New Advances in Thoracic and Esophageal Surgery

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "General Surgery".

Deadline for manuscript submissions: 30 March 2024 | Viewed by 1850

Special Issue Editor

1. Division of Thoracic Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan
2. School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
Interests: thoracic surgery; esophageal surgery; transplant surgeon

Special Issue Information

Dear Colleagues,

With the increasing incidence of chest tumors (lung cancer, esophageal cancer, etc.), using modern TV camera technology and high-tech surgical equipment is a new technique of minimally invasive thoracic surgery that completes complex intrathoracic surgery under a chest wall cannula or a small incision. This technique has changed the concept of treatment of some thoracic surgical diseases and is considered to be the most significant achievement in thoracic surgery since the 20th century. At present, various traditional thoracic surgeries, such as radical resection of lung cancer, radical resection of esophageal cancer, and resection of mediastinal tumors, can all be completed under thoracoscopic surgery.

This Special Issue invites submissions on the topics of benign and malignant diseases of the lung, esophagus, mediastinum, diaphragm, and chest wall. Cardiac and vascular studies will not be considered. Clinical research articles are most welcome, but valuable basic research may also be submitted. All submissions will be subject to a thorough peer review process. We look forward to your contributions of great articles on this topic.

Prof. Dr. Shah-Hwa Chou
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • lung cancer
  • esophageal cancer
  • other benign and malignant thoracic diseases
  • thoracic surgery
  • thoracoscopic

Published Papers (2 papers)

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Research

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9 pages, 13228 KiB  
Article
Novel Left-Sided Thoracoscopic Approach to Recurrent Tracheoesophageal Fistula and Post-Fistula Tracheal Diverticula
by Dariusz Patkowski, Krystian Toczewski and Ergun Ergun
J. Clin. Med. 2023, 12(23), 7251; https://doi.org/10.3390/jcm12237251 - 23 Nov 2023
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Abstract
Background: Recurrent tracheoesophageal fistula (RTEF) is usually a consequence of leakage or other complications after esophageal atresia repair performed through right-sided access. This results in extensive intrapleural adhesions, and open redo surgery poses a challenge. Alternatively, endoscopic endotracheal fistula obliteration usually requires repetitive [...] Read more.
Background: Recurrent tracheoesophageal fistula (RTEF) is usually a consequence of leakage or other complications after esophageal atresia repair performed through right-sided access. This results in extensive intrapleural adhesions, and open redo surgery poses a challenge. Alternatively, endoscopic endotracheal fistula obliteration usually requires repetitive procedures, and its success rate varies significantly between centers. We present a novel approach to recurrent fistulas. The innovation is in reaching the fistula through the virgin field via left-sided three-port thoracoscopy instead of classical right-sided thoracotomy. Methods: This is a presentation of a new operative technique based on a retrospective case series of patients operated on at our department between 2016 and 2023. Results: Eight patients after esophageal atresia repair (six with RTEF and two with post-fistula tracheal diverticula) were successfully treated with left-sided thoracoscopy. There were no conversions. One patient required rethoracoscopy for chylothorax. Another one, after RTEF closure, underwent multiple endoscopic obliterations of subsequent tracheal diverticulum. No other major complications nor re-recurrences were noted. Conclusions: Left-sided thoracoscopy in redo esophageal atresia has the advantage of a “virgin” operative field and grants feasible access to the RTEF or tracheal diverticulum. We believe that this approach is worth further exploration because it combines minimal invasiveness with high effectiveness without all the consequences of a thoracotomy. Full article
(This article belongs to the Special Issue New Advances in Thoracic and Esophageal Surgery)
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Review

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21 pages, 312 KiB  
Review
Understanding Post-Esophagectomy Complications and Their Management: The Early Complications
by Jenifer Edmondson, John Hunter, Gennadiy Bakis, Amber O’Connor, Stephanie Wood and Alia P. Qureshi
J. Clin. Med. 2023, 12(24), 7622; https://doi.org/10.3390/jcm12247622 - 11 Dec 2023
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Abstract
Esophagectomy is a technically complex operation performed for both benign and malignant esophageal disease. Medical and surgical advancements have led to improved outcomes in esophagectomy patients over the past several decades; however, surgeons must remain vigilant as complications happen often and can be [...] Read more.
Esophagectomy is a technically complex operation performed for both benign and malignant esophageal disease. Medical and surgical advancements have led to improved outcomes in esophagectomy patients over the past several decades; however, surgeons must remain vigilant as complications happen often and can be severe. Post-esophagectomy complications can be grouped into early and late categories. The aim of this review is to discuss the early complications of esophagectomy along with their risk factors, work-up, and management strategies with special attention given to anastomotic leaks. Full article
(This article belongs to the Special Issue New Advances in Thoracic and Esophageal Surgery)
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