Ray Chihara
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View article: Creating a Straight Conduit: The Pleural Closure Technique in Ivor Lewis Esophagectomy
Creating a Straight Conduit: The Pleural Closure Technique in Ivor Lewis Esophagectomy Open
Ivor Lewis esophagectomy, a surgical procedure to treat esophageal cancer, requires gastric conduit creation with an intrathoracic anastomosis. Frequently encountered conduit complications include conduit redundancy, herniation, and dreade…
View article: Factors Associated With Next-Day Discharge After Pulmonary Lobectomy
Factors Associated With Next-Day Discharge After Pulmonary Lobectomy Open
The next-day discharge after pulmonary lobectomy was safe. Patients operated on by experienced surgeons using the da Vinci Xi robot were more likely to be discharged the following day. Gaining experience in performing robotic lobectomy may…
View article: Using Vizient database for benchmarking pulmonary resection outcomes
Using Vizient database for benchmarking pulmonary resection outcomes Open
The Vizient dashboard provides a valid measure of outcomes associated with pulmonary resection. The Vizient dashboard provides better benchmarking information than the GTSD. Vizient dashboards can be used to improve surgical outcomes after…
View article: Robot-Assisted Laparoscopic Repair of Pericardial Hernia in a Heart Transplant Patient
Robot-Assisted Laparoscopic Repair of Pericardial Hernia in a Heart Transplant Patient Open
A pericardial hernia is a rare condition in which a pericardial defect allows an adjacent structure to herniate into the pericardium. A 71-year-old man with idiopathic cardiomyopathy underwent left ventricular assist device placement and s…
View article: Impact of Intraoperative C-arm 3D Imaging on the Diagnostic Yield of Robotic Shape-Sensing Navigation Transbronchial Biopsy
Impact of Intraoperative C-arm 3D Imaging on the Diagnostic Yield of Robotic Shape-Sensing Navigation Transbronchial Biopsy Open
Robotic shape-sensing navigation bronchoscopy combined with advanced C-arm 3D imaging yielded a high diagnostic accuracy with minimal complications. This approach is recommended for patients with suspicious lung nodules to enhance the diag…
View article: Opioid use in thoracic surgery: a retrospective study on postoperative complications
Opioid use in thoracic surgery: a retrospective study on postoperative complications Open
Hospital opioid use was associated with complications after thoracic surgical procedures. The amount of opioid medication received during hospitalization was an independent risk factor for postoperative complications in our patient populat…
View article: Cervical gastric decompression tube: safety and efficacy outcomes for inoperable malignant bowel obstruction
Cervical gastric decompression tube: safety and efficacy outcomes for inoperable malignant bowel obstruction Open
A CEG decompression tube is safe for patients with malignant bowel obstruction. The procedure allows patients to undergo additional chemotherapy and be discharged home with a more comfortable tube.
View article: Impact of Gastroesophageal Reflux Disease on Patients Undergoing Lung Transplantation for COVID-19: A Single Institution Retrospective Study
Impact of Gastroesophageal Reflux Disease on Patients Undergoing Lung Transplantation for COVID-19: A Single Institution Retrospective Study Open
Background: Patients with coronavirus disease 2019 (COVID-19)-associated respiratory failure undergoing lung transplantation is an emerging subset of transplant patients in which gastroesophageal reflux disease (GERD) pre- or post-transpla…
View article: Endoluminal Functional Imaging Demonstrates Need for Myotomy During Epiphrenic Diverticulectomy
Endoluminal Functional Imaging Demonstrates Need for Myotomy During Epiphrenic Diverticulectomy Open
Epiphrenic diverticulum develops when elevated esophageal intraluminal pressure causes herniation of the mucosa and submucosa through an area of weakness in the muscularis layer. Treatment must address both the diverticulum and the underly…
View article: Self-assisting robot-assisted pulmonary lobectomy has favorable outcome compared to VATS lobectomy
Self-assisting robot-assisted pulmonary lobectomy has favorable outcome compared to VATS lobectomy Open
Self-assistance using the robot technology during pulmonary lobectomy had few technical complications and acceptable morbidity, length of stay, and mortality. This group had favorable outcome compared to VATS lobectomy. The ability to self…
View article: History of COVID-19 Infection Does Not Increase Risk of Mortality after Surgery
History of COVID-19 Infection Does Not Increase Risk of Mortality after Surgery Open
Law, Yi Ying MD; Nguyen, Duc T. MD, PhD; Chihara, Ray MD, PhD; Chan, Edward Y. MD, FACS; Graviss, Edward A. PhD, MPH, FIDSA; Kim, Min P. MD, FACS Author Information
View article: Live-streaming Intraoperative Teaching for Novel Thoracic Surgery Technology
Live-streaming Intraoperative Teaching for Novel Thoracic Surgery Technology Open
Introduction: The COVID-19 pandemic has forced surgical educators to adopt new platforms for teaching. Evolving technologies in thoracic surgery require continuing education to the highest level of care. Our aim was to assess the safety, f…
View article: Surgery provides improved overall survival in surgically fit octogenarians with esophageal cancer after chemoradiation therapy
Surgery provides improved overall survival in surgically fit octogenarians with esophageal cancer after chemoradiation therapy Open
Most octogenarians with locally advanced esophageal cancer underwent definitive chemoradiation therapy. Very few patients underwent chemoradiation followed by surgery; however, the multimodality treatment provided increased overall surviva…
View article: Surgical Cardiac Sympathetic Denervation for Ventricular Arrhythmias: A Systematic Review<sup>CME</sup>
Surgical Cardiac Sympathetic Denervation for Ventricular Arrhythmias: A Systematic Review<sup>CME</sup> Open
Ventricular arrhythmias are potentially life-threatening disorders that are commonly treated with medications, catheter ablation and implantable cardioverter defibrillator (ICD). Adult patients who continue to be symptomatic, with frequent…
View article: Factors associated with home opioid use after thoracic surgery
Factors associated with home opioid use after thoracic surgery Open
ERAS with pre-emptive pain management was associated with patients avoiding opioid prescriptions during recovery. The patient factor of preoperative opioid pain medication(s) and younger age is a significant factor for the patient needing …
View article: Impact of da Vinci Xi robot in pulmonary resection
Impact of da Vinci Xi robot in pulmonary resection Open
The adoption of a da Vinci Xi robot in our institution was associated with improved outcomes in patients having pulmonary resections.
View article: Pre-emptive pain management program is associated with reduction of opioid prescription after minimally invasive pulmonary resection
Pre-emptive pain management program is associated with reduction of opioid prescription after minimally invasive pulmonary resection Open
The pre-emptive pain management program was associated with a decrease in opioid prescriptions after elective pulmonary resections. Successful implementation of this program can lead to significant decreases in the amount of prescription o…