ANNALS OF THORACIC SURGERY胸外科年鉴
ANNALS OF THORACIC SURGERY(英文缩写 ANN THORAC SURG),ISSN 0003-4975,eISSN 1552-6259,中文译名:胸外科年鉴 是一本学术期刊。本页汇总该期刊的最新影响因子、分区信息以及最新收录于 PubMed 的文献,帮助您快速了解期刊全貌。
发文量统计区间：2025-09-27 至 2026-09-27，按本站收录文献的发表日期统计。
期刊介绍
历年影响因子趋势
| JCR 数据年份 | 影响因子 | JCR 分区 |
|---|---|---|
| 2021 | 5.113 | Q1 |
| 2022 | 4.600 | Q1 |
| 2023 | 3.600 | Q1 |
| 2024 | 3.900 | Q1 |
| 2025 | 5.300 | Q1 |
ANNALS OF THORACIC SURGERY 最新收录文献
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1. Outcomes in Patients Undergoing Surgical Myectomy with Concomitant Aortic Valve Replacement: Data of the Netherlands Heart Registration.
PMID:日期:2026-09-24The objectives of this multicentre Dutch study were to evaluate outcomes of surgical myectomy with concomitant aortic valve replacement (AVR) in patients with hypertrophic cardiomyopathy (HCM) and aortic valve stenosis and to compare patient survival against age-sex-matched survival of the general Dutch population. All HCM patients who underwent surgical myectomy with concomitant AVR between 2012 and 2020 across 12 Dutch hospitals were analysed using data from the Netherlands Heart Registration. Operative details, pre-, and in-hospital echocardiographic data, and 30-day complication rates are described. Survival is assessed using Kaplan-Meier estimates and compared to the general Dutch population. This cohort (n=94) included 41 males (44%) and 53 females (56%) with a median age of 72 (interquartile-range [IQR]: 67-76) years at the time of the intervention. Additional procedures to AVR were performed concomitantly in 54% of patients. Mean resting left ventricular outflow tract (LVOT) gradient improved from 73±27mmHg to 12±12 postoperatively. At baseline, septal thickness and indexed AV-area were 21 [19-24] mm, and 0.48±0.14cm/m, respectively. Permanent pacemaker implantation and ventricular septal defect rates were 13% and 1%, respectively. Unadjusted survival estimated at 1, and 6 years after the surgical procedure were 90% (95%CI, 85-97), and 71% (95%CI, 59-84). Age-and sex-matched survival in the general population was 83% (95%CI, 70%-97%) at 6-years. Surgical myectomy with concomitant AVR effectively relieved LVOT-obstruction; however, permanent pacemaker implantation was a relatively common complication. At longer-term follow-up, these patients showed lower survival compared to the age- and sex-matched general Dutch population.
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2. Minimally Invasive Approaches for Thymectomy: A Narrative Review and Comparison of Surgical Approaches.
PMID:日期:2026-09-23There are various approaches to minimally invasive thymectomy. This review discusses the various techniques and provides a comparison of risks and benefits for each approach, taking into consideration the indications and specific technical factors. A Pubmed MEDLINE review of relevant search terms with a review of reference lists was performed and serves as the primary foundation of this article. This is supplemented by the experience of the senior author (SBK). Minimally invasive approaches, regardless of the specific techniques, have been shown to be safe and effective compared to open techniques with a shorter length of stay, improved pain control, and earlier return to work. A left sided approach may provide some benefit over right sided approaches, especially for Myasthenia Gravis. Subxiphoid approaches may provide superior visualization to either lateral approach. A single port robotic subxiphoid approach holds significant promise, but it remains early in its adoption. The use of minimally invasive surgery for thymectomy continues to expand with more complex resections being performed and ever larger tumors being removed. Techniques continue to advance with improved outcomes for all patient populations.
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3. Outcomes After Incomplete N1 Versus N2 Nodal Evaluation in Stage I Non-Small Cell Lung Cancer.
