Abstract：
:Recent studies have shown that patients who are down-staged via neoadjuvant therapy and undergo resection have a significant increased 5-year survival rate (as high as 40%-50%) when compared with patients who have residual N2 disease. The identification of patients who are N2 negative after the completion of their neoadjuvant therapy is a critical component of proper patient selection for thoracotomy. Some may even argue that it is a necessary step before resection. In this article we review the best ways to restage patients with N2 disease after they have completed their neoadjuvant therapy.
journal_name
Thorac Surg Clinjournal_title
Thoracic surgery clinicsauthors
Cerfolio RJ,Bryant ASdoi
10.1016/j.thorsurg.2008.08.002subject
Has Abstractpub_date
2008-11-01 00:00:00pages
417-21, viiissue
4eissn
1547-4127issn
1558-5069pii
S1547-4127(08)00074-1journal_volume
18pub_type
杂志文章,评审abstract：:Despite a prospective randomized trial that reported decreased locoregional recurrence for the intentional use of sublobar resection for stage IA non-small cell lung cancer, it continues to be a point of considerable debate. Improved imaging techniques have introduced a large group of smaller and more indolent tumors ...
journal_title：Thoracic surgery clinics
pub_type： 杂志文章,评审
doi：10.1016/j.thorsurg.2016.04.007
更新日期：2016-08-01 00:00:00
abstract：:Pediatric mediastinal tumors and cysts are rare disorders that share many similarities with adults, yet which have important differences unique to the child. Posterior mediastinal tumors are relatively more common in children than in adults and are also more likely to be malignant in children. CT imaging facilitates t...
journal_title：Thoracic surgery clinics
pub_type： 杂志文章,评审
doi：10.1016/j.thorsurg.2008.09.014
更新日期：2009-02-01 00:00:00
abstract：:Esophageal cancer requires a multimodality treatment approach, with surgical resection a key component in many cases. When it comes to esophagectomy, several approaches and techniques exist, including transhiatal versus transthoracic and open versus minimally invasive. Each approach has its associated risks and advant...
journal_title：Thoracic surgery clinics
pub_type： 杂志文章,评审
doi：10.1016/j.thorsurg.2020.04.010
更新日期：2020-08-01 00:00:00
abstract：:Recurrent symptomatic paraesophageal hernias (PEHs) can lead to significant morbidity if untreated. Surgical treatment of recurrent PEH can pose a great challenge. Several different surgical options are available and need to be considered on an individual basis. Before embarking on the repair of a recurrent hernia, a ...
journal_title：Thoracic surgery clinics
pub_type： 杂志文章,评审
doi：10.1016/j.thorsurg.2019.07.011
更新日期：2019-11-01 00:00:00
abstract：:Despite significant improvements in surgical technique and perioperative care, the management of patients requiring chest wall resection and reconstruction is an ongoing challenge for thoracic surgeons. A successful approach includes a thorough assessment of the patient and the lesion, an adequate biopsy to confirm ti...
journal_title：Thoracic surgery clinics
pub_type： 杂志文章,评审
doi：10.1016/j.thorsurg.2010.07.008
更新日期：2010-11-01 00:00:00
abstract：:Airway complications after lung transplantation present a formidable challenge to the lung transplant team, ranging from mere unusual images to fatal events. The exact incidence of complications is wide-ranging depending on the type of event, and there is still evolution of a universal characterization of the airway f...
journal_title：Thoracic surgery clinics
pub_type： 杂志文章,评审
doi：10.1016/j.thorsurg.2014.09.008
更新日期：2015-01-01 00:00:00
abstract：:This article has reviewed radiation treatment of thoracic malignancies in elderly patients. In general the literature suggests that thoracic irradiation is equally efficacious in elderly patients as in younger patients and is associated with increased but acceptable toxicity. Technical advances are allowing a further ...
