Background: Thoracic trauma is one of the major causes of morbidity and mortality among trauma patients worldwide [1,2]. Video-assisted thoracic surgery (VATS) has evolved as a diagnostic and therapeutic approach for hemodynamically stable thoracic trauma patients [3–5]. This study aims to evaluate clinical outcomes and feasibility of early VATS as a first-line surgical option for thoracic trauma in selected cases. Methods: We present a case series of seven patients with thoracic trauma undergoing VATS between 2023 and 2025. Collected variables included demographics, injury mechanisms, intraoperative findings, need for conversion, complications, and hospital stay. Primary outcomes were technical success and safety; secondary outcomes included duration of hospital stay and postoperative complications. Results: In all cases, undetected pulmonary parenchymal injuries were identified and repaired thoracoscopically. No conversions to thoracotomy were required. Patients demonstrated shorter hospital stays (8.7± 3.4 days) and no postoperative infections or major complications. Conclusions: Early VATS appears to be a safe, minimally invasive, and effective first-line option for selected stable thoracic trauma, allowing accurate diagnosis, targeted intervention, and rapid recovery with minimal morbidity. Major multicenter studies are required to validate these preliminary results.

Well-differentiated liposarcoma (WDLPS) is one of the most common soft tissue sarcomas.Thoracic site is uncommon, accounting for 1% of all cases.[1] Keywords : Liposarcoma; Subcutaneous Tissue; Thorax

Introduction: The video-assisted thoracoscopic surgery (VATS) has become progressively popular as a minimally invasive method for pulmonary resection surgery [1]. As a result, multiple technologies have been developed parallel to this technique to overcome the limitations for limited access and reduce the postoperative air leak. This included the wide use of staplers because of their convenience and quickness. However, using staplers are not devoid of complication. The purpose of the current study is to evaluate the effectiveness of VATS wedge resection using non-crushing clamp and continuous absorbable sutures augmented by tissue sealants for resection of peripheral pulmonary nodules and spotlights on the technical aspects to enhance safety and efficacy. Patient and methods: We conducted retrospective observational comparative study on a cohort of patients who underwent wedge resection using VATS for solitary or multiple peripheral pulmonary nodules. Patients were divided into two main groups. Group A included patients who had VATS wedge resection using staplers’ technique. Group B included patients who had VATS wedge resection with clamp and saw technique. Results: A total of 134 patients were included. 75 patients were excluded since they did not meet the selection criteria. The remaining 59 patients were divided between the two groups. Group A included 27 while Group B included 32 patients. There were 33 males (55.9%) and 26 females (44.1%). There were no significant differences in patient characteristics between both groups. Lung nodules had a mean maximal transverse diameter of 22.1±7.2mm (range 14.9–29.3mm). The mean distance from the pleura to superficial nodule margins was 12.0±3.1mm (range: 8.9–25.1mm). Univariate regression analysis was conducted on patients’ characteristics, nodule size and depth, comorbidities included smoking history and preoperative FEV1, and resection technique used. The results showed that neither of the variables was risk factor for development of the complications. However, the multivariate Logistic regression analysis of the results showed that stapler use in deeper nodules were among the influencing factor of postoperative complication (P < 0.05). This variable along with the other variables with P < 0.2 in univariate regression were further included in multivariate logistic regression. The final results demonstrated nodule depth (OR 4.07, 95% CI 2.05–14.66, P = 0.0.31) and stapler use (OR 2.17, 95% CI 2.11–7.13, P = 0.043) were risk factors for postoperative complications. Conclusion: in clinical practice, it is necessary to choose the appropriate treatment according to the patients’ individual situation. The clamp and saw technique augmented by surgical sealants for wedge resection of peripheral pulmonary nodule would be a substitute for staplers with similar air leak incidence, durations and severity. Keywords: Clamp and saw technique, wedge resection, VATS wedge resection.

Background: Various anastomotic techniques have been developed to reduce postoperative complications. This study aimed to compare the Gambee anastomosis and triangular anastomosis in patients undergoing McKeown esophagectomy for thoracic esophageal cancer. Methods: We randomly assigned patients to undergo either Gambee anastomosis or triangular anastomosis. The primary endpoint was the incidence of anastomotic leakage. Secondary endpoints included anastomotic stenosis, anastomotic time, and hospital costs. Results: Seventy-five patients were enrolled between November 2013 and August 2016. Anastomotic leakage (Clavien–Dindo grade ≥II) was significantly less frequent in the Gambee anastomosis group than in the triangular anastomosis group (odds ratio 7.944, 95% confidence interval [CI] 1.648–38.308; p=0.01). The number of dilatations for anastomotic stenosis was significantly lower in the Gambee anastomosis group than in the triangular anastomosis group (incidence rate ratio 3.077, 95%CI 2.064–4.585; p<0.001). Anastomosis time was significantly shorter in the triangular anastomosis group than in the Gambee anastomosis group (coefficient -4.573, 95%CI -7.609– -1.537; p=0.004). Hospital costs showed no significant difference (coefficient 2950.7, 95%CI -4899.362–10,901.26; p=0.462). Conclusion: The Gambee anastomosis is superior to triangular anastomosis in terms of anastomotic leakage and anastomotic stenosis in cervical esophagogastric anastomosis after McKeown esophagectomy

Background : Pulmonary hypertension (PH) is a common complication of heart failure (HF) with a significant impact on disease progression, and mortality. Left ventricular assist device (LVAD) implantation can improve haemodynamic status and survival as a “bridge to transplantation”. Aim of this study is to characterise haemodynamic after LVAD implantation based on the latest definitions of the PH Guidelines 2022, and to identify predictors of haemodynamic changes.