Lawrence Okiror

279 Surgical Extent in Screening-Detected Lung Cancer: Lobectomy vs Sublobar Resection

Michelle Lee, Leanne Ashrafian, Carol Tan, Giulia Benedetti et autres

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Successful resection of arteriovenous malformation from the anterior mediastinum: a case report of two presentations

Patrick Deniz Hurley, Maria Nizami, Andrea Billè, Lawrence Okiror et autres

Background: Anterior mediastinal masses often pose a challenging diagnostic process. Most commonly, the differential diagnosis is between thymoma, thyroid, teratoma and lymphoma. Arteriovenous malformations (AVMs) found in the mediastinum are extremely rare with only a few cases within the mediastinum reported in …

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Early Video-assisted Thoracoscopic Surgery or Intrapleural Enzyme Therapy in Pleural Infection: A Feasibility Randomized Controlled Trial. The Third Multicenter Intrapleural Sepsis Trial—MIST-3

Eihab O. Bedawi, Dionisios Stavroulias, Emma Hedley, Kevin G. Blyth et autres

Abstract Rationale Assessing the early use of video-assisted thoracoscopic surgery (VATS) or intrapleural enzyme therapy (IET) in pleural infection requires a phase III randomized controlled trial (RCT). Objectives To establish the feasibility of randomization in a surgery-versus-nonsurgery trial as well as the …

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Resection of Contralateral Scapular Oligometastasis in Non-small Cell Lung Cancer Post Right Salvage Pneumonectomy

Adam Djouani, Teja Maddipati, Alexander Smith, Lawrence Okiror

A 74-year-old male was diagnosed with right hilar T4N1M0 squamous cell carcinoma of the lung. Radical oncological treatment was initiated with curative intent. Despite this, a post-operative computed tomography scan showed residual disease. Therefore, right thoracotomy and salvage pneumonectomy were performed. The …

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Bronchoscopic Endobronchial Valve Therapy for Persistent Air Leaks in COVID-19 Patients Requiring Veno-Venous Extracorporeal Membrane Oxygenation

Barbara Ficial, Stephen Whebell, Daniel Taylor, Rita Fernández-Garda et autres

COVID-19 acute respiratory distress syndrome (ARDS) can be associated with extensive lung damage, pneumothorax, pneumomediastinum and, in severe cases, persistent air leaks (PALs) via bronchopleural fistulae (BPF). PALs can impede weaning from invasive ventilation or extracorporeal membrane oxygenation (ECMO). We present a …

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138 Lung Cancer Surgery in the Early Phase After Acute COVID-19 Pneumonitis

David Robinson, Andrew D. Smith, Lawrence Okiror

Abstract As the number of post-COVID-19 patients requiring surgery increases, it becomes pressing to develop guidelines outlining time requirements between active COVID-19 infection and surgery. We present a case of successful pulmonary segmentectomy 6 weeks following an acute COVID-19 infection in a …

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Outcomes of gynecologic cancer surgery during the COVID-19 pandemic: an international, multicenter, prospective CovidSurg-Gynecologic Oncology Cancer study

Christina Fotopoulou, Tabassum Khan, Juraj Bracinik, James Glasbey et autres

BACKGROUND: The CovidSurg-Cancer Consortium aimed to explore the impact of COVID-19 in surgical patients and services for solid cancers at the start of the pandemic. The CovidSurg-Gynecologic Oncology Cancer subgroup was particularly concerned about the magnitude of adverse outcomes caused by the …

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P198 Outcomes of autologous blood pleurodesis in persistent air leak: An eight-year retrospective study

K. Rehman, Lawrence Okiror, Parthipan Sivakumar

Introduction and Objectives Autologous blood pleurodesis (ABP) is one of the treatment options for recurrent pneumothorax and postoperative persistent air leak (PAL) following lobectomy. We aimed to assess the effectiveness of ABP in PAL. Methods Patients who underwent ABP from January 2013 …

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Effect of COVID-19 pandemic lockdowns on planned cancer surgery for 15 tumour types in 61 countries: an international, prospective, cohort study

James Glasbey, Adesoji Ademuyiwa, Adewale Adisa, Ehab Alameer et autres

BACKGROUND: Surgery is the main modality of cure for solid cancers and was prioritised to continue during COVID-19 outbreaks. This study aimed to identify immediate areas for system strengthening by comparing the delivery of elective cancer surgery during the COVID-19 pandemic in …

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Death following pulmonary complications of surgery before and during the SARS-CoV-2 pandemic

Kenneth A McLean, Sivesh K. Kamarajah, Dhruva Chaudhry, Rohan R Gujjuri et autres

BACKGROUND: This study aimed to determine the impact of pulmonary complications on death after surgery both before and during the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic. METHODS: This was a patient-level, comparative analysis of two, international prospective cohort studies: one …

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Maintaining safe lung cancer surgery during the COVID-19 pandemic in a global city

Stephanie Fraser, Ralitsa Baranowski, Davide Patrini, Jay Nandi et autres

BACKGROUND: SARS-CoV-2 has challenged health service provision worldwide. This work evaluates safe surgical pathways and standard operating procedures implemented in the high volume, global city of London during the first wave of SARS-CoV-2 infection. We also assess the safety of minimally invasive …

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Lung Cancer Surgery in the Early Phase After Acute COVID-19 Pneumonitis

Dean P. Robinson, Alexander Smith, Lawrence Okiror

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