Minimally Invasive Bilateral Lung Resections and CABG through 5 Ports.

Minimal access surgery is increasingly popular to reduce postoperative morbidity and enhance recovery. We present a case of a patient who underwent bilateral minimally invasive thoracic and cardiac surgery. An 81-year-old woman was diagnosed with T1aN0M0 left upper lobe small-cell lung cancer and underwent single-port left video-assisted thoracoscopic surgery (VATS) upper lobectomy in 2016. She developed a contralateral right lower lobe nodule and underwent a single-port right VATS wedge resection of the lower lobe nodule, subsequently confirmed as necrotising granulomatous inflammation with acid-fast bacilli, consistent with previous tuberculosis (TB) infection. On postoperative day 1, she had an episode of self-reverting ventricular tachycardia and bradycardia. Subsequent myocardial perfusion scan and coronary angiogram showed significant LV dysfunction and severe coronary artery disease with a left main stem (LMS) lesion. After agreement at MDT, an Endo-ACAB (endoscopic atraumatic coronary artery bypass grafting) was performed, via 3 ports, with the left internal mammary artery anastomosed to left anterior descending artery. She recovered well postoperatively and was discharged. Multiple sequential minimally invasive procedures are now routine and can be performed safely in patients with a complex combination of pathologies. In this case, bilateral single-port (anatomic and nonanatomic) lung resections were undertaken followed by coronary revascularisation with a total of 5 minimal access ports.

Fischer carbene complexes remain favourite targets, and vehicles for new discoveries.

Exciting new variations in Fischer-type carbene complex composition and reactivity have been realised by following or modifying well-established synthetic approaches such as metal carbonyl functionalization and modification of existing carbene ligands. The formation of targeted complexes for organic synthesis, carbene-containing chelates, and polynuclear carbene complexes, by employing 'click chemistry', warrants discussion. Transmetallation and α,α-dehydrogenation of ethers and amines have come into their own as viable synthetic methods to access carbene complexes with unique properties and activities. Successful mediation of carbene complex formation with pincer ligands has proved its worth. Quantum chemistry has become essential for supporting or initiating mechanistic proposals, but heuristic approaches such as invoking the vinylology principle to describe substituted phenylcarbene complexes are still valuable in the interpretation of bonding properties and the classification of complex types. Electrochemical studies now also constitute a powerful part of the experimental characterization tool kit.

The production of 8²Sr using larger format RbCl targets.

The production of (82)Sr at iThemba LABS is performed by the proton bombardment of a RbCl target using the facility's Vertical-Beam Target Station (VBTS). (82)Sr is separated from the target material using a method based on target dissolution, using dilute ammonium chloride solution, and the use of chromatographic methods on Purolite S950 ion exchange resin. After performing a further purification step using AG MP-50 macroporous cation exchange resin, the result is a product with a high radionuclidic purity and negligible Rb and Fe impurity content.

The use of selective volatization in the separation of 68Ge from irradiated Ga targets.

Cyclotron-produced (68)Ge can be separated from its Ga target material by dissolving the target in aqua regia and collecting the volatile (68)Ge in a solution containing 1.0M NaOH and 2% Na2SO3. The solution is then acidified with HF before being loaded onto a column containing AG MP-1 anion exchange resin. The column is rinsed with dilute HF to remove any remaining impurities, before eluting the desired product with 0.1M HCl. A radiochemically pure product is obtained.

Competitive bulk liquid membrane transport of some metal ions using RC(S)NHP(S)(OiPr)(2) as ionophores. Unusual supramolecular "honeycomb" aggregate of the polynuclear copper(I) complex of H(2)NC(S)NHP(S)(OiPr)(2).

Competitive transport experiments involving metal ions from an aqueous source phase through a chloroform membrane into an aqueous receiving phase have been carried out using a series of N-(thio)phosphorylated (thio)amide and thiourea ligands as ionophores in the organic phase. The source phase contained equimolar concentrations of Co(II), Ni(II), Cu(II), Zn(II), Ag(I), Cd(II) and Pb(II) with the source and receiving phases being buffered at different pH. Good transport properties were observed for Ag(I) in the case of (13). The best extraction properties have been shown by (3)L(1), (3)L(8), (2)L(7), (3)L(9) and (3)L(11) which contain an unsubstituted nitrogen atom at the C[double bond, length as m-dash]S groups ((3)L(1) and (3)L(9)), or a third nitrogen atom, capable of participating in additional coordination ((3)L(8), (2)L(7) and (3)L(11)). Reaction of Cu(NO(3))(2).6H(2)O with the potassium salt of the N-thiophosphorylated thiourea NH(2)C(S)NHP(S)(OiPr)(2) formed a new supramolecular Cu(I) complex, [{Cu(6)((2)L(1))(6)}{Cu(3)((2)L(1))(3)}.4Me(2)CO] that contains both trinuclear and hexanuclear forms in its solid state structure, and in solution.

The production of (88)Y in the proton bombardment of (nat)Sr: New excitation and separation studies.

The cyclotron production of (88)Y at iThemba LABS is performed via the reaction (88)Sr(p,n)(88)Y. The yields obtained were inconsistent with nuclear data obtained from the literature and the excitation function of the nuclear reaction was re-measured, using a differentiation of thick-target production rate measurements. Ion exchange chromatographic methods are described to separate (88)Y from (nat)Sr target material using AG MP-1 resin and AG 50W-X4 resins, respectively.

Bis(2,4,7-trimethylindenyl)cobalt(II) and rac-2,2',4,4',7,7'-hexamethyl-1,1'-biindene.

The crystal and molecular structures of bis(eta(5)-2,4,7-trimethylindenyl)cobalt(II), [Co(C(12)H(13))(2)], (I), and rac-2,2',4,4',7,7'-hexamethyl-1,1'-biindene, C(24)H(26), (II), are reported. In the crystal structure of (I), the Co atom lies on an inversion centre and the structure represents the first example of a bis(indenyl)cobalt complex exhibiting an eclipsed indenyl conformation. The (1R,1'R) and (1S,1'S) enantiomers of the three possible stereoisomers of (II), which form as by-products in the synthesis of (I), cocrystallize in the monoclinic space group P2(1)/c. In the unit cell of (II), alternating (1R,1'R) and (1S,1'S) enantiomers pack in non-bonded rows along the a axis, with the planes of the indenyl groups parallel to each other and separated by 3.62 and 3.69 A.