Lung segmentectomy assisted by highly selective independent segmental ventilation: a series of three cases

Abstract Background: The identification of targeted intersegmental plane and resection with adequate surgical margin is one of the crucial steps in anatomical pulmonary segmentectomy, and improvements are still needed.Case presentation: Three cases of intersegmental plane identification using highly selective independent segmental ventilation during segmentectomy are reported. All cases required the cooperation with anaesthesiologist who is able to perform segmental ventilation and double confirmation of branch of segmental bronchus by surgeon. The surgical procedure provides a direct visualization of spare segment inflation and saving time in deflation by the conventional residual segment inflation method. Conclusions: Highly selective independent segmental ventilation can be considered a suitable option for the pulmonary intersegmental plane identification, which could be universally used for lung segmentectomy.

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Left apicoposterior segmentectomy for lung cancer with displaced segmental bronchus: a case report

Journal of Cardiothoracic Surgery ◽

10.1186/s13019-020-01328-3 ◽

2020 ◽

Vol 15 (1) ◽

Author(s):

Masahiro Yanagiya ◽

Hirokazu Yamaguchi ◽

Noriko Hiyama ◽

Jun Matsumoto

Keyword(s):

Lung Cancer ◽

Indocyanine Green ◽

Early Stage ◽

Main Pulmonary Artery ◽

Three Dimensional ◽

Early Stage Lung Cancer ◽

Case Presentation ◽

Segmental Bronchus ◽

Dimensional Reconstruction ◽

Preoperative Image

Abstract Background Pulmonary segmentectomy can be challenging when thoracic surgeons encounter anatomical anomalies. A displaced left apicoposterior bronchus is a rare bronchial anomaly that makes lung anatomical resection challenging. We herein present a case of successful left apicoposterior segmentectomy for lung cancer in a patient with an anomalous segmental bronchus. Case presentation A 70-year-old man was clinically diagnosed with early-stage lung cancer for which segmentectomy was indicated. A preoperative image revealed a displaced left apicoposterior bronchus that branched behind the left main pulmonary artery. With the aid of three-dimensional reconstruction imaging and systemic indocyanine green injection, we successfully performed left apicoposterior segmentectomy under complete video-assisted thoracic surgery. The pathological diagnosis was adenocarcinoma. The patient was alive without recurrence 8 months after segmentectomy. Conclusion Preoperative three-dimensional imaging and systemic indocyanine green injection enabled us to successfully conduct challenging segmentectomy in a patient with an anomalous bronchus.

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Surgical procedure of segmentectomy as a possible cause of postoperative cerebral embolism: a case report

Journal of Cardiothoracic Surgery ◽

10.1186/s13019-020-01378-7 ◽

2020 ◽

Vol 15 (1) ◽

Author(s):

Peirui Chen ◽

Qiusha Qing ◽

Mingqiang Diao ◽

Xiaokang Sun ◽

Junrong Yang ◽

...

Keyword(s):

Postoperative Period ◽

Surgical Procedure ◽

Mechanical Thrombectomy ◽

Early Postoperative Period ◽

Cerebral Embolism ◽

Case Presentation ◽

Early Symptom ◽

Life Threatening ◽

Pulmonary Vein Stump ◽

Possible Cause

Abstract Background Cerebral embolism after lobectomy is a life-threatening complication during the early postoperative period. However, it is unclear if cerebral embolism can develop after segmentectomy. Case presentation We experienced a case of a 37-year-old man who demonstrated early symptom of acute ischemic stroke in early postoperative period after right upper posterior segmentectomy and performed intra-arterial mechanical thrombectomy (IAMT) successfully. Conclusions Long and irregular pulmonary vein stump (PVS) and endothelial injury caused by surgical procedure may lead to cerebral embolism after segmentectomy. We believe that doing preoperative pulmonary vascular assessment and using appropriate surgical procedure may reduce the rate of cerebral embolism.

