Koichi Fukumoto1,2, Koji Kawaguchi3, Takayuki Fukui3, Shota Nakamura3, Shuhei Hakiri3, Naoki Ozeki3, Taketo Kato3, Hideki Oshima4, Akihiko Usui4, Kohei Yokoi5. 1. Department of Thoracic Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550, Japan. kfukumoto@med.nagoya-u.ac.jp. 2. Department of Thoracic Surgery, Japanese Red Cross Nagoya Daiichi Hospital, Nagoya, Japan. kfukumoto@med.nagoya-u.ac.jp. 3. Department of Thoracic Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550, Japan. 4. Department of Cardiac Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan. 5. Department of Thoracic Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550, Japan. k-yokoi@med.nagoya-u.ac.jp.
Abstract
OBJECTIVES: The aim of this study was to investigate the feasibility and safety of our surgical experiences conducted in collaboration with cardiovascular surgeons at our institution. METHODS: From May 2002 to December 2015, among 3595 general thoracic surgeries, 75 (2.1%) operations were carried out collaboratively with cardiovascular surgeons at Nagoya University Hospital. We investigated the surgical procedures, manipulated organs, morbidity and mortality, completeness of surgical resection, and prognosis of these 75 cases. RESULTS: The study cohort consisted of 56 males and 19 females, ranging in age from 18 to 79 years (median 60 years). Fifty-eight patients had a malignant disease, and 17 had a benign disease. Out of 75 collaborative surgeries, 53 (71%) were scheduled cases (cardiovascular surgeons' support was considered to be necessary preoperatively), and 22 (29%) were emergent cases (cardiovascular surgeons' support was considered to be necessary intraoperatively). No 30- or 90-day mortality was observed. Respiratory failure, defined as the requirement of mechanical ventilation or non-invasive positive pressure ventilation for ≥5 days, was the most common morbidity (n = 14, 18%). Forty-three patients (78%) out of 55 with thoracic neoplasms achieved microscopic complete resection. The resection status of the remaining 12 (22%) was microscopic residual tumor. CONCLUSION: Collaborative surgeries with cardiovascular surgeons at our institution were feasible. High-quality surgeries with a good balance between safety and completeness of resection are important not only for treatment, but also in terms of education for general thoracic surgeons.
OBJECTIVES: The aim of this study was to investigate the feasibility and safety of our surgical experiences conducted in collaboration with cardiovascular surgeons at our institution. METHODS: From May 2002 to December 2015, among 3595 general thoracic surgeries, 75 (2.1%) operations were carried out collaboratively with cardiovascular surgeons at Nagoya University Hospital. We investigated the surgical procedures, manipulated organs, morbidity and mortality, completeness of surgical resection, and prognosis of these 75 cases. RESULTS: The study cohort consisted of 56 males and 19 females, ranging in age from 18 to 79 years (median 60 years). Fifty-eight patients had a malignant disease, and 17 had a benign disease. Out of 75 collaborative surgeries, 53 (71%) were scheduled cases (cardiovascular surgeons' support was considered to be necessary preoperatively), and 22 (29%) were emergent cases (cardiovascular surgeons' support was considered to be necessary intraoperatively). No 30- or 90-day mortality was observed. Respiratory failure, defined as the requirement of mechanical ventilation or non-invasive positive pressure ventilation for ≥5 days, was the most common morbidity (n = 14, 18%). Forty-three patients (78%) out of 55 with thoracic neoplasms achieved microscopic complete resection. The resection status of the remaining 12 (22%) was microscopic residual tumor. CONCLUSION: Collaborative surgeries with cardiovascular surgeons at our institution were feasible. High-quality surgeries with a good balance between safety and completeness of resection are important not only for treatment, but also in terms of education for general thoracic surgeons.
Entities:
Keywords:
Cardiovascular surgeon; Collaborative surgery; General thoracic surgery
Authors: Stefano Schena; Traves D Crabtree; Jennifer Bell Zoole; G Alexander Patterson Journal: J Thorac Cardiovasc Surg Date: 2007-08 Impact factor: 5.209
Authors: Lorenzo Spaggiari; Massimiliano D' Aiuto; Giulia Veronesi; Giuseppe Pelosi; Tommaso de Pas; Gianpiero Catalano; Filippo de Braud Journal: Ann Thorac Surg Date: 2005-01 Impact factor: 4.330