following is a collection of featured thoracic articles
from the Journal of Thoracic and Cardiovascular
Surgery (JTCVS). To read the latest issue, or
browse the feature video library and other journal
highlights, please visit www.jtcvs.org.
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thoracoscopic basal segmentectomy
MD, Hu Liao, MD, Chenglin Guo, MD, Qiang Pu, MD,
Jiandong Mei, MD, Lunxu Liu, MD, PhD
The single-direction method enables
thoracoscopic single or combined basal segmentectomy to
be performed in a simple manner.
Basilar segmentectomy: A new weapon against cancer for
the modern thoracic surgeon?
Juan A. Muñoz-Largacha, MD, Benjamin
and colleagues describe a novel, single-direction
technique for thoracoscopic basal segmentectomy
showing the feasibility and safety of the procedure
for this challenging anatomic resection.
Single-direction or multidirection basilar
segmentectomy: Is there an easier way?
Nazgol Seyednejad, MD, Sebastien
of techniques for complex anatomic sublobar
resections is required to facilitate adoption by
practicing surgeons and education of trainees.
single-direction video-assisted thoracic surgery left
S10 segmentectomy through an inferior pulmonary
cervical esophagogastric anastomosis simulator
Orringer, MD, Doug Hennigar, BSME, Jules Lin, MD,
Deborah M. Rooney, PhD
The development and initial evidence
supporting validity of a CEGA simulator are described.
Can simulation training improve patient outcomes?
Ivan Azevedo, MD, Paula Ugalde
and colleagues created a medium-fidelity simulator
that may be useful in teaching esophagogastric
anastomosis. Simulation training should be embraced
as thoracic surgery becomes more complex.
The cervical esophagogastric anastomosis: Augmenting
training through simulation
Ernest G. Chan, MD, MPH, James D.
Luketich, MD, Inderpal S. Sarkaria, MD, MBA
age when quality is driven by outcomes, surgical
simulation has helped facilitate the training of
cardiothoracic residents and fellows to reproduce
excellent clinical and technical results.
Practice makes perfect in cervical esophagogastric
Nikhil Panda, MD, Christopher R.
novel, purpose-built cervical esophagogastric
simulation model designed for surgical education
demonstrated fidelity among experienced thoracic
surgeons and trainees.
aperistalsis and lung transplant: Recovery of peristalsis
after transplant is associated with improved long-term
Masuda, MD, Sumeet K. Mittal, MD, Máté Csucska, MD,
Balazs Kovacs, MD, Rajat Walia, MD, Jasmine L. Huang,
MD, Michael A. Smith, MD, Ross M. Bremner, MD, PhD
We found that esophageal aperistalsis is
not necessarily a contraindication for LTx. Improved
peristalsis can be expected in up to two-thirds of
these patients after LTx.
To do, or not to do, that is the question
Hiroshi Date, MD
aperistalsis may not be necessarily a
contraindication for lung transplant because
improved peristalsis may be expected in up to
two-thirds of these after lung transplant.
Can the esophagus curse a lung transplant?
Joseph B. Shrager, MD
most patients have posttransplant recovery of
esophageal dysfunction, aperistaltic esophagus that
persists following lung transplant likely bodes
poorly for the lungs.
Esophageal aperistalsis should not preclude lung
transplant candidacy in well-selected patients
Usman Ahmad, MD
of peristalsis does not exclude the possibility of
lung transplantation in carefully selected
patients. High-risk features should be taken into
consideration in addition to HRM findings.
The return of peristalsis after lung transplant in
patients with an aperistaltic esophagus—is it possible?
Chi-Fu Jeffrey Yang, MD
selected patients diagnosed with an aperistaltic
esophagus before lung transplant can have improved
esophageal motility and reasonable long-term
survival after transplant.