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Background: We evaluated focused training in lung hilar dissection with a reanimated porcine lung model in the boot camp setting.
Methods: A total of 64 first-year cardiothoracic surgical residents participated in four consecutive hours devoted to training in open hilar dissection as part of the Thoracic Surgical Directors Association boot camps. Each resident participated in two open hilar dissections. Component tasks were assessed on a 5-point rating scale for the first and second dissections.
Results: Immediate assessment performed after completion of the session showed improvements in all graded components. The mean total score on a 50-point scale improved significantly between the first and second repetition (36.03 ± 7.03 to 41.16 ± 6.95; p = 0.001).
Conclusions: Focused massed (single-session) practice in the boot camp setting improved the ability of residents to perform hilar dissection on simulators using reanimated porcine lung models. Given these early successes in massed simulation-based surgical education, there is good reason to expect that deliberate and distributed practice on similar simulators would improve resident education in cardiothoracic surgery.
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http://dx.doi.org/10.1016/j.athoracsur.2013.07.074 | DOI Listing |
Jpn J Clin Oncol
August 2025
Department of Surgical Oncology, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, Hiroshima 734-8551, Japan.
Background: Small-sized, peripherally located, and radiologically solid-dominant or pure solid nonsmall cell lung cancer (NSCLC) tumors are related to lymph node metastasis at a certain frequency. The aim of this study is to disclose the validity of lymph node dissection on oncological local control during segmentectomy for such tumors.
Methods: We investigated the clinicopathological findings, the distribution of the involved lymph nodes, the patterns of lymph node recurrences, and the prognosis of 1921 patients with radiologically-determined ≤3 cm-sized, solid-dominant or pure solid NSCLC tumors without clinical lymph node involvement following complete resections with lobectomy (n = 1472) or segmentectomy (n = 449) between 2010 and 2020.
Int J Surg
July 2025
Department of Thoracic Surgery, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Background: The Clamshell thoracotomy remains controversial for mediastinal mass resection because of its extensive exposure but significant injuries. This study evaluated its modern indications, technical refinements, and short-term outcomes at a high-volume center.
Methods: A single-center, single-arm prospective investigation was conducted on 78 patients who underwent Clamshell thoracotomy for mediastinal masses.
Urology
July 2025
Department of Urology, Ijinkai Takeda General Hospital, Kyoto, Japan.
Objective: To clarify the management approach for chylous leakage after retroperitoneal minimally invasive surgeries by investigating risk factors and clinical course with a video of the case requiring surgical intervention.
Methods: This retrospective study included 1258 patients who underwent minimally invasive retroperitoneal surgeries at 4 Japanese institutions between 2010 and 2023. We analyzed the risk factors for the onset of postoperative chylous leakage and reviewed the clinical courses in patients with chylous leakage, with a detailed evaluation of cases requiring surgical intervention.
Eur J Cardiothorac Surg
July 2025
Department of Surgery II, Faculty of Medicine, Yamagata University, Yamagata 990-9585, Japan.
Objectives: Tumour location can affect clinicians' decisions regarding the surgical procedure, especially when choosing between lobectomy and segmentectomy. The biological behaviour of clinical stage I non-small cell lung cancer (NSCLC) may differ based on tumour location. We aimed to explore the biological behaviour of centrally located (CL) clinical stage I NSCLC and to identify which surgical procedure is more appropriate for such tumours.
View Article and Find Full Text PDFAnn Surg Oncol
September 2025
Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, USA.
Spleen-preserving distal pancreatectomy is an increasingly preferred approach for patients with multiple endocrine neoplasia type 1 (MEN1) and pancreatic neuroendocrine tumors (pNETs), offering potential long-term benefits, such as preserved immunologic function and reduced thromboembolic or oncologic risks. While traditional distal pancreatectomy with splenectomy facilitates lymph node clearance, it carries significant short- and long-term complications. In our recently published video, we demonstrate a robotic spleen-preserving distal pancreatectomy using the Kimura technique in two patients with MEN1 and multifocal pNETs.
View Article and Find Full Text PDF