades, the development of video-assisted thoracic surgery (VATS) progressed consistently, including efforts to improve patient outcomes and expedite patient recovery [ 1 ]. Chest drainage catheters are routinely placed after thoracic surgery but the chest drain itself is usually the culprit for causing postoperative pain [ 2 ], limited ventilatory function [ 3 ] and interference with ambulation [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Drainless thoracoscopic surgery should be avoided in primary spontaneous pneumothorax with pleural adhesion

Lin

Leong

How

et al. 2022

Interactive CardioVascular and Thoracic Surgery

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Objective Drainless thoracoscopic surgery, defined by omitting chest drain after surgery, has been demonstrated to be feasible in selected patients for pulmonary resection. However, drainless procedure for the treatment of primary spontaneous pneumothorax has raised concerns for its safety and thus has been less often reported. We aimed to share our preliminary experience regarding how to select patients with spontaneous pneumothorax for this procedure. Methods A retrospective study recruiting 303 consecutive patients with the diagnosis of spontaneous pneumothorax undergoing thoracoscopic surgery in our center from August 2016 to June 2020 were done. After careful selection, the chest drain was omitted in selected patients who underwent non-intubated uniportal thoracoscopic surgery. Patients’ clinical characteristics and perioperative outcomes were analyzed. Results A total of 34 patients underwent drainless thoracoscopic surgery for the treatment of spontaneous pneumothorax. Pleural adhesion was noted in 9 patients during surgery, and all of them (100%) developed residual pneumothorax, among which intercostal drainage was required in 2 (22.2%) patients, and ipsilateral pneumothorax recurred 3 years after surgery in 1 (11.1%) patient. Among the remaining 25 without pleural adhesion, 17 (68.0%) developed minor residual pneumothorax (p = 0.006), which all resolved spontaneously within 1 to 2 weeks, with no complications or recurrence during postoperative follow-up for at least 2 years. Conclusions Drainless thoracoscopic surgery for the treatment of primary spontaneous pneumothorax is feasible but can be risky without careful patient selection. In our experience, the drainless procedure should be avoided in patients with identifiable pleural adhesion noted during surgery.

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“…People were exposed to air pollution due to smoke from industry and vehicle causing chronic obstructive pulmonary disease in urban areas [ 2 , 3 ]. The particulate matters (fine or ultra fine) in air vary in size, composition and origin [ 4 ]. The particulate material such as gaseous pollutants, organic pollutants and heavy metals etc.…”

Section: Introductionmentioning

confidence: 99%

A comparative analysis of biomass and clean fuel exposure on pulmonary function during cooking among rural women in Tamilnadu, India

Rajinikanth¹

2021

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It is of interest to document data on the comparative analysis of biomass and clean fuel exposure on pulmonary function during cooking among rural women. The study consisted of 100 biomass and 100 LPG fuel using women with no smoking habits and other related illness Parameters such as FVC, FEV1, FEV1/FVC, PEFR, FEF25-75%were obtained using the computerized spirometry to assess the pulmonary function in these subjects. The collected data were analyzed using the Student t-test method and Pearson correlation. The exposure index for biomass fuel users is 69.78±27.25 showing high exposure duration during cooking. The parameters for pulmonary functions significantly declined in FVC (42.34±13.6), FEV1 (45.55±15.98), PEFR (34.11±14.78) and FEF25-75% (45.56±23.00) for biomass fuel user. However, this is not true for FEV1/FVC ratio (107.56±16.9). The increase in PFT suggests the restrictive and obstructive patterns of pulmonary diseases. There was a negative correlation between increased duration of cooking and the value of FEV1/FVC (r = -0.2961), FEF25-75% (r = -0.3519) and PEFR (r = -0.2868). Thus, the deformation of pulmonary function due to extended exposure of biomass fuel for cooking women in rural Tamilnadu is shown using parameter features such as high exposure index, overcrowded area and improper ventilated houses.

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Asian perspectives in thoracic surgery: clinical innovation in Taiwan

Cited by 5 publications

References 49 publications

A prospective randomized trial of continuous paravertebral infusion versus intravenous patient-controlled analgesia after thoracoscopic lobectomy for lung cancer

A prospective randomized trial of continuous paravertebral infusion versus intravenous patient-controlled analgesia after thoracoscopic lobectomy for lung cancer

Drainless thoracoscopic surgery should be avoided in primary spontaneous pneumothorax with pleural adhesion

A comparative analysis of biomass and clean fuel exposure on pulmonary function during cooking among rural women in Tamilnadu, India

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