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  1. Article ; Online: Right robotic S4 segmentectomy.

    Saad, Haisam / Fuentes-Warr, Joana / Kouritas, Vasileios

    Multimedia manual of cardiothoracic surgery : MMCTS

    2023  Volume 2023

    Abstract: Among the various segmentectomy procedures performed for lung diseases, the right S4 segmentectomy stands out as an exceptionally rare operation. Its infrequent occurrence can be attributed to several factors, including the relatively lower incidence of ... ...

    Abstract Among the various segmentectomy procedures performed for lung diseases, the right S4 segmentectomy stands out as an exceptionally rare operation. Its infrequent occurrence can be attributed to several factors, including the relatively lower incidence of pathologies necessitating isolated resection of the S4 segment of the right lung. This video tutorial showcases the robotic approach to the rare right S4 segmentectomy, guiding surgeons through the step-by-step procedures for better understanding and proficiency.
    MeSH term(s) Humans ; Carcinoma, Non-Small-Cell Lung/pathology ; Lung Neoplasms/surgery ; Lung Neoplasms/pathology ; Robotic Surgical Procedures/methods ; Pneumonectomy/methods ; Thoracic Surgery, Video-Assisted/methods ; Retrospective Studies
    Language English
    Publishing date 2023-11-06
    Publishing country England
    Document type Video-Audio Media
    ZDB-ID 2280156-X
    ISSN 1813-9175 ; 1813-9175
    ISSN (online) 1813-9175
    ISSN 1813-9175
    DOI 10.1510/mmcts.2023.076
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Robotic reconstruction of a left hemi-diaphragm defect with double mesh in a patient with trisomy 21.

    Turner, Joe / Alqudah, Obada / Hogan, John / Kouritas, Vasileios

    Interdisciplinary cardiovascular and thoracic surgery

    2023  Volume 37, Issue 4

    Abstract: Robotic reconstructions of large diaphragmatic defects with mesh reconstructions are rare in the literature. We present a case of a complicated diaphragmatic defect, in an adult with trisomy 21, which was successfully repaired robotically with double ... ...

    Abstract Robotic reconstructions of large diaphragmatic defects with mesh reconstructions are rare in the literature. We present a case of a complicated diaphragmatic defect, in an adult with trisomy 21, which was successfully repaired robotically with double mesh reinforcement. The meshes were sutured together via a separate suture in the middle to avoid fluid accumulation between them. The patient recovered quickly and uneventfully. On follow-up, he reported no pain, and his performance score improved dramatically. We present this complicated reconstruction in this specific patient, who we think benefitted from avoiding a thoraco-abdominal incision, demonstrating the merits of persevering with a robotic approach.
    Language English
    Publishing date 2023-07-14
    Publishing country England
    Document type Journal Article
    ISSN 2753-670X
    ISSN (online) 2753-670X
    DOI 10.1093/icvts/ivad108
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Trans-fissure and trans-lobar coil insertion technique for small lesions positioned inside the fissure.

    Purmessur, Rushmi / Waugh, James / Crawford, Michael / Kouritas, Vasileios

    Updates in surgery

    2023  Volume 75, Issue 8, Page(s) 2377–2381

    Abstract: The objective of this study is to present a technique of localization of difficult-to-locate lesions inside the fissure by deploying a coil with one of its ends left inside the fissure, and also, to evaluate the safety and the efficiency of this ... ...

    Abstract The objective of this study is to present a technique of localization of difficult-to-locate lesions inside the fissure by deploying a coil with one of its ends left inside the fissure, and also, to evaluate the safety and the efficiency of this localization technique. Ten (10) patients with lesions in the fissure were identified during discussion at the multidisciplinary team meeting (MDT) and were recruited in the study. Attending surgeons verified that the lesions were unable to be located with minimally invasive approaches. These patients underwent localization of their lesion/s inside the fissure with a coil which was inserted through an adjacent lobe, through the fissure and inside the lesion with the other end protruding inside the fissure. All patients were next subjected to resection of their lesions with minimally invasive approaches. All patients had their lesions resected (with wedge resection or segmentectomies) with adequate margins (R0 resection). No conversion to thoracotomy was necessitated to attempt to palpate the lesion. Small, localized pneumothorax was noted in 7 patients; whereas, all patients had small laceration of their lung parenchyma along the course of the needle without, however, any action needed for these sequalae. The presented technique offers precise localization which leads to successful and safe resection of difficult-to-locate lesions inside the fissure via minimally invasive approaches. The clinical implications of this technique are numerous and its utilization can augment the successful performance of minimally invasive techniques for lesions situated inside the fissure.
    MeSH term(s) Humans ; Lung ; Lung Neoplasms/surgery
    Language English
    Publishing date 2023-07-26
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 2572692-4
    ISSN 2038-3312 ; 2038-131X
    ISSN (online) 2038-3312
    ISSN 2038-131X
    DOI 10.1007/s13304-023-01590-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.B 101: Show issues Location:
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  4. Article ; Online: Chest wall resection with robotic-assisted thoracoscopic surgery for a Pancoast tumour: a case report.