journal_title：Thoracic surgery clinics
pub_type： 杂志文章,评审
doi：10.1016/j.thorsurg.2009.06.003
更新日期：2009-08-01 00:00:00
abstract：:Unilateral vocal-cord paralysis after esophagectomy involving a cervical anastomosis is uncommon in experienced hands but can cause marked morbidity because of pulmonary complications. It is important for the surgeon to understand the anatomy of the recurrent laryngeal nerve to avoid this complication. The diagnosis i...
journal_title：Thoracic surgery clinics
pub_type： 杂志文章,评审
doi：10.1016/j.thorsurg.2006.01.006
更新日期：2006-02-01 00:00:00
abstract：:Detection of clinically occult lung neoplasms may represent an opportunity for early curative intervention. Fluorescent bronchoscopy is a sensitive technique for detecting early endobronchial tumors that may be combined with CT scanning as part of a comprehensive lung cancer screening program. Identification and longi...
journal_title：Thoracic surgery clinics
pub_type： 杂志文章,评审
doi：10.1016/S1547-4127(04)00041-6
更新日期：2004-02-01 00:00:00
abstract：:The venous side of the systemic vascular circulation returns the left ventricular cardiac output in a converging fashion to the superior and inferior vena cava and hence to the right atrium. Oxygenated blood is returned to the left atrium. The volumes of these 2 systems are in balance in a normal physiologic state. ...
journal_title：Thoracic surgery clinics
pub_type： 杂志文章
doi：10.1016/j.thorsurg.2010.12.010
更新日期：2011-05-01 00:00:00
abstract：:In summary, from the different alternatives to conventional hospitalization developed in the last decades, outpatient surgery has been the one with the greatest growth. However, only few studies have been reported on thoracic surgery and there is still great potential for an increase in outpatient thoracic surgery. Th...
journal_title：Thoracic surgery clinics
pub_type： 杂志文章,评审
doi：10.1016/j.thorsurg.2008.04.003
更新日期：2008-08-01 00:00:00
abstract：:The National Quality Forum (NQF) is a multistakeholder, nonprofit, membership-based organization improving health care through preferential use of valid performance measures. NQF-endorsed measures are considered the gold standard for health care measurement in the United States. The Society of Thoracic Surgeons is the...
journal_title：Thoracic surgery clinics
pub_type： 杂志文章,评审
doi：10.1016/j.thorsurg.2017.03.003
更新日期：2017-08-01 00:00:00
abstract：:With continually increasing health care costs and limited medical resources, there has been increasing focus on shortening hospital stays. Many medical and nonmedical reasons can lead to a delay in hospital discharge after thoracic surgery despite technically successful procedures; common obstacles include inadequate ...
journal_title：Thoracic surgery clinics
pub_type： 杂志文章
doi：10.1016/j.thorsurg.2005.01.007
更新日期：2005-05-01 00:00:00
abstract：:Surgery has proven superiority over medical management for patients with nonthymomatous myasthenia gravis. The key is complete resection of the gland, which can be achieved with various techniques. The uniportal video-assisted transcervical technique allows minimally invasive surgery with a low complication rate, a go...
journal_title：Thoracic surgery clinics
pub_type： 杂志文章,评审
doi：10.1016/j.thorsurg.2018.12.009
更新日期：2019-05-01 00:00:00
abstract：:Development of postpneumonectomy empyema with bronchopleural fistula is a life-threatening condition that requires prompt action. Although measures should be taken to prevent bronchopleural fistula at time of pneumonectomy, many patients experience this complication. Management focuses on drainage of the pleural space...
journal_title：Thoracic surgery clinics
pub_type： 杂志文章,评审
doi：10.1016/j.thorsurg.2018.05.008
更新日期：2018-08-01 00:00:00
abstract：:Adequate lymphadenectomy represents a fundamental procedure in lung cancer surgery for accurate staging and potential survival benefit. Various techniques are used in current surgical practice for the intraoperative lymph node removal associated with pulmonary resection, without definitive indications concerning the p...
