Toshiki Tatsumura, MD, PhD

Slides:

Advertisements

Similar presentations

Pulsating mass at the sternum: A primary carcinoma of ectopic mediastinal thyroid Juhani Sand, MDa, Erkki Pehkonen, MDa, Jorma Mattila, MDb, Seppo Seppänen,

Advertisements

Inflammatory pseudotumors of the lung: A clinical study of eleven patients Salih Topçu, MD, İrfan Taştepe, MD, Ayşin Alper, MD, Ali Özdülger, MD, Mustafa.

Vascular endothelial growth factor expression in non-small-cell lung cancer: Prognostic significance in squamous cell carcinoma Hideyuki Imoto, MD, Toshihiro.

Aneurysm of the superior mediastinal veins

Combined resection of aberrant right hepatic artery without anastomosis in panceaticoduodenectomy for pancreatic head cancer: A case report Atsushi Nanashima,

Marilu Bintz, M. D. , Thomas H. Cogbill, M. D. , F. A. C. S. , A

Ugonna N. Ihekweazu, BS, William D. Travis, MD, Raja M. Flores, MD

Immunoglobulin G4-related multiple cardiovascular lesions successfully treated with a combination of open surgery and corticosteroid therapy Meikun Kan-o,

Coronary artery bypass grafting with the descending branch of thelateral femoral circumflex artery used as an arterial conduit: Is arteriographicevaluation.

The Case of the Missed Chest Radiograph: Bilateral Mammary Gland Metastases Mimicking Multifocal Primary Breast Cancer as the Initial Manifestation of.

Total orthotopic heart transplantation for primary cardiac rhabdomyosarcoma: factors influencing long-term survival Daniel Grandmougin, MD, Georges Fayad,

Transesophageal biopsy of mediastinal and pulmonary tumors by means of endoscopic ultrasound guidance Michael Hünerbein, MD, Bijan Michael Ghadimi, MD,

Yih-Leong Chang, MD, Chen-Tu Wu, MD, Yung-Chie Lee, MD, PhD

Cornelis J. A. Haasbeek, MD, PhD, Frank J. Lagerwaard, MD, PhD, Ben J

B. Albat, MD, P. Messner-Pellenc, MD, A. Thévenet, MD

Positron emission tomographic imaging with fluorodeoxyglucose is efficacious in evaluating malignant pulmonary disease Geoffrey M. Graeber, MD*, Naresh.

Pulmonary artery–bronchial fistula during lymphoma treatment

Penetration of intravenous antibiotics from the lung into the pleural space after pulmonary resection* T. Sakuma, MD, H. Kubo, MD, T. Tanita, MD, K.

Robert J. Korst, MD, Michael E. Burt, MD, PhD

A new surgical approach to apical segment lung diseases, including carcinomas and inflammatory diseases Toshiki Tatsumura, MD, PhDa, Hirofumi Sato, MDc,

Intraoperative ultrasonographic localization of pulmonary ground-glass opacities Ryoichi Kondo, MD, PhD, Kazuo Yoshida, MD, PhD, Kazutoshi Hamanaka, MD,

Nael Martini, MDa, Manjit S. Bains, MDa, Michael E

Pulmonary dissemination of tumor cells after extended resection of thyroid carcinoma with cardiopulmonary bypass Seiki Hasegawa, MD, Yosuke Otake, MD,

Esophageal Ultrasound-Controlled Fine Needle Aspiration for Staging of Mediastinal Lymph Nodes in Patients with Resectable Lung Cancer: Do We Always See.

Adenoid cystic carcinoma of the airway: Thirty-two-year experience

Reverse flap of distal latissimus dorsi for diaphragm reconstruction in the adult: Specification of the technical procedure and report on six cases Amedeo.

Thoracic aorta endograft as an adjunct to resection of a locally invasive tumor: A new indication to endograft Giuseppe Marulli, MD, Sandro Lepidi, MD,

Martin H. Chamberlain, FRCS, David P. Taggart, MD, FRCS

The prognostic significance of tumor cell detection in intraoperative pleural lavage and lung tissue cultures for patients with lung cancer J. Buhr,

Gilbert Massard, MD, Jean-Marie Wihlm, MD, Georges Morand, MD

Is tissue the issue? Brian E. Louie, MD, MHA, MPH, FRCSC, FACS

Use of duplex imaging to assess suitability of the internal mammary artery for coronary artery surgery Charles C. Canver, MD, John J. Ricotta, MD, Joginder.