    Mandishona, Tarisai / Asemota, Nicole / Alqudah, Obadah / Saad, Haisam / Fuentes-Warr, Joanna / Rhodes, Lydia / Kouritas, Vasileios

    Multimedia manual of cardiothoracic surgery : MMCTS

    2024  Volume 2024

    Abstract: We describe a rare procedure involving near-total robotic-assisted thoracoscopic surgery resection of a right posterior Pancoast tumour. Four ports and an assistant port were used. The DaVinci X system was used. The lobectomy was performed first to allow ...

    Abstract We describe a rare procedure involving near-total robotic-assisted thoracoscopic surgery resection of a right posterior Pancoast tumour. Four ports and an assistant port were used. The DaVinci X system was used. The lobectomy was performed first to allow for adequate exposure to the apex and spine. The lateral aspect of ribs 1 to 4 was resected next, and the extrathoracic space was entered. Dissection proceeded through this space superiorly up to the level of the scapula and then posteriorly towards the spine. The second to the fifth ribs were dissected off the chest wall and resected medially off the spine at the rib heads. Further postero-superior exploration revealed the tumour to be invading the transverse process of the second rib, with ill-defined margins. Because of this development, and with the support of the spinal surgeons, a small high posterior thoracotomy was performed to complete the procedure and remove the specimen en bloc. The postoperative recovery was uneventful, and the patient was discharged on post-operative day 5. The final histological report confirmed a squamous non-small-cell lung cancer (pT3N0M0) with negative margins (R0). Asymptomatic recurrence was noted near the margin of the second rib resection posteriorly 1 year postoperatively and was successfully treated with radiotherapy.
    MeSH term(s) Humans ; Robotic Surgical Procedures ; Thoracic Wall/surgery ; Carcinoma, Non-Small-Cell Lung ; Pancoast Syndrome/surgery ; Lung Neoplasms/surgery ; Thoracoscopy
    Language English
    Publishing date 2024-03-25
    Publishing country England
    Document type Case Reports ; Video-Audio Media
    ZDB-ID 2280156-X
    ISSN 1813-9175 ; 1813-9175
    ISSN (online) 1813-9175
    ISSN 1813-9175
    DOI 10.1510/mmcts.2023.063
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Tracheal laceration causing important post-intubation delayed subcutaneous emphysema and ventilatory deterioration in a COVID-19 patient with severe rheumatoid arthritis: a case report.

    Nyi, Tha / Chrastek, David / Shah, Shalesh / Kouritas, Vasileios

    Mediastinum (Hong Kong, China)

    2021  Volume 5, Page(s) 30

    Abstract: A 68-year-old man with a background of severe active rheumatoid arthritis (RA) was admitted to Intensive Care Unit (ICU) for respiratory support due to COVID-19 infection. Two days after an elective and uneventful intubation he developed severe and ... ...

