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  1. Article: Saving Lives in Thoracic Surgery: Balancing Oncological Radicality and Functional Preservation, Transitioning from Standard Pneumonectomy to Targeted Sublobar Resection.

    Eguchi, Takashi / Kumeda, Hirotaka / Miura, Kentaro / Hamanaka, Kazutoshi / Shimizu, Kimihiro

    Cancers

    2024  Volume 16, Issue 4

    Abstract: This review chronicles the evolution of thoracic surgical interventions, from the standardized pneumonectomy to the precise approach of sublobar resections. It discusses the emergence and acceptance of minimally invasive and robot-assisted surgical ... ...

    Abstract This review chronicles the evolution of thoracic surgical interventions, from the standardized pneumonectomy to the precise approach of sublobar resections. It discusses the emergence and acceptance of minimally invasive and robot-assisted surgical techniques, highlighting their impact on improving outcomes beyond cancer and their influence on the surgical management of early-stage lung cancer. Evaluating historical developments alongside present methodologies, this review underscores the critical need for meticulous surgical planning and execution to optimize both oncological radicality and functional preservation. This evolution portrayed not only technical advancements but also a shift in the clinical approach towards tailored, organ-preserving methodologies, culminating in a contemporary framework promoting sublobar resections as the standard for specific patient profiles, signifying a new era of precision in thoracic surgery.
    Language English
    Publishing date 2024-02-18
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2527080-1
    ISSN 2072-6694
    ISSN 2072-6694
    DOI 10.3390/cancers16040819
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Robotic segmentectomy using a lung base-flip approach.

    Eguchi, Takashi / Miura, Kentaro / Hamanaka, Kazutoshi / Shimizu, Kimihiro

    JTCVS techniques

    2022  Volume 15, Page(s) 174–176

    Language English
    Publishing date 2022-08-03
    Publishing country United States
    Document type Journal Article
    ISSN 2666-2507
    ISSN (online) 2666-2507
    DOI 10.1016/j.xjtc.2022.07.013
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: The extent of pulmonary resection for lung metastases from colorectal cancer.

    Mishima, Shuji / Shimizu, Kimihiro / Hamanaka, Kazutoshi / Eguchi, Takashi

    Journal of thoracic disease

    2022  Volume 14, Issue 10, Page(s) 3667–3670

    Language English
    Publishing date 2022-11-08
    Publishing country China
    Document type Editorial ; Comment
    ZDB-ID 2573571-8
    ISSN 2077-6624 ; 2072-1439
    ISSN (online) 2077-6624
    ISSN 2072-1439
    DOI 10.21037/jtd-22-1137
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Fixation rate of fiducial gold markers in each segmental bronchus for stereotactic body radiotherapy.

    Imasaka, Keisuke / Isobe, Kazutoshi / Hamanaka, Nobuyuki / Kishi, Kazuma

    Respiratory investigation

    2023  Volume 61, Issue 2, Page(s) 190–199

    Abstract: Background: In real-time tumor-tracking radiotherapy for lung tumors, placement of fiducials, such as a gold marker (GM), is necessary. However, transbronchially placed GMs often drop out spontaneously. Therefore, we aimed to clarify the fixation rate ... ...

    Abstract Background: In real-time tumor-tracking radiotherapy for lung tumors, placement of fiducials, such as a gold marker (GM), is necessary. However, transbronchially placed GMs often drop out spontaneously. Therefore, we aimed to clarify the fixation rate of GMs in each segmental bronchus.
    Methods: In this study, we examined the fixation rates of 791 GMs placed in 235 patients (259 procedures), from November 2011 to November 2020, at a single facility. The relationship between the elapsed time and the fixation rate was assessed using the Kaplan-Meier method. Moreover, we measured the distance between the GM and the chest wall (DMC), as confirmed using planning computed tomography, and analyzed the relationship of this distance with the fixation rate.
    Results: Overall, 28.8% of GMs dropped out within 10 days of placement. The fixation rate of GMs in the bronchi was significantly lower in the upper lobe than in the other lobes, in both lungs (right, p < 0.01; left, p = 0.05). Moreover, in the left upper lobe, the fixation rate of GMs was significantly lower in B
    Conclusions: The fixation rate of GMs was lower in the upper lobes than in the lower lobes. Additionally, the fixation rate was lower in B
    MeSH term(s) Humans ; Radiosurgery/methods ; Gold ; Fiducial Markers ; Bronchi ; Lung Neoplasms/surgery
    Chemical Substances Gold (7440-57-5)
    Language English
    Publishing date 2023-02-03
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2660821-2
    ISSN 2212-5353 ; 2212-5345
    ISSN (online) 2212-5353
    ISSN 2212-5345
    DOI 10.1016/j.resinv.2022.12.008
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Harnessing 3D-CT Simulation and Planning for Enhanced Precision Surgery: A Review of Applications and Advancements in Lung Cancer Treatment.

