{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,20]],"date-time":"2024-09-20T16:12:20Z","timestamp":1726848740041},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2015,10,21]],"date-time":"2015-10-21T00:00:00Z","timestamp":1445385600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2016,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>The number of renal transplantations performed for patients with chronic kidney disease has increased in <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>apan, but little is known about the outcomes in those who subsequently undergo video\u2010assisted thoracoscopic surgery (<jats:styled-content style=\"fixed-case\">VATS<\/jats:styled-content>). We therefore investigated the outcomes of consecutive patients requiring <jats:styled-content style=\"fixed-case\">VATS<\/jats:styled-content> after renal transplantation at our institute.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively collected the clinical data for patients undergoing <jats:styled-content style=\"fixed-case\">VATS<\/jats:styled-content> after renal transplantation between <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>anuary 2003 and <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>eptember 2014. Specifically, we compared the serum creatinine level and estimated glomerular filtration rate preoperatively and postoperatively, and investigated the postoperative complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, 12 patients underwent <jats:styled-content style=\"fixed-case\">VATS<\/jats:styled-content> after renal transplantation during the study period. All patients received two or three immunosuppressive agents. Operative methods used included <jats:styled-content style=\"fixed-case\">VATS<\/jats:styled-content> wedge resection (<jats:italic>n<\/jats:italic>\u2009=\u20094), segmentectomy (<jats:italic>n<\/jats:italic>\u2009=\u20094), lobectomy (<jats:italic>n<\/jats:italic>\u2009=\u20092), mediastinal tumor resection (<jats:italic>n<\/jats:italic>\u2009=\u20091), and chest wall tumor resection (<jats:italic>n<\/jats:italic>\u2009=\u20091). No patients required perioperative hemodialysis. There were no intraoperative complications, but one patient developed postoperative hemorrhagic cystitis and another developed pneumonia. One patient developed pneumocystis pneumonia 2 months after left lower lobectomy and required hemodialysis. No further hemodialysis was required by any patient. Of note, no statistically significant differences were observed between the preoperative and postoperative serum creatinine level (<jats:italic>P<\/jats:italic>\u2009=\u20090.666) and estimated glomerular filtration rate (<jats:italic>P<\/jats:italic>\u2009=\u20090.388). There were no in\u2010hospital deaths. Univariate analysis revealed no significant risk factors for postoperative complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This report showed favorable results for <jats:styled-content style=\"fixed-case\">VATS<\/jats:styled-content> after renal transplantation. However, clinicians must remain vigilant for complications because transplant recipients remain permanently immunocompromised.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ases.12248","type":"journal-article","created":{"date-parts":[[2015,10,21]],"date-time":"2015-10-21T06:17:26Z","timestamp":1445408246000},"page":"37-43","source":"Crossref","is-referenced-by-count":3,"title":["Video\u2010assisted thoracoscopic surgery after renal transplantation: A single\u2010institution experience"],"prefix":"10.1111","volume":"9","author":[{"given":"Hideyuki","family":"Maeda","sequence":"first","affiliation":[{"name":"Department of Surgery I Tokyo Women's Medical University  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masato","family":"Kanzaki","sequence":"additional","affiliation":[{"name":"Department of Surgery I Tokyo Women's Medical University  Tokyo 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Surgery I Tokyo Women's Medical University  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shohei","family":"Fuchinoue","sequence":"additional","affiliation":[{"name":"Department of Surgery III Tokyo Women's Medical University  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazunari","family":"Tanabe","sequence":"additional","affiliation":[{"name":"Department of Urology Tokyo Women's Medical University  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takamasa","family":"Onuki","sequence":"additional","affiliation":[{"name":"Department of Surgery I Tokyo Women's Medical University  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,10,21]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"240","article-title":"Annual progress report from the Japanese Renal Transplant Registry: Number of renal transplantation in 2013 and 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