    Abstract A 68-year-old man with a background of severe active rheumatoid arthritis (RA) was admitted to Intensive Care Unit (ICU) for respiratory support due to COVID-19 infection. Two days after an elective and uneventful intubation he developed severe and worsening surgical emphysema affecting his face, neck and both upper limbs. Ventilation was difficult to be achieved. Based on a negative chest X-ray, a CT scan of the chest was organized which showed extensive pneumomediastinum with no obvious cause. Therefore, urgent bronchoscopy was performed which showed a glassy lesion/laceration measuring 2 cm × 2 cm at the level of mid-trachea but no other signs of penetration through the airways were noted. Since events appeared 2 days after intubation, this was perceived as secondary to trauma during intubation on an inflammatory process background from RA and COVID-19 in the airways. The endotracheal tube was progressed beyond the site of laceration and bilateral pectoral fasciotomies were performed with negative suction vacuum dressings, which was successful in decreasing the surgical emphysema and achieving decreased ventilation requirements. Despite multi-organ support the patient continued to deteriorate and unfortunately passed away a week following admission. This scenario hightlighted that endotracheal sequalae should be suspected in patients with similar background and presentation.
    Language English
    Publishing date 2021-09-25
    Publishing country China
    Document type Case Reports
    ISSN 2522-6711
    ISSN (online) 2522-6711
    DOI 10.21037/med-21-12
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Procalcitonin Measurement in Pleural Fluid to Predict Infectious Complications of the Chest Post Lung Resection.

    Kouritas, Vasileios / Zissis, Charalambos / Bellenis, Ionas

    Journal of investigative surgery : the official journal of the Academy of Surgical Research

    2020  Volume 34, Issue 12, Page(s) 1317–1321

    Abstract: Aim: Procalcitonin (PCT) is variably used in clinical practice to identify infectious processes. This study investigated whether PCT level in pleural fluids could predict the infectious complications in the chests of patients undergoing lobectomy.: ... ...

    Abstract Aim: Procalcitonin (PCT) is variably used in clinical practice to identify infectious processes. This study investigated whether PCT level in pleural fluids could predict the infectious complications in the chests of patients undergoing lobectomy.
    Patients and methods: Thirty-four patients undergoing lobectomy for lung cancer were enrolled. PCT levels were measured in serum (S-PCT) and pleural effusion (PF-PCT) on consecutive postoperative days (PODs). The patients were grouped according to the development of chest infectious complications (atelectasis/pneumonia, postoperative infected pleural effusion/empyema/infected space, prolonged air leak >5 days with evidence of infection, lung torsion, and lung infarction). Multivariate analysis was performed to identify if S-PCT or PF-PCT and on which PODs were predictive of chest infectious complications. Receiver operating characteristic (ROC) analysis was further performed to identify cutoff values.
    Results: Eleven patients experienced infectious complications within a median of 4 days (range 3-5 days) postoperatively. S-PCT and PF-PCT in non-complicated patients did not significantly increase postoperatively and followed a decreasing course. Only PF-PCT was significantly increased in complicated patients from POD1; the level peaked on POD4, as did that of S-PCT. PF-PCT on POD2 and 3 and S-PCT on POD3 independently predicted chest infectious complications. ROC analysis showed that PF-PCT > 0.88 ng/dL on POD2 was the most sensitive predictor of such complications (area under the ROC curve [AUC]: 0.979, sensitivity 85%/specificity 91%,
    Conclusion: Compared to PCT concentrations in serum, those in pleural fluids were more sensitive and predicted chest infectious complications earlier in patients undergoing lobectomy.
    MeSH term(s) Biomarkers ; C-Reactive Protein/analysis ; Humans ; Lung ; Lung Diseases ; Procalcitonin ; Torsion Abnormality
    Chemical Substances Biomarkers ; Procalcitonin ; C-Reactive Protein (9007-41-4)
    Language English
    Publishing date 2020-08-18
    Publishing country United States
    Document type Journal Article
    ZDB-ID 639444-9
    ISSN 1521-0553 ; 0894-1939
    ISSN (online) 1521-0553
    ISSN 0894-1939
    DOI 10.1080/08941939.2020.1801912
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2364: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  7. Article: The lobar

    Kouritas, Vasileios / Milton, Richard

    Annals of translational medicine

    2017  Volume 5, Issue 7, Page(s) 169

    Language English
    Publishing date 2017-04-27
    Publishing country China
    Document type Editorial ; Comment
    ZDB-ID 2893931-1
    ISSN 2305-5847 ; 2305-5839
    ISSN (online) 2305-5847
    ISSN 2305-5839
    DOI 10.21037/atm.2017.03.51
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Impact of the type of initial intervention on the outcomes of lung volume reduction for emphysema: a propensity matched study.