Lorenzo Spaggiari, MD, PhD, Ugo Pastorino, MD

Kohei Hashimoto, MD, William Stansfield, MD, Shaf Keshavjee, MD

Aneurysm of the superior mediastinal veins

Right ventricular outflow tract resection for treatment of refractory ventricular tachycardia in a 2-year-old child S. Kanaan, MD, K. Shamsuddin, MD,

Michael G. Katz, MD, PhD, Anthony S

Carotid artery replacement in conjunction with resection of squamous cell carcinoma of the neck: Preliminary results M.Kathleen Reilly, PhD, MD, Malcolm.

The correlation between tumor size and lymphatic vessel invasion in resected peripheral stage I non-small-cell lung cancer Yukito Ichinose, MDa, Tokujiro.

Primary repair of rupture of a main and lobar bronchus

Transcervical, paratracheal resection of a posterior mediastinal mass

Subclavian artery involvement by apical chest tumors: A specific indication for the transmanubrial approach Lorenzo Spaggiari, MD, PhD, Ugo Pastorino,

Support Your Specialty

Partial resection of persistent left superior vena cava for a T4 lung cancer Erdal Okur, MD, Cagatay Tezel, MD, Volkan Baysungur, MD, Semih Halezeroğlu,

Total body retrograde perfusion during operations on the descending thoracic aorta Kenzo Yasuura, MD, Yasushi Takagi, MD, Yasutoshi Oohara, MD, Yoshiyuki.

Invasive Desmoplastic Fibroblastoma in the Chest Wall

Ashok Muniappan, MD The Journal of Thoracic and Cardiovascular Surgery

Have you seen an atrium bigger than this?

Myocardial infarction after a maze procedure for idiopathic atrial fibrillation Taijiro Sueda, MD, Hiroo Shikata, MD, Norimasa Mitsui, MD, Hideyuki Nagata,

Imaging of tumor infiltration of the pulmonary artery amenable to sleeve resection Anna Maria Ciccone, MD, Antonio D'Andrilli, MD, Federico Venuta, MD,

Subclavian artery resection and reconstruction for thoracic inlet cancers Elie Fadel, MD, Alain Chapelier, MD, PhD, Emile Bacha, MD, Francois Leroy-Ladurie,

Resection of primary lung cancer with incidental pleural seeding: Seeds of change or reap what you sow? Jules Lin, MD The Journal of Thoracic and Cardiovascular.

Twenty-Five Years' Experience With a Trap-Door Thoracotomy Modified With Disconnection of the First Rib for Tumors Invading the Anterior Superior Sulcus

Patient recovery after intermittent disc escape and spontaneous recession of a mechanical heart valve Francis Robicsek, MD, PhD, Joseph W. Cook, MD

Extended Pneumonectomy With Partial Resection of the Left Atrium, Without Cardiopulmonary Bypass, for Lung Cancer Lorenzo Spaggiari, MD, PhD, Massimiliano.

Transcervical approach (Datrevelle technique) for resection of lung tumors invading the thoracic inlet, sparing the clavicle Stefano Nazari, MD The.

Video-assisted resection for lung cancer results in fewer complications Lunxu Liu, PhD, MD, FRCS The Journal of Thoracic and Cardiovascular Surgery

Vascular Leiomyoma of the Pulmonary Artery

Innovative techniques for thoracoscopic lobectomy in postpneumonectomy patients Ryoichi Nakanishi, MD, PhD, Shinji Shinohara, MD, Kenji Muranaka, MD,

Carcinoma of the esophagus: Prognostic significance of histologic type

Inflammatory pseudotumors of the lung: A clinical study of eleven patients Salih Topçu, MD, İrfan Taştepe, MD, Ayşin Alper, MD, Ali Özdülger, MD, Mustafa.