    Hamanaka, Kazutoshi / Miura, Kentaro / Eguchi, Takashi / Shimizu, Kimihiro

    Cancers

    2023  Volume 15, Issue 22

    Abstract: The clinical application of three-dimensional computed tomography (3D-CT) technology has rapidly expanded in the last decade and has been applied to lung cancer surgery. Two consecutive reports of large-scale prospective clinical trials from Japan and ... ...

    Abstract The clinical application of three-dimensional computed tomography (3D-CT) technology has rapidly expanded in the last decade and has been applied to lung cancer surgery. Two consecutive reports of large-scale prospective clinical trials from Japan and the United States have brought a paradigm shift in lung cancer surgery and may have led to a rapid increase in sublobar lung resections. Sublobar resection, especially segmentectomy, requires a more precise understanding of the anatomy than lobectomy, and preoperative 3D simulation and intraoperative navigation support it. The latest 3D simulation software packages are user-friendly. Therefore, in this narrative review, we focus on recent attempts to apply 3D imaging technologies, particularly in the sublobar resection of the lung, and review respective research and outcomes. Improvements in CT accuracy and the use of 3D technology have advanced lung segmental anatomy. Clinical applications have enabled the safe execution of complex sublobar resection through a minimally invasive approach, such as video-assisted thoracoscopic surgery and robotic surgery. However, currently, many facilities still render 3D images on two-dimensional monitors for usage. In the future, it will be challenging to further spread and advance intraoperative navigation through the application of 3D output technologies such as extended reality.
    Language English
    Publishing date 2023-11-14
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2527080-1
    ISSN 2072-6694
    ISSN 2072-6694
    DOI 10.3390/cancers15225400
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: [Procedures of Video-assisted Thoracoscopic Surgery for Patients with Intrathoracic Pleural Adhesions].

    Hamanaka, Kazutoshi / Shimizu, Kimihiro

    Kyobu geka. The Japanese journal of thoracic surgery

    2021  Volume 74, Issue 7, Page(s) 497–501

    Abstract: With the progress of surgical instruments and surgical techniques, endoscopic surgery has become remarkably widespread, and techniques of the thoracoscopic surgery are considered to have become common. It is not uncommon to encounter cases with ... ...

    Abstract With the progress of surgical instruments and surgical techniques, endoscopic surgery has become remarkably widespread, and techniques of the thoracoscopic surgery are considered to have become common. It is not uncommon to encounter cases with intrathoracic pleural adhesions, such as not only a history of intrathoracic inflammatory disease, but also second cancer after resection of early-stage lung cancer and multiple operations for metastatic lung tumor. It is important for thoracic surgeons to have a technique that enables thoracoscopic adhesiolysis without open thoracotomy to maintain the quality of life (QOL) and activity of daily living (ADL) of the patient. In this article, we would like to describe the concept of video-assisted thoracoscopic surgery for cases with intrathoracic pleural adhesions to avoid a conversion to open thoracotomy.
    MeSH term(s) Humans ; Lung Neoplasms/surgery ; Pleural Diseases/surgery ; Quality of Life ; Thoracic Surgery, Video-Assisted ; Thoracotomy
    Language Japanese
    Publishing date 2021-07-01
    Publishing country Japan
    Document type Journal Article
    ZDB-ID 603899-2
    ISSN 0021-5252
    ISSN 0021-5252
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Adoption of Robotic Core Technology in Minimally Invasive Lung Segmentectomy: Review.