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Sympathetic ophthalmitis: A rare case presentation

Journal of Kathmandu Medical College ◽

10.3126/jkmc.v4i2.15038 ◽

2016 ◽

Vol 4 (2) ◽

pp. 65-67

Author(s):

Paras Panjiyar ◽

Natwar Singh Parihar

Keyword(s):

Surgical Procedure ◽

Rare Case ◽

Eye Injury ◽

Case Presentation ◽

Granulomatous Uveitis ◽

Medical College ◽

Sympathetic Ophthalmitis ◽

Perforating Eye Injury

Sympathetic Ophthalmitis is a rare, granulomatous uveitis occurring after perforating eye injury or ocular surgical procedure to one eye. The pathophysiologyis not clearly understood. We report a rare case of sympathetic ophthalmitis that presented to us in our hospital.Journal of Kathmandu Medical College, Vol. 4, No. 2, Issue 12, Apr.-Jun., 2015 page: 65-67

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Multiple polyurethane implant punctures during fat grafting: case report and review of the literature

BMC Surgery ◽

10.1186/s12893-020-00915-4 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Dmitry Batiukov ◽

V. Podgaiski ◽

D. Mikulich ◽

S. Kalinin

Keyword(s):

Case Report ◽

Breast Reconstruction ◽

Breast Augmentation ◽

Surgical Procedure ◽

Fat Grafting ◽

Review Of The Literature ◽

Level Of Evidence ◽

Case Presentation ◽

Tissue Ingrowth ◽

First Case

Abstract Background Breast augmentation with implants continues to be the most popular aesthetic surgical procedure performed worldwide. Fat grafting may improve the results of breast augmentation and breast reconstruction with implants. However, fat grafting to the breast with implants carries the risk of implant puncture. To our best knowledge this is the first case in which polyurethane implant puncture during fat grafting is described. Case presentation We report multiple bilateral implant punctures with the cannula during fat grafting in a patient who previously underwent breast reconstruction with polyurethane implants. Conclusions Implants that promote tissue ingrowth may be more prone to puncture with the cannula during fat grafting. Specific planning and surgical maneuvers decrease the risk of implant puncture. Level of evidence Level V, case report.

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Accessory extensor pollicis longus tendon in emergency surgery

Journal of International Medical Research ◽

10.1177/0300060520938599 ◽

2020 ◽

Vol 48 (7) ◽

pp. 030006052093859

Author(s):

Qing Jiang ◽

Haiying Zhou ◽

Kai Huang ◽

Hui Lu

Keyword(s):

Emergency Surgery ◽

Surgical Outcomes ◽

Surgical Procedure ◽

Extensor Tendon ◽

Tendon Sheath ◽

Extensor Pollicis Longus ◽

Case Presentation ◽

Work Related ◽

Work Related Injury ◽

Extensor Pollicis Longus Tendon

Background A true accessory extensor tendon of the thumb seems to be rare. We found a variation of the accessory extensor pollicis longus (EPL) tendon while performing an emergency surgical procedure. Identification of this accessory tendon during emergency surgery has not been previously reported. Case presentation: A 43-year-old man presented to our hospital after sustaining a work-related injury involving a saw. During the operation, the tendons of the EPL, accessory EPL, and extensor pollicis brevis were severed. The lacerated tendon and tendon sheath were repaired, and the wrist and thumb were positioned in extension. The patient’s postoperative activity returned to normal without the need for a second tendon release operation. Conclusions Surgeons should be aware of this anatomic anomaly of the EPL tendon. Presentation of our case increases clinicians’ chances of preoperatively detecting this anomaly, which can improve surgical outcomes.

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Use of acellular dermal matrix graft in the treatment of gingival recessions: a case report

Journal of Clinical Pediatric Dentistry ◽

10.17796/jcpd.27.2.ar53131840v926pr ◽

2004 ◽

Vol 27 (2) ◽

pp. 107-110 ◽

Cited By ~ 3

Author(s):

Ana Emília Pontes ◽

Arthur Novaes Júnior ◽

Márcio Grisi ◽

Sérgio Souza ◽

Mário Taba Júnior

Keyword(s):

Case Report ◽

Surgical Procedure ◽

Pediatric Patients ◽

Acellular Dermal Matrix ◽

Root Coverage ◽

Dermal Matrix ◽

Case Presentation ◽

Mucogingival Surgery ◽

Acellular Dermal

Case presentation in which a 12-years-old boy presented with two large gingival recessions on the maxillary central incisors, secondary to a lateral luxation. In the surgical procedure, an acellular dermal matrix graft (ADMG) was placed as a substitute for a free gingival graft.Twelve months later, complete root coverage was achieved, showing that ADMG, a biomaterial recently developed for mucogingival surgery, can be successfully used in the treatment of gingival recessions in pediatric patients.

