scholarly journals Total thoracoscopic high-position sleeve lobectomy of the right upper lobe of the lung

2018 ◽  
Vol 10 (7) ◽  
pp. 4490-4497
Author(s):  
Desong Yang ◽  
Yong Zhou ◽  
Wenxiang Wang
Keyword(s):  
Sleeve Lobectomy ◽  
High Position ◽  
The Right

scholarly journals Total thoracoscopic sleeve lobectomy of the middle and lower lobes of the right lung

2021 ◽  
Vol 3 ◽  
pp. 39-39
Author(s):  
Desong Yang ◽  
Yong Zhou ◽  
Wenxiang Wang
Keyword(s):  
Sleeve Lobectomy ◽  
The Right

scholarly journals Asymptomatic Post-Traumatic Rupture of the Right Diaphragm Dome

2018 ◽  
Vol 28 (4) ◽  
pp. 102-109
Author(s):  
E. A. Losik ◽  
M. V. Fadeeva ◽  
V. V. Shchegelsky ◽  
R. T. Rzaev ◽  
A. V. Stepanov ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Chest Radiograph ◽  
Vena Cava ◽  
Lower Lobe ◽  
Expectant Management ◽  
Traumatic Rupture ◽  
Thoracic Cavity ◽  
High Position ◽  
History Of ◽  
The Right

Aim.  This paper is aimed at presenting the materials of clinical observations associated with diagnosing rare-occurring ruptures of the right dome of the diaphragm that have been overlooked for a long period.Results.  A 61-year-old man was admitted to hospital with a diagnosis of chronic heart failure. Chest radiograph revealed a high position of the right dome of the diaphragm. Computed tomography revealed a defect in the central parts of the diaphragm on the right, the liver was rotated outward with its visceral surface deployed anteriorly and upward. In the right thoracic cavity, anterior to the liver, were the loops of the intestine and the outlet of the stomach.More than 30 years before, the patient had experienced an explosive trauma, which might have caused a rupture in the right dome of the diaphragm. A 70-year-old man, a smoker with a ten-year history of hypertension, was hospitalized with an increase in dyspnea, a cough with the discharge of purulent sputum, the feeling of heaviness behind the sternum. Chest radiograph revealed a high standing of the right dome of the diaphragm at the level of 3rd rib with a decrease in the volume of the right lung, and an increase in cardiac silhouette (cardiothoracic index 0.64). Computed tomography revealed a high standing of the right dome of the diaphragm as well as the compression of the middle and lower lobe of the right lung with the presence of compression atelectasis. The liver was rotated, displaced into the right thoracic cavity, the deformation of the inferior vena cava to the right was visualized due to the displacement and rotation of the liver. The consolidated fractures of 10th–12th ribs on the right were visualized. The patient had had a chest injury resulting from a traffic accident about 15 years before, with no X-ray examination having been conducted at that time.Conclusion.  In the case of left-sided diaphragm ruptures, which are much more frequent than the right-sided ones, the stomach, large and small intestines as well as spleen are displaced into the thoracic cavity. In the case of rightsided diaphragm ruptures, the liver and gallbladder are displaced into the thoracic cavity. Right-sided posttraumatic diaphragmatic hernias that are not diagnosed at the time of injury or trauma and continue to be asymptomatic for a number of years are very rare. The sensitivity and specificity of computed tomography for the diagnosis of diaphragm ruptures is 61–87 % and 72–100 %, respectively. In an acute period, the treatment of diaphragm ruptures is surgical. However, in long-term asymptomatic ruptures, expectant management is possible, particularly if the risk of surgical treatment is high. 

scholarly journals Right sleeve pneumonectomy for local recurrent lung cancer following right sleeve upper lobectomy with bronchoplasty: A case report

2020 ◽  
Author(s):  
Jun Hanaoka ◽  
Yo Kawaguchi ◽  
Keigo Okamoto ◽  
Ryosuke Kaku ◽  
Yasuhiko Ohshio
Keyword(s):  
Lung Cancer ◽  
Salvage Surgery ◽  
Main Bronchus ◽  
Median Sternotomy ◽  
Sleeve Lobectomy ◽  
Airway Reconstruction ◽  
Proximal Site ◽  
Right Pulmonary Artery ◽  
Post Operation ◽  
The Right

Abstract Background: Salvage surgery has been frequently performed, increasing the opportunity to actively perform surgery for recurrence after a function-preserving operation. However, re-operation after airway reconstruction surgery on the proximal side and the effect of prior treatment, such as radiotherapy and/or chemotherapy, make the operation more difficult. In addition, cases of sleeve pneumonectomy after sleeve lobectomy with bronchoplasty are uncommon.Case presentation: A 71-year-old lung cancer patient underwent right upper sleeve lobectomy with bronchoplasty combined with perioperative chemotherapy in 2007. A new undiagnosed right hilar mass that appeared 9 years post-operation showed a temporary response to radiotherapy but progressed thereafter. Sleeve pneumonectomy was completed 14 months after radiotherapy by the following procedures: dividing the right pulmonary artery at the proximal site under median sternotomy and then reconstructing the bronchus by telescoping the left main bronchus into the distal trachea after pneumonectomy under posterolateral thoracotomy. Conclusions: Sleeve pneumonectomy for recurrent lung cancer could be safely performed under good vision using a two-stage approach as salvage surgery, even in high-risk patients who received various treatments and proximal airway reconstruction.

