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  1. AU="Rothenberg, Steven"
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  1. Book: Atlas of Pediatric Laparoscopy and Thoracoscopy

    Holcomb, George W. / Rothenberg, Steven S.

    2021  

    Keywords MHMS
    Language English
    Size 336 p.
    Edition 2
    Publisher Elsevier - Health Sciences Division
    Document type Book
    Note PDA Manuell_11
    Format 286 x 224 x 20
    ISBN 9780323694346 ; 0323694349
    Database PDA

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  2. Article ; Online: Thoracoscopic Lobectomy in Infants and Children.

    Rothenberg, Steven S

    Journal of laparoendoscopic & advanced surgical techniques. Part A

    2021  Volume 31, Issue 10, Page(s) 1157–1161

    Abstract: Indications for pulmonary lobectomy in infants and children include cystic pulmonary adenomatoid malformation, congenital lobar emphysema, chronic infection, and malignancy. These procedures can now all be done thoracoscopically avoiding the short- and ... ...

    Abstract Indications for pulmonary lobectomy in infants and children include cystic pulmonary adenomatoid malformation, congenital lobar emphysema, chronic infection, and malignancy. These procedures can now all be done thoracoscopically avoiding the short- and long-term morbidity of an open thoracotomy. In this article we describe the technique of thoracoscopic lobectomy as well as the preoperative and postoperative care.
    MeSH term(s) Child ; Cystic Adenomatoid Malformation of Lung, Congenital/surgery ; Humans ; Infant ; Lung/surgery ; Pneumonectomy ; Pulmonary Emphysema/surgery ; Thoracotomy ; Treatment Outcome
    Language English
    Publishing date 2021-10-04
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1381909-4
    ISSN 1557-9034 ; 1092-6429
    ISSN (online) 1557-9034
    ISSN 1092-6429
    DOI 10.1089/lap.2021.0454
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    Zs.A 3246: Show issues Location:
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  3. Article ; Online: Translation of Artificial Intelligence Into Practice: The Radiologist as a Vendor.

    Rothenberg, Steven / Gupta, Sonia / Boonn, William / Kim, Woojin

    Journal of the American College of Radiology : JACR

    2023  Volume 20, Issue 9, Page(s) 875–876

    Language English
    Publishing date 2023-07-19
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2274861-1
    ISSN 1558-349X ; 1546-1440
    ISSN (online) 1558-349X
    ISSN 1546-1440
    DOI 10.1016/j.jacr.2023.06.021
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  4. Article ; Online: Evaluation of Thoracoscopic Lobectomy in Infants for Congenital Lung Lesions: Earlier Is Better!

    Rothenberg, Steven / Shipman, Kristin / Lai, Sarah / Kay, Saundra

    Journal of pediatric surgery

    2023  Volume 59, Issue 3, Page(s) 368–371

    MeSH term(s) Infant ; Humans ; Pneumonectomy/methods ; Thoracic Surgery, Video-Assisted/methods ; Lung/surgery ; Thoracoscopy/methods ; Thorax ; Pulmonary Artery ; Length of Stay ; Retrospective Studies ; Treatment Outcome ; Lung Neoplasms/surgery
    Language English
    Publishing date 2023-10-29
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80165-3
    ISSN 1531-5037 ; 0022-3468
    ISSN (online) 1531-5037
    ISSN 0022-3468
    DOI 10.1016/j.jpedsurg.2023.10.060
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  5. Article ; Online: Thoracoscopic Lobectomy in Infants and Children Utilizing a 5 mm Stapling Device.

    Rothenberg, Steven

    Journal of laparoendoscopic & advanced surgical techniques. Part A

    2016  Volume 26, Issue 12, Page(s) 1036–1038

    Abstract: Purpose: Thoracoscopic lobectomy for congenital cystic lung disease has become an accepted and in many institutions the preferred technique. However, the technical challenges are many. Previous endoscopic staplers (12 mm) used commonly in adults are too ...