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Left apicoposterior segmentectomy for lung cancer with displaced segmental bronchus: A case report

10.21203/rs.3.rs-32182/v2 ◽

2020 ◽

Author(s):

Masahiro Yanagiya ◽

Hirokazu Yamaguchi ◽

Noriko Hiyama ◽

Jun Matsumoto

Keyword(s):

Lung Cancer ◽

Indocyanine Green ◽

Early Stage ◽

Main Pulmonary Artery ◽

Three Dimensional ◽

Early Stage Lung Cancer ◽

Case Presentation ◽

Segmental Bronchus ◽

Dimensional Reconstruction ◽

Preoperative Image

Abstract Background Pulmonary segmentectomy can be challenging when thoracic surgeons encounter anatomical anomalies. A displaced left apicoposterior bronchus is a rare bronchial anomaly that makes lung anatomical resection challenging. We herein present a case of successful left apicoposterior segmentectomy for lung cancer in a patient with an anomalous segmental bronchus. Case presentation A 70-year-old man was clinically diagnosed with early-stage lung cancer for which segmentectomy was indicated. A preoperative image revealed a displaced left apicoposterior bronchus that branched behind the left main pulmonary artery. With the aid of three-dimensional reconstruction imaging and systemic indocyanine green injection, we successfully performed left apicoposterior segmentectomy under complete video-assisted thoracic surgery. The pathological diagnosis was adenocarcinoma. The patient was alive without recurrence 8 months after segmentectomy. Conclusion Preoperative three-dimensional imaging and systemic indocyanine green injection enabled us to successfully conduct challenging segmentectomy in a patient with an anomalous bronchus.

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Surgical Procedure of Segmentectomy as a Possible Cause of Postoperative Cerebral embolism: A Case Report

10.21203/rs.3.rs-73048/v2 ◽

2020 ◽

Author(s):

Peirui Chen ◽

Qiushan Qing ◽

Mingqiang Diao ◽

Xiaokang Sun ◽

Junrong Yang ◽

...

Keyword(s):

Postoperative Period ◽

Surgical Procedure ◽

Mechanical Thrombectomy ◽

Early Postoperative Period ◽

Cerebral Embolism ◽

Case Presentation ◽

Early Symptom ◽

Life Threatening ◽

Pulmonary Vein Stump ◽

Possible Cause

Abstract Background: Cerebral embolism after lobectomy is a life-threatening complication during the early postoperative period. However, it is unclear if cerebral embolism can develop after segmentectomy. Case Presentation: We experienced a case of a 37-year-old man who demonstrated early symptom of acute ischemic stroke in early postoperative period after right upper posterior segmentectomy and performed intra-arterial mechanical thrombectomy (IAMT) successfully.Conclusions: long and irregular pulmonary vein stump (PVS) and endothelial injury caused by surgical procedure may lead to cerebral embolism after segmentectomy. We believe that doing preoperative pulmonary vascular assessment and using appropriate surgical procedure may reduce the rate of cerebral embolism.

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Frontoethmoidal Encephalocele Correction Surgery in Benin: A Case Report

Pediatric Neurosurgery ◽

10.1159/000513101 ◽

2021 ◽

Vol 56 (2) ◽

pp. 197-202

Author(s):

Marc Prod’homme ◽

Duccio Boscherini ◽

Oumama El Ezzi ◽

Mirko Dolci ◽

Raymond Bossou ◽

...

Keyword(s):

Case Report ◽

Reconstructive Surgery ◽

Multidisciplinary Team ◽

Clinical Result ◽

Surgical Procedure ◽

Case Presentation ◽

Technical Description ◽

Good Clinical Result ◽

Correction Surgery

Introduction: Primary encephalocele is a rare deformity that is challenging for the neurosurgeon. It requires a multidisciplinary team for adequate reconstructive surgery. Case Presentation: We report the case of a 6-month-old African boy who presented with a frontoethmoidal encephalocele; we present a technical description of the surgical procedure, using no implant. Discussion/Conclusion: The postoperative evolution of the boy was uneventful, with a good clinical result at the follow-up.

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