    Eguchi, Takashi / Miura, Kentaro / Hamanaka, Kazutoshi / Shimizu, Kimihiro

    Journal of personalized medicine

    2022  Volume 12, Issue 9

    Abstract: A recent randomized trial demonstrated the survival superiority of lung segmentectomy over lobectomy in patients with early stage, small-sized lung cancer. Hence, there is a pressing need for thoracic surgeons to gain familiarity with lung segmentectomy. ...

    Abstract A recent randomized trial demonstrated the survival superiority of lung segmentectomy over lobectomy in patients with early stage, small-sized lung cancer. Hence, there is a pressing need for thoracic surgeons to gain familiarity with lung segmentectomy. However, lung segmentectomy, especially via minimally invasive surgery, is a technically challenging thoracic surgical procedure. The robotic surgery platform helps surgeons to improve their operative performance based on its core technological features: improved dexterity, precision, and visualization. Herein, we have discussed the key issues related to robotic lung segmentectomy, explicitly focusing on the technical features of complex segmentectomy under difficult conditions. We have also introduced our preferred surgical strategy for robotic lung segmentectomy with specific maneuvers.
    Language English
    Publishing date 2022-08-30
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2662248-8
    ISSN 2075-4426
    ISSN 2075-4426
    DOI 10.3390/jpm12091417
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Adoption of Robotic Core Technology in Minimally Invasive Lung Segmentectomy

    Takashi Eguchi / Kentaro Miura / Kazutoshi Hamanaka / Kimihiro Shimizu

    Journal of Personalized Medicine, Vol 12, Iss 1417, p

    Review

    2022  Volume 1417

    Abstract: A recent randomized trial demonstrated the survival superiority of lung segmentectomy over lobectomy in patients with early stage, small-sized lung cancer. Hence, there is a pressing need for thoracic surgeons to gain familiarity with lung segmentectomy. ...

    Abstract A recent randomized trial demonstrated the survival superiority of lung segmentectomy over lobectomy in patients with early stage, small-sized lung cancer. Hence, there is a pressing need for thoracic surgeons to gain familiarity with lung segmentectomy. However, lung segmentectomy, especially via minimally invasive surgery, is a technically challenging thoracic surgical procedure. The robotic surgery platform helps surgeons to improve their operative performance based on its core technological features: improved dexterity, precision, and visualization. Herein, we have discussed the key issues related to robotic lung segmentectomy, explicitly focusing on the technical features of complex segmentectomy under difficult conditions. We have also introduced our preferred surgical strategy for robotic lung segmentectomy with specific maneuvers.
    Keywords lung segmentectomy ; minimally invasive surgery ; robotic-assisted thoracic surgery ; surgical skills ; Medicine ; R
    Language English
    Publishing date 2022-08-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article ; Online: Anatomical resection for right B

    Miura, Kentaro / Shimizu, Kimihiro / Mishima, Shuji / Matsuoka, Shunichiro / Eguchi, Takashi / Hamanaka, Kazutoshi

    General thoracic and cardiovascular surgery

    2022  

    Abstract: The right ... ...

    Abstract The right B
    Language English
    Publishing date 2022-10-27
    Publishing country Japan
    Document type Journal Article
    ZDB-ID 2376888-5
    ISSN 1863-6713 ; 1863-6705
    ISSN (online) 1863-6713
    ISSN 1863-6705
    DOI 10.1007/s11748-022-01884-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Eighth edition T category is prognostic: the size of the solid component matters, not the ratio.

    Hamanaka, Kazutoshi / Eguchi, Takashi / Shimizu, Kimihiro

    Journal of thoracic disease

    2020  Volume 12, Issue 6, Page(s) 3426–3428

    Language English
    Publishing date 2020-03-12
    Publishing country China
    Document type Editorial ; Comment
    ZDB-ID 2573571-8
    ISSN 2077-6624 ; 2072-1439
    ISSN (online) 2077-6624
    ISSN 2072-1439
    DOI 10.21037/jtd.2020.01.50
    Database MEDical Literature Analysis and Retrieval System OnLINE

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