    Abstract Purpose: Thoracoscopic lobectomy for congenital cystic lung disease has become an accepted and in many institutions the preferred technique. However, the technical challenges are many. Previous endoscopic staplers (12 mm) used commonly in adults are too large for use in infants This study evaluates the safety and efficacy of using a 5 mm stapling device to seal and divide major pulmonary structures.
    Methods: From July 2014 to March 2016, 26 patients of age 6 weeks to 13 months underwent thoracoscopic lobectomy for CPAM or sequestration. Weights ranged from 3.2 to 11.4 kg. There were 7 upper lobectomies, 2 middle, and 17 lower lobectomies. In each case, the 5 mm stapler (Justright Surgical; Louisville, Colorado) was the primary device for vessel and bronchial sealing and division. It is 4.8 mm in diameter with an anvil length of 25 mm and lays down four rows of staples and divides between them. A 3 mm sealing device was used for dissection and to take smaller segmental vessels as necessary. Stump lines were evaluated for bleeding or air leak in all cases.
    Results: All procedures were accomplished successfully thoracoscopically. The stapler was used on the main lobar artery cases and vein in 24 cases, a large systemic sequestration vessel in 5 cases, and the bronchus in all 26. The stapler was also used to complete the minor fissure in 1 case and the major fissure in 1 case. A total of 96 staple loads were fired. Operative times ranged from 35 to 135 minutes. There was no significant bleeding of any vascular stump. In 1 case, the edge of the bronchial stump had to be reinforced, this was thought to be secondary to too much tissue being enclosed in the jaws. There were no postoperative complications.
    Conclusion: The use of a 5 mm stapling device appears to be safe and effective in thoracoscopic lobectomy in infants. It allows for safe management of major pulmonary vessels and bronchi in the confined chest of an infant through a single 5 mm port.
    MeSH term(s) Bronchi/surgery ; Dissection ; Female ; Humans ; Infant ; Length of Stay ; Lung/surgery ; Lung Diseases/congenital ; Lung Diseases/surgery ; Male ; Operative Time ; Pneumonectomy/methods ; Postoperative Complications/epidemiology ; Pulmonary Artery/surgery ; Pulmonary Veins/surgery ; Surgical Stapling/instrumentation ; Thoracoscopy/methods ; Treatment Outcome
    Language English
    Publishing date 2016-12
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2608063-1
    ISSN 1557-9034 ; 1092-6429
    ISSN (online) 1557-9034
    ISSN 1092-6429
    DOI 10.1089/lap.2016.0334
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  6. Article ; Online: Thoracoscopic management of non-type C esophageal atresia and tracheoesophageal atresia.

    Rothenberg, Steven S

    Journal of pediatric surgery

    2017  

    Abstract: Purpose: This study evaluates the results of thoracoscopic management of complex, non-type C, EA and TEF in infants.: Methods: From March 2000 to February 2017, 23 patients were treated for Type A N=13, Type B N=4, and Type E N=6. Patients diagnosed ... ...

    Abstract Purpose: This study evaluates the results of thoracoscopic management of complex, non-type C, EA and TEF in infants.
    Methods: From March 2000 to February 2017, 23 patients were treated for Type A N=13, Type B N=4, and Type E N=6. Patients diagnosed with EA had G-tube feeds for a period of 4-9weeks. All procedures were performed thoracoscopically. EA gaps were between 4 and 7 1/2 vertebral bodies.
    Results: All surgeries were completed thoracoscopically. Average operative time was 95min for Type A, 115min for Type B, and 50min for Type E. Two patients with long gaps had small leaks which resolved with conservative management. One patient with an H-type was re-intubated causing a partial disruption of the tracheal repair. This required thoracoscopic re-exploration with repair and placement of an intercostal muscle flap. No patient has any clinical evidence of fused ribs, chest wall asymmetry, shoulder girdle weakness, or winged scapula.
    Conclusion: Thoracoscopic repair of complex EA and TEF is safe and effective. The excellent visualization of the thoracic inlet allows for extensive mobilization creating sufficient length for long gaps and safely managing high fistulas. This may limit injury to adjacent structures and avoid a neck incision and chest wall deformity.
    Level of evidence: IV.
    Language English
    Publishing date 2017-10-12
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80165-3
    ISSN 1531-5037 ; 0022-3468
    ISSN (online) 1531-5037
    ISSN 0022-3468
    DOI 10.1016/j.jpedsurg.2017.10.025
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  7. Article ; Online: Prospective Evaluation of a Machine-Learning Prediction Model for Missed Radiology Appointments.

    Rothenberg, Steven / Bame, Bill / Herskovitz, Ed

    Journal of digital imaging

    2022  Volume 35, Issue 6, Page(s) 1690–1693

    Abstract: The term "no-show" refers to scheduled appointments that a patient misses, or for which she arrives too late to utilize medical resources. Accurately predicting no-shows creates opportunities to intervene, ensuring that patients receive needed medical ... ...

