The following is a collection of
featured thoracic articles from JTCVS Techniques. To read
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infusion of indocyanine green leading to high
fluorescence intensity in infrared thoracoscopic
Noriyuki Misaki, MD, Kiichi
Tatakawa, MD, Sung Soo Chang, MD, PhD, Tetsuhiko Go,
MD, PhD, Hiroyasu Yokomise, MD, PhD
green should be administered intravenously at a
constant rate for intersegmental line observation with
an infrared thoracoscope.
Is it always greener on the other side?
G. Chan, MD, MPH, Matthew J. Schuchert, MD
In an era when anatomic
segmentectomy has emerged as a valid option for
stage I non–small-cell lung cancer, the use of
continuous intravenous indocyanine green infusion
can help identify intersegmental planes.
Demarcating the intersegmental fissure: Please cut
along the dotted line
Sihag, MD, MPH
The authors demonstrate that a
constant-rate infusion of indocyanine green leads
to more consistent, longer lasting, and higher
maximum fluorescence intensity when demarcating an
intersegmental fissure compared with bolus
LUNG CANCER: SURGICAL TECHNIQUE
navigation bronchoscopy fiducial marker margin
identification plus triple dye for complete lung nodule
Joyce W.Y. Chan, MBBS(Hons), MRCS,
Rainbow W.H. Lau, MBChB, FRCS, Calvin S.H. Ng, MD, FRCS
marker placement and triple contrast dye marking of
lung lesions during electromagnetic navigation
bronchoscopy provides accurate localization and ensures
adequate resection margin.
Minimally invasive thoracic surgery must provide proper
oncologic margin – How to facilitate it?
Grodzki, MD, Jarosław Pieróg, MD
Fiducial marker placement and triple
contrast dye marking of lung lesions during
electromagenetic navigation bronchoscopy provides
accurate localization and ensures adequate
Evolving clinical value of pulmonary nodule
image-guided localization technology for the
Coutsinos, MD, PhD, Kyle Grant, MD, MSc, John Yee,
MD, Anna L. McGuire, MD, MSc
In the era of lung cancer screening,
mastery in application of available nodule
localization technology is an important feature in
the practice of thoracoscopic surgery.
GIANT PARAESOPAGEAL HERNIA: INVITED EXPERT
Paraesophageal Hernia: What do we really know?
Amit Bhargava, MD, Rafael Andrade,
giant paraesophageal hernia repair remains in
evolution. We use extensive mediastinal dissection to
achieve intra-abdominal esophageal length, gastroplasty
as needed and avoid mesh.
A century of giant paraesophageal hernia (GPEH) repair:
A century of controversy!
Adhikari, MD, Siva Raja, MD, PhD, FACS
Giant paraesophageal hernia is
certainly not your garden-variety hiatal hernia. As
such, its treatment needs to be individualized to
MCS: BRIEF RESEARCH REPORT
support to treat E-cigarette or vaping product
use-associated lung injury (EVALI) during the coronavirus
disease 2019 (COVID-19) pandemic
J.W. Awori Hayanga, MD, MPH, FACS,
FRCS, FCCP, Heather K. Hayanga, MD, MPH, Ankit Dhamija,
MD, James Fugett, MS, Chris Cook, MD, Douglas Powell,
MD, Paul McCarthy, MD, Mark Olfert, PhD, Vinay Badhwar,
MD, Alper Toker, MD
EVALI and COVID-19.
“Preparedness in the time of COVID”: Implications for
engagement of the health care team with acute
T. Demarest, MD, PhD, Paul C. Tang, MD, PhD
Through preparedness and practice,
the ability to expeditiously put COVID patients on
extracorporeal membrane oxygenation while keeping
staff safe allows for the swift treatment of
patients before a diagnosis is known.
Veno-venous extracorporeal membrane oxygenation in
areas with high coronavirus disease 2019 (COVID-19)
burden: Other causes must still be ruled out
Kalavrouziotis, MD, FRCSC, Siamak Mohammadi, MD,
Even in patients with a high
probability of exposure to SARS-CoV-2, one must be
vigilant for other causes of respiratory failure
requiring veno-venous ECMO.
LUNG TRANSPLANT: BRIEF RESEARCH REPORT
novel surgical procedures for graft size mismatch in
living-donor lobar lung transplantation
Daisuke Nakajima, MD, PhD, Satona
Tanaka, MD, PhD, Akihiro Ohsumi, MD, PhD, Hiroshi Date,
LDLLT such as native upper lobe–sparing, right-to-left
inverted, and single-lobe transplants overcame graft
size mismatch and showed good post-transplant pulmonary
function and survival.
Innovative strategies in lobar lung transplantation
L. Donahoe, MD, MSc, FRCSC, Marc de Perrot, MD, MSc,
Living-donor lobar lung transplant
can be done with good outcomes using various
techniques, including native upper lobe-sparing,
inverted technique and over-sized single lobe
When simple living-donor lobar transplantation is just
Hoetzenecker, MD, PhD
Extended techniques of living-donor
lobar lung transplantation (LDLLT) can improve
donor-to-recipient size-matching, however, their
need is closely linked to the need of LDLLT
programs in principle.
The matchmaker: Novel surgical procedures for graft
size mismatch in living-donor lobar lung
The authors demonstrate the art of
matchmaking using living-donor lobar techniques
including native upper lobe-sparing, right-to-left
inverted, and single lobe transplant to deal with
Innovative Implantation Strategies to accommodate size
mismatch in Lobar Lung Transplant
Extreme size mismatch is a relative
contraindication to transplant. Lobar transplant
and native upper lobe sparing strategies can allow
for accommodation of pleural space to graft size
Native right upper lobe–sparing
transplantation combined with right-to-left inverted
transplantation for idiopathic pulmonary fibrosis.
PERIOPERATIVE MANAGEMENT: SURGICAL
thoracic surgery: Minimizing intraoperative exposure to
Michael Seco, BMedSc, MBBS, PhD,
James Wood, BSc, MBChB, FRCS(Ed), Michael K. Wilson,
to reduce viral transmission during thoracic surgery
include effective screening, using a port-access
surgical approach where possible, and a system of
aerosol removal and filtration.
A breath of fresh air for thoracic surgeons in the
coronavirus disease 2019 (COVID-19) era
Wightman, MD, Elizabeth A. David, MD, MAS
Dr Seco and colleagues discuss
intraoperative techniques to potentially reduce
viral transmission during thoracic surgical
This port's for YOU!
P. Ceppa, MD
During this new “post-COVID era,” we
all need to be even more deliberate in the conduct
of our cases, thinking not only about the patient
but now also of ourselves and the health of our