    Kouritas, Vasileios / Tcherveniakov, Peter / Milton, Richard / Papagiannopoulos, Kostas / Brunelli, Alessandro / Karthik, Shishir / Dimov, Doytchin / Kefaloyannis, Emmanouel / Chaudhuri, Nilanjan

    Annals of translational medicine

    2023  Volume 10, Issue 23, Page(s) 1275

    Abstract: Background: The type of initial intervention i.e., endobronchial valve (EBV) implantation or lung volume reduction surgery (LVRS) to be offered as initial intervention remains vague in the treatment of emphysema-chronic obstructive pulmonary disease ( ... ...

    Abstract Background: The type of initial intervention i.e., endobronchial valve (EBV) implantation or lung volume reduction surgery (LVRS) to be offered as initial intervention remains vague in the treatment of emphysema-chronic obstructive pulmonary disease (COPD) patients. Aim of the present study was to compare the outcomes of EBV with that of LVRS in emphysema patients who could have both offered as an initial intervention.
    Methods: The outcomes of 44 EBV patients were retrospectively compared to the outcomes of 44 matched LVRS patients (matched for age, gender, performance status, body mass index (BMI), lung functions, comorbidities and exercise tolerance, matching tolerance 0.2) treated in a single institute within a 5-year period. The median follow-up was 32 months (maximum duration 84 months).
    Results: Mean age was 61.91±9.48 years and 55 (62.5%) were male. Postoperative morbidity was similar but length of stay (LOS) was longer in the LVRS group (median 10
    Conclusions: EBV or LVRS as initial intervention are similar in terms of morbidity and mortality. EBV showed shorter LOS whilst LVRS necessitated less but more severe re-interventions and led to better overall quality of life.
    Language English
    Publishing date 2023-01-08
    Publishing country China
    Document type Journal Article
    ZDB-ID 2893931-1
    ISSN 2305-5847 ; 2305-5839
    ISSN (online) 2305-5847
    ISSN 2305-5839
    DOI 10.21037/atm-22-2429
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Robotic resection of anterior mediastinal masses >10 cm: a case series.

    Alqudah, Obada / Purmessur, Rhusmi / Hogan, John / Saad, Haisam / Fuentes-Warr, Joana / Francis, Jonathon / Thandayuthapani, Santosh / Kouritas, Vasileios

    Mediastinum (Hong Kong, China)

    2023  Volume 7, Page(s) 29

    Abstract: Background: Robot-assisted thoracic surgery (RATS) for intrathoracic pathology and especially for mediastinal mass resection has been increasingly accepted as an alternative method to open sternotomy and video-assisted thoracic surgery (VATS). However, ... ...

    Abstract Background: Robot-assisted thoracic surgery (RATS) for intrathoracic pathology and especially for mediastinal mass resection has been increasingly accepted as an alternative method to open sternotomy and video-assisted thoracic surgery (VATS). However, the utilization of this approach for complex and advanced in size cases needs more clinical evidence. We are presenting a series of 4 patients who had resection of >10 cm mediastinal masses via RATS.
    Cases description: The mean age was 76.25±10.3 years and 3 were males (75%). All masses were positron emission tomography (PET) positive, and 1 patient had positive Acetyl-cholinesterase antibodies and myasthenia gravis (MG). All patients underwent RATS resection via DaVinci
    Conclusions: This report shows that RATS is safe and can be offered in the management of >10 cm anterior mediastinal masses. The previous size limit of the tumor for minimally invasive and especially RATS approach of 5 cm should be challenged.
    Language English
    Publishing date 2023-04-26
    Publishing country China
    Document type Case Reports
    ISSN 2522-6711
    ISSN (online) 2522-6711
    DOI 10.21037/med-22-41
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Streptococcus constellatus

    Chrastek, D / Hickman, S / Sitaranjan, D / Vokshi, I / Kakisi, O / Kadlec, J / Bartosik, W / Van Tornout, F / Kouritas, V

    Case reports in infectious diseases

    2020  Volume 2020, Page(s) 4630809

    Abstract: Streptococcus ... ...

    Abstract Streptococcus constellatus
    Language English
    Publishing date 2020-07-12
    Publishing country Egypt
    Document type Case Reports
    ZDB-ID 2627642-2
    ISSN 2090-6633 ; 2090-6625
    ISSN (online) 2090-6633
    ISSN 2090-6625
    DOI 10.1155/2020/4630809
    Database MEDical Literature Analysis and Retrieval System OnLINE

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