    Abstract The term "no-show" refers to scheduled appointments that a patient misses, or for which she arrives too late to utilize medical resources. Accurately predicting no-shows creates opportunities to intervene, ensuring that patients receive needed medical resources. A machine-learning (ML) model can accurately identify individuals at high no-show risk, to facilitate strategic and targeted interventions. We used 4,546,104 non-same-day scheduled appointments in our medical system from 1/1/2017 through 1/1/2020 for training data, including 631,386 no-shows. We applied eight ML techniques, which yielded cross-validation AUCs of 0.77-0.93. We then prospectively tested the best performing model, Gradient Boosted Regression Trees, over a 6-week period at a single outpatient location. We observed 123 no-shows. The model accurately identified likely no-show patients retrospectively (AUC 0.93) and prospectively (AUC 0.73, p < 0.0005). Individuals in the highest-risk category were three times more likely to no-show than the average of all other patients. No-show prediction modeling based on machine learning has the potential to identify patients for targeted interventions to improve their access to medical resources, reduce waste in the medical system and improve overall operational efficiency. Caution is advised, due to the potential for bias to decrease the quality of service for patients based on race, zip code, and gender.
    MeSH term(s) Female ; Humans ; Retrospective Studies ; Machine Learning ; No-Show Patients ; Appointments and Schedules ; Radiology
    Language English
    Publishing date 2022-06-29
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1033897-4
    ISSN 1618-727X ; 0897-1889
    ISSN (online) 1618-727X
    ISSN 0897-1889
    DOI 10.1007/s10278-022-00670-3
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    Zs.A 2941: Show issues Location:
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  8. Article ; Online: Thoracoscopic repair of esophageal atresia and tracheo-esophageal fistula in neonates: the current state of the art.

    Rothenberg, Steven

    Pediatric surgery international

    2014  Volume 30, Issue 10, Page(s) 979–985

    Abstract: The first thoracoscopic esophageal atresia with tracheo-esophageal fistula (EATEF) repair was performed in March of 2000. This report evaluates the results and evolution of the technique over the last decade. Thoracoscopic esophageal atresia repair has ... ...

    Abstract The first thoracoscopic esophageal atresia with tracheo-esophageal fistula (EATEF) repair was performed in March of 2000. This report evaluates the results and evolution of the technique over the last decade. Thoracoscopic esophageal atresia repair has proven to be an effective and safe technique. Initial experience resulted in a higher stricture rate but this improved with experience and changes in technique over the last decade. The outcomes are similar to or superior to that of an open thoracotomy and avoid the musculoskeletal morbidity associated with that technique.
    MeSH term(s) Esophageal Atresia ; Esophagoplasty/methods ; Humans ; Infant, Newborn ; Tracheoesophageal Fistula/surgery ; Treatment Outcome
    Language English
    Publishing date 2014-08-29
    Publishing country Germany
    Document type Journal Article ; Review
    ZDB-ID 632773-4
    ISSN 1437-9813 ; 0179-0358
    ISSN (online) 1437-9813
    ISSN 0179-0358
    DOI 10.1007/s00383-014-3586-7
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  9. Article ; Online: General-Purpose Large Language Models Versus a Domain-Specific Natural Language Processing Tool for Label Extraction From Chest Radiograph Reports.

    Savage, Cody H / Park, Hyoungsun / Kwak, Kijung / Smith, Andrew D / Rothenberg, Steven A / Parekh, Vishwa S / Doo, Florence X / Yi, Paul H

    AJR. American journal of roentgenology

    2024  Volume 222, Issue 4, Page(s) e2330573

    MeSH term(s) Natural Language Processing ; Humans ; Radiography, Thoracic/methods ; Radiology Information Systems
    Language English
    Publishing date 2024-01-17
    Publishing country United States
    Document type Letter ; Research Support, N.I.H., Extramural ; Journal Article
    ZDB-ID 82076-3
    ISSN 1546-3141 ; 0361-803X ; 0092-5381
    ISSN (online) 1546-3141
    ISSN 0361-803X ; 0092-5381
    DOI 10.2214/AJR.23.30573
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  10. Article ; Online: Culture of safety and error traps in pediatric thoracoscopy.

    Lai, Sarah W / Rothenberg, Steven S

    Seminars in pediatric surgery

    2019  Volume 28, Issue 3, Page(s) 178–182

    Abstract: Growing adoption of thoracoscopy by pediatric surgeons has resulted in increasingly complex operations being performed. Although common complications of these procedures have decreased with experience, surgeons are still at risk to fall into error traps ... ...

    Abstract Growing adoption of thoracoscopy by pediatric surgeons has resulted in increasingly complex operations being performed. Although common complications of these procedures have decreased with experience, surgeons are still at risk to fall into error traps where routine practice in uncommon situations results in unanticipated complications. A background culture of safety that rewards multidisciplinary communication, teamwork, openness and standardization of care can assist surgeons to recognize, address and report error traps when they arise. This article serves to encourage a culture of safety and raise awareness of error traps in pediatric thoracoscopy to minimize potential harm and improve quality of care.
    MeSH term(s) Child ; Child, Preschool ; Humans ; Infant ; Intraoperative Complications/etiology ; Intraoperative Complications/prevention & control ; Medical Errors ; Patient Safety/standards ; Thoracoscopy/adverse effects ; Thoracoscopy/methods ; Thoracoscopy/standards
    Language English
    Publishing date 2019-04-25
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1133381-9
    ISSN 1532-9453 ; 1055-8586
    ISSN (online) 1532-9453
    ISSN 1055-8586
    DOI 10.1053/j.sempedsurg.2019.04.021
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