Thomas W. Rice, MD The Journal of Thoracic and Cardiovascular Surgery

A fenestrated stent graft for surgical resection of lung cancer invading the aortic arch Toshiyuki Nagata, MD, Yoshihiro Nakamura, MD, PhD, Hiroyuki Yamamoto,

The patent internal thoracic artery graft: Increased degree of difficulty for left-sided pulmonary resections Robbin G. Cohen, MD, MMM The Journal of.

John E Langenfeld, MD The Annals of Thoracic Surgery

Neal S Goldstein, MD The Annals of Thoracic Surgery

David Feller-Kopman, MD, William Lunn, MD, Armin Ernst, MD

Minimally invasive direct coronary artery bypass, percutaneous transluminal coronary angioplasty, and stent placement for left main stenosis William.

Who should decide margin length in pulmonary excision of lung cancer?

M. Ashour, FRCS The Journal of Thoracic and Cardiovascular Surgery

Presentation transcript:

Preoperative and intraoperative ultrasonographic examination as an aid in lung cancer operations Toshiki Tatsumura, MD, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 110, Issue 3, Pages 606-612 (September 1995) DOI: 10.1016/S0022-5223(95)70091-9 Copyright © 1995 Mosby, Inc. Terms and Conditions

Fig. 1 A, Real-time preoperative examination by EUS clearly revealed that a large part of the left atrium (LA) was invaded by a hilar-originating squamous cell carcinoma (T). Intrusion of the tumor into the atrial cavity was noted in this ultrasonogram. Serial observations by EUS clearly indicated that, to extirpate the tumor, a large portion of the left atrium had to be resected, which would result in incompetence of the left atrium. This information prevented unnecessary operative intervention in this patient. B, Moreover, when the fiberscope was retracted orally, the primary tumor (T) was also found to have invaded the carina, and the right main pulmonary artery (PA) was elevated anteriorly. The Journal of Thoracic and Cardiovascular Surgery 1995 110, 606-612DOI: (10.1016/S0022-5223(95)70091-9) Copyright © 1995 Mosby, Inc. Terms and Conditions

Fig. 2 Squamous cell carcinoma of the left hilum with invasion of the left atrium (IUS). Invasion of the left atrium (A) by the tumor (T) is clearly seen in this echogram. Note the irregular notches and indentation of the invaded atrial wall produced by the infiltration of the tumor. No movement of the atrial wall at the edge of the tumor invasion could be seen during real-time observation. The IUS observations in this patient confirmed that combined resection of the atrial wall was possible and the operation was done successfully with use of large vascular clamp. The Journal of Thoracic and Cardiovascular Surgery 1995 110, 606-612DOI: (10.1016/S0022-5223(95)70091-9) Copyright © 1995 Mosby, Inc. Terms and Conditions

Fig. 3 Squamous cell carcinoma of the right hilum (IUS).The large tumor had spread over the right main pulmonary artery (PA). It was difficult to outline the actual extent of the whole tumor into the involved pulmonary artery by palpation and observation alone because of size of the tumor. However, as shown here, the main pulmonary artery (white arrow) was found to be nearly intact and invasion of the tumor (black arrows) to peripheral parts of the pulmonary artery was clearly revealed as severe uneven notches or a "mothy" appearance of the regions that had been invaded by the tumor. In this case, IUS was able to provide the information necessary to determine the operability of the tumor and theappropriate extent of resection of the involved tissue. A pneumonectomy was done in this case. The Journal of Thoracic and Cardiovascular Surgery 1995 110, 606-612DOI: (10.1016/S0022-5223(95)70091-9) Copyright © 1995 Mosby, Inc. Terms and Conditions

Fig. 4 Peripherally located squamous cell carcinoma with invasion to the ribs (IUS). This real-time echogram was done after the prethoracic tissues were opened. The probe was directly aimed at the involved bare chest wall. The ribs (arrows) were severely invaded by the tumor (T), which extended into the marrow portion of the involved ribs and into the intercostal muscles. Moving the probe between the invaded and normal portions of the rib during the operation allowed assessment of safety margin of the rib. The Journal of Thoracic and Cardiovascular Surgery 1995 110, 606-612DOI: (10.1016/S0022-5223(95)70091-9) Copyright © 1995 Mosby, Inc. Terms and Conditions