The human rights to life and conscience and resolving conflicts of human rights

2016 ◽  
Vol 65 (5) ◽  
Author(s):  
Joseph Meaney ◽  
Marina Casini ◽  
Emanuela Midolo ◽  
Antonio G. Spagnolo
Keyword(s):  
Human Rights ◽  
Healthcare Professionals ◽  
Court Decisions ◽  
Right To Life ◽  
Human Right ◽  
High Position ◽  
Three Generations ◽  
Healthcare Settings ◽  
The Right

Gli autori affrontano la questione del criterio da seguire per risolvere le situazioni in cui i diritti umani legalmente riconosciuti entrano in conflitto tra loro. La questione è aggravata dalla mancanza di consenso per quanto riguarda le priorità tra i diritti umani. Tuttavia, gli autori ritengono che quando è in gioco il diritto alla vita, questo – sia dal punto di vista etico che giuridico – dovrebbe prevalere sulle rivendicazioni di altri diritti, quanto meno nella sua formulazione negativa (non cagionare la morte). Si tratta infatti, logicamente e cronologicamente del più fondamentale dei diritti. Gli autori ritengono che vi sia una forte logica a stabilire una priorità tra le tre generazioni di diritti umani andando dal più al meno importante. È comunque un utile esercizio quello di esaminare – nella dimensione del conflitto tra diritti – la questione del diritto al rispetto della coscienza nell’ambito sanitario, cercando di stabilire l’ordine delle priorità. Gli autori approvano la posizione assunta da legislazioni e decisioni giudiziarie che generalmente assicurano il riconoscimento del diritto al rispetto della coscienza per gli operatori sanitari.The authors raise the question of what should be done when legally recognized human rights come into conflict. This serious problem is further complicated by a lack of consensus concerning prioritization among human rights. Nevertheless, the authors believe that a solid legal and ethical case can be made that the right to life should trump other human rights claims, particularly in its negative version. It is in fact, logically and chronologically the most basic human right. The authors believe that there is a strong logic to prioritizing the three generations of human rights as generally more important to less so. Viewing the problem of conscience rights in healthcare settings through the prism of conflicting rights and attempting to determine which rights should prevail is also a helpful exercise. The authors concur with the generally high position that the human right of conscience of healthcare professionals has been granted in most legislation and court decisions on the issue.

scholarly journals Right sleeve pneumonectomy for local recurrent lung cancer following right sleeve upper lobectomy with bronchoplasty: A case report

2020 ◽  
Author(s):  
Jun Hanaoka ◽  
Yo Kawaguchi ◽  
Keigo Okamoto ◽  
Ryosuke Kaku ◽  
Yasuhiko Ohshio
Keyword(s):  
Lung Cancer ◽  
Salvage Surgery ◽  
Main Bronchus ◽  
Median Sternotomy ◽  
Sleeve Lobectomy ◽  
Airway Reconstruction ◽  
Proximal Site ◽  
Right Pulmonary Artery ◽  
Post Operation ◽  
The Right

Abstract Background Salvage surgery has been frequently performed, increasing the opportunity to actively perform surgery for recurrence after a function-preserving operation. However, re-operation after airway reconstruction surgery on the proximal side and the effect of prior treatment, such as radiotherapy and/or chemotherapy, make the operation more difficult. In addition, cases of sleeve pneumonectomy after sleeve lobectomy with bronchoplasty are uncommon. Case presentation A 71-year-old lung cancer patient underwent right upper sleeve lobectomy with bronchoplasty combined with perioperative chemotherapy about 11 years ago. A new undiagnosed right hilar mass that appeared 9 years post-operation showed a temporary response to radiotherapy but progressed thereafter. Sleeve pneumonectomy was completed 14 months after radiotherapy by the following procedures: dividing the right pulmonary artery at the proximal site under median sternotomy and then reconstructing the bronchus by telescoping the left main bronchus into the distal trachea after pneumonectomy under posterolateral thoracotomy. Conclusions Sleeve pneumonectomy could be safely performed under good vision using a two-stage approach as salvage surgery, even in high-risk patients who received various treatments and proximal airway reconstruction.

scholarly journals Long Term Complete Remission of Intraluminal Squamous Cell Carcinoma by Bronchoscopic Electrosurgery

1997 ◽  
Vol 4 (1) ◽  
pp. 9-11
Author(s):  
Peter M. J. M. De Vries ◽  
Pieter E. Postmus ◽  
Tom G. Sutedja
Keyword(s):  
Squamous Cell Carcinoma ◽  
Photodynamic Therapy ◽  
Complete Remission ◽  
Cell Carcinoma ◽  
Squamous Cell ◽  
Sleeve Lobectomy ◽  
Intraluminal Tumor ◽  
The Moment ◽  
The Right

A patient is described with a synchronous intraluminal squamous cell carcinoma of the left upper lobe carina. He refused photodynamic therapy after sleeve lobectomy of the right upper lobe. The intraluminal tumor was treated with fiberoptic bronchoscopic electrosurgery. Complete remission was achieved, at the moment already for 36 months.

Investor-State Dispute Settlement under NAFTA Chapter 11: The Shape of Things to Come?

1998 ◽  
Vol 35 ◽  
pp. 263-290
Author(s):  
J. Anthony VanDuzer
Keyword(s):  
Free Trade Agreement ◽  
Dispute Settlement ◽  
Trade Agreement ◽  
Minimum Standards ◽  
The North ◽  
State Behaviour ◽  
Nafta Chapter 11 ◽  
To Come ◽  
The Right

SummaryRecently, there has been a proliferation of international agreements imposing minimum standards on states in respect of their treatment of foreign investors and allowing investors to initiate dispute settlement proceedings where a state violates these standards. Of greatest significance to Canada is Chapter 11 of the North American Free Trade Agreement, which provides both standards for state behaviour and the right to initiate binding arbitration. Since 1996, four cases have been brought under Chapter 11. This note describes the Chapter 11 process and suggests some of the issues that may arise as it is increasingly resorted to by investors.

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