PMID:日期:2026-09-22Adequate lymph node (LN) sampling is essential in early-stage non-small cell lung cancer (NSCLC), with guidelines recommending ≥4 stations including one N1 and three N2 stations. While inadequate sampling is linked to poor outcomes, the distinct impact of missed N1 versus N2 stations remains unclear. We conducted a retrospective cohort study of 4,227 Veterans with clinical stage I NSCLC who underwent resection at 121 Veterans Affairs medical centers (2006-2024) with exactly one missed LN station. Patients were stratified by missed N1 versus N2 station. Overall survival (OS) and cumulative incidence of recurrence (CIR) were assessed using Kaplan-Meier and multivariable Cox and Fine-Gray competing-risk models. Of 4,227 patients (mean age 68.2 years; 95.2% male), 11.8% had a missed N1 station and 88.2% a missed N2 station. Overall, 20.2% underwent wedge resection and 56.6% were treated minimally invasively. Missed N1 stations were more frequent with wedge resection (54.5% vs. 15.6%, p<0.0001) and less often pathologically upstaged (10.5% vs. 15.5%, p=0.003). Missed N1 station was associated with worse OS (5-year 53.6% vs. 64.4%, p<0.0001; aHR 1.30, 95% CI 1.14-1.48). CIR was higher with missed N1 station on univariate (5-year 28.4% vs. 23.9%, p=0.040) but attenuated after multivariable adjustment. Among early-stage NSCLC patients with incomplete LN evaluation, missed N1 stations showed less pathologic upstaging yet worse OS, consistent with occult nodal disease and potential omission of indicated adjuvant therapy. The higher frequency during wedge resection underscores the importance of complete hilar assessment during sublobar resection.
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4. Outcomes of Total Arch Replacement After Prior Aortic Surgery.
PMID:日期:2026-09-22To evaluate outcomes of total arch replacement (TAR) performed after prior aortic surgery. We retrospectively reviewed patients undergoing TAR following a prior aortic operation from 1/1993 through 2/2025. Multivariable Cox regression analysis was used to identify predictors of late-mortality. The annual reoperative TAR (n=219) volume increased more than fourfold during the study period (p<0.001). Early mortality was 5.9% (n=13) and improved significantly over time (1993-2010: 14.6% versus 2011-2025: 3.9%,p=0.009). Postoperative stroke occurred in 12 (5.5%) patients, declining from 12.2% in 1993-2010 to 4.0% in 2011-2025 period (p=0.037). The median interval from prior surgery was 6.0 years (Interquartile range[IQR] 2.5-10.4). Overall survival at 5 and 10 years was 74.7% (95%CI 68.8-81.3%) and 61.3% (95%CI 53.2-70.5%), respectively. Predictors of late mortality included surgery year (HR 0.94, 95%CI 0.91-0.98), age (HR 1.04, 95%CI 1.01-1.06), moderate/severe obstructive pulmonary disease (HR 2.42, 95%CI 1.00-5.83) renal failure (HR 4.28, 95%CI 1.36-13.45), emergency operations (HR 6.87, 95%CI 2.22-21.24) and circulatory arrest time (HR 1.01, 95%CI 1.00-1.02). Extent of the prior operation and concomitant root surgery did not influence outcomes. TAR after prior aortic surgery has become more common over time, with improvements in early mortality and stroke rates.
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5. Is ice storage no longer the standard of care for organ preservation?
PMID:日期:2026-09-20该文献暂无摘要。
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6. Association Between N1 Nodal Assessment, Upstaging, and Survival in Resected Non-Small Cell Lung Cancer.
PMID:日期:2026-09-18We examined the rate of pathologic nodal upstaging and associated 3-year survival, stratified by extent of nodal assessment, in a cohort of cN0 non-small cell lung cancer (NSCLC) patients. Adults who underwent pulmonary resection for cN0 NSCLC between 2021-2024 were identified from the STS GTSD. Rates of nodal upstaging and composite morbidity and mortality were examined, stratified by extent of nodal assessment. Vital status was derived via linkage to national administrative databases through 2024. Overall survival, stratified by extent of nodal assessment, was examined using Kaplan-Meier curves and risk adjusted via a Frailty Cox model, accounting for clustering within hospitals. A total of 48,789 cN0 NSCLC patients were examined with an 11.2% (5,444/48,789) rate of nodal upstaging. Each additional N1 station evaluated at the time of surgery had a greater impact on nodal upstaging than each additional N2 station, with no effect on composite morbidity and mortality. For longitudinally-linked, pN0 patients (n=22,644), the 3-year overall survival improved incrementally with each additional N1 lymph node station examined. After risk-adjustment, evaluation of ≥2N1 stations was associated with lower mortality compared with evaluation of 1N1 station (aHR 0.86, 95% CI 0.76-0.98), with further benefit observed when ≥3N1 stations were examined (aHR 0.81, 95% CI 0.69-0.95). These associations were most pronounced when intrapulmonary nodes were evaluated. In cN0 NSCLC, assessment of >1N1 nodal station, including station 12-14 lymph nodes, is associated with improved nodal upstaging. Among pN0 patients, more complete N1 assessment correlates with improved survival.