Intensive care unit admissions following enhanced recovery video-assisted thoracoscopic surgery lobectomy
Video-assisted thoracoscopic surgery (VATS) lobectomy combined with enhanced recovery after surgery (ERAS) protocols has improved postoperative outcomes, yet concerns persist regarding complications and readmissions. Limited research has explored intensive care unit (ICU) admissions and outcomes within this context. This study aimed to analyze ICU admissions following VATS lobectomy within an established ERAS protocol.
Optimizing ring selection for secondary tricuspid regurgitation: the role of body size
The goal of this study was to investigate whether a larger prosthetic ring relative to a patient's body surface area (BSA) is associated with an increased risk of tricuspid regurgitation (TR) recurrence after tricuspid annuloplasty and of adverse effects on long-term outcomes.
Advantage of smoking cessation after coronary artery bypass grafting: a mortality study
Surgeon preferences for self-treatment in locally advanced non-small cell lung cancer: Would we practice what we preach?
Corrigendum to: Mechanical circulatory support in patients with congenital heart disease: a European Registry for Patients with Mechanical Circulatory Support (EUROMACS) study
Learning curve of robotic mitral repair: prospective two-center study of proficiency and clinical outcomes
Robotic-assisted mitral valve repair surgery has a steep learning curve, and it is not clear whether previous experience in minimally-invasive mitral valve surgery (MIMVS) facilitates this process. We aimed to investigate the initial experience of two cardiac centers starting their robotic programs, evaluating the impact of previous MIMVS experience.
Prone position in obese patients with acute respiratory distress syndrome after cardio-thoracic surgery
Prone positioning (PP) has benefits in patients with acute respiratory distress syndrome (ARDS). The objective of this study was to compare the effects and complications of PP in obese vs non-obese patients with moderate-to-severe ARDS after cardiothoracic surgery.
Residual pulmonary stenosis and right ventricular contractility in repaired tetralogy of Fallot
The impact of residual pulmonary stenosis (rPS) or right ventricular (RV) outflow tract obstruction on prognosis after surgical pulmonary valve insertion) in repaired tetralogy of Fallot patients with pulmonary regurgitation (PR) remains controversial. rPS assessment is partially dependent on RV contractility. We investigated the impact of rPS according to RV ejection fraction (RVEF).
Optimizing nurse staffing in thoracic surgery: the imperative of Enhanced Recovery Programs-a statement of the European Society of Thoracic Surgeons Nursing & Allied Health Professionals Working Group
Enhanced Recovery Programs (ERPs) have revolutionized thoracic surgery by reducing hospital stays and fostering quicker patient recoveries through minimally invasive procedures. However, the perception that patients in ERPs are less complex and require fewer nursing resources is misleading. Despite shorter hospital stays, the complexity of postoperative care remains high, with patients often needing vigilant monitoring and timely interventions. This article challenges the assumption of reduced nursing needs in ERPs, arguing that the fast-paced nature of these programmes intensifies the demand for skilled nursing care. The European Society of Thoracic Surgeons (ESTS) Nurses & Allied Health Professionals Working Group emphasizes that nurse staffing levels must be maintained or even increased to ensure quality care in ERPs. Adequate staffing is crucial for supporting not only the technical aspects of care but also the patient's experience of illness and recovery. Failure to recognize this complexity could compromise patient outcomes, eroding the benefits of ERPs. This paper advocates for a comprehensive approach that balances efficiency with sufficient nursing support to optimize outcomes in thoracic surgery ERPs. It calls for a reassessment of staffing models to meet the evolving demands of these programmes, ensuring that the advantages of shorter recovery times are not undermined by insufficient care.
Prognostic impact of mild renal dysfunction in patients undergoing valve surgery
To analyse the impact of mild renal dysfunction on the prognosis of patients undergoing valve surgery.
External validation of EuroSCORE I and II in patients with infective endocarditis: results from a nationwide prospective registry
The primary objective was to externally validate EuroSCORE I and II in surgically treated endocarditis patients. The secondary objective was to assess the predictive performance of both models across sex, redo surgery, age and urgency.
Cutibacterium acnes infective endocarditis- An emerging pathogen
The study aimed to review a multicenter experience of patients undergoing surgical intervention for infective endocarditis caused by Cutibacterium acnes and to analyze the diagnostic challenges and operative results.
Preoperative quality of life predicts complications in thoracic surgery needs further evaluation
Thoracic posture-related morphological changes in patients with pectus excavatum versus healthy controls
Cases of severe pectus excavatum presenting with worsening cardiopulmonary symptoms in the upright position have been reported. However, the underlying mechanism remains unclear. We evaluated posture-related morphological changes of the thorax in patients with pectus excavatum.
7-Year outcomes after surgical aortic valve replacement with a stented bovine pericardial bioprosthesis in over 1100 patients: a prospective multicenter analysis
Safety, efficacy, and durability are important considerations when selecting a bioprosthesis for aortic valve replacement (AVR). This study assessed 7-year clinical outcomes and haemodynamic performance of the Avalus bioprosthesis.
Predictive and prognostic factors in patients with anaplastic lymphoma kinase rearranged early-stage lung adenocarcinoma
This study aimed to evaluate the predictive and prognostic factors in clinical stage I, anaplastic lymphoma kinase (ALK)-rearranged lung adenocarcinoma following radical surgery. Additionally, it sought to compare these factors with an external cohort of ALK wild-type patients.
Association between warfarin use and thromboembolic events in patients post-Fontan operation: propensity-score overlap weighting analyses
The appropriate antithrombotic regimen after a Fontan operation is yet to be elucidated. Hence, this study aimed to compare the incidence of thromboembolic events in patients with and without receiving warfarin for thromboprophylaxis in a large post-Fontan population.
Multicentre retrospective analysis of physician-modified fenestrated/inner-branched endovascular repair for complex aortic aneurysms
In this multicentre retrospective observational study, we present the early outcomes of physician-modified fenestrated/inner-branched endovascular repair for pararenal and thoraco-abdominal aortic aneurysms in patients at high risk for open surgical repair.
Clinical stage IA non-small cell lung cancer with occult pathologic N1 and N2 disease after segmentectomy: does a completion lobectomy justify?
When final pathology shows pathologic N1 or N2 disease after a pulmonary segmentectomy for early stage non-small cell lung cancer (NSCLC), completion of lobectomy could be considered and recommended as an option for treatment. We explored outcomes after segmentectomy for clinical stage IA NSCLC with occult pN1 or pN2 disease.
Short-term outcome after isolated tricuspid valve surgery: prognostic role of right ventricular strain
To assess the incremental prognostic value of right ventricular free wall longitudinal strain over conventional risk scores in predicting the peri-operative mortality in patients with severe tricuspid regurgitation (TR) undergoing isolated tricuspid valve (TV) surgery.
Corrigendum to: European Association of Cardiothoracic Surgeons future view on robotic cardiac surgery in Europe