journal_title：Thoracic surgery clinics
pub_type： 杂志文章,评审
doi：10.1016/j.thorsurg.2011.12.001
更新日期：2012-05-01 00:00:00
abstract：:Despite advances in treatment, long-term outcomes for esophageal cancer remain poor, with overall survival rates of between 15% and 35%. Poor long-term survival reflects locoregionally advanced disease or metastatic disease at presentation. Among patients undergoing surgical resection, 40% to 50% have stage III diseas...
journal_title：Thoracic surgery clinics
pub_type： 杂志文章,评审
doi：10.1016/j.thorsurg.2013.07.007
更新日期：2013-11-01 00:00:00
abstract：:This article provides an overview of current literature on blunt tracheobronchial injury, and discusses the presentation of tracheobronchial injuries in clinical and radiographic forms. A review of the current data on repair is provided with an outline of surgical management. ...
journal_title：Thoracic surgery clinics
pub_type： 杂志文章,评审
doi：10.1016/j.thorsurg.2018.04.008
更新日期：2018-08-01 00:00:00
abstract：:Patients express risk aversion toward surgery, particularly if surgery can lead to lifelong debility and loss of independence. When faced with a guarantee of progressive lung cancer and no alternatives for cure, however, patients are willing to take extremely high risks of postoperative complications and surgery-relat...
journal_title：Thoracic surgery clinics
pub_type： 杂志文章
doi：10.1016/S1547-4127(04)00016-7
更新日期：2004-08-01 00:00:00
abstract：:As we enter the 21st century, thoracic surgeons can look back with pride and gratitude to their predecessors who placed a high premium on clinical practice and certification. Thoracic surgery, however, is dynamic, not static. So, too, should be thoracic surgery recertification. In recent years, considerable effort has...
journal_title：Thoracic surgery clinics
pub_type： 杂志文章,评审
doi：10.1016/j.thorsurg.2007.07.001
更新日期：2007-08-01 00:00:00
abstract：:Nonintubated video-assisted thoracoscopic surgery for the treatment of primary and secondary pneumothorax was first reported in 1997 by Nezu. However, studies on this technique are few. Research in the past 20 years has focused on the perioperative outcomes, including the surgical duration, length of hospital stay, an...
journal_title：Thoracic surgery clinics
pub_type： 杂志文章,评审
doi：10.1016/j.thorsurg.2019.08.001
更新日期：2020-02-01 00:00:00
abstract：:The benefits derived from comprehensive PR, when applied to patients who have lung cancer, should have significant impact on both survival and health status. Because PR is known to improve exercise capacity, it is reasonable to expect that this treatment modality may provide more patients with a potential cure. In add...
journal_title：Thoracic surgery clinics
pub_type： 杂志文章,评审
doi：10.1016/j.thorsurg.2007.10.003
更新日期：2008-02-01 00:00:00
abstract：:Research on surgically implanted devices not only can raise issues familiar from drug studies, but also can raise special challenges. This article suggests some ways in which device trials can raise distinctive ethical issues. The AbioCor artificial heart trial is used as an example. Although this particular trial sho...
journal_title：Thoracic surgery clinics
pub_type： 杂志文章,评审
doi：10.1016/j.thorsurg.2005.06.009
更新日期：2005-11-01 00:00:00
abstract：:Postoperative pain following thoracic surgery presents a significant challenge, and multiple factors complicate recovery and pain management for this population. Considerable comorbidities often exist in thoracic surgical patients, further limiting therapeutic options. Elements of nociceptive and neuropathic pain may ...
journal_title：Thoracic surgery clinics
pub_type： 杂志文章,评审
doi：10.1016/j.thorsurg.2015.07.005
更新日期：2015-11-01 00:00:00
abstract：:Nanotechnology is an emerging field with potential as an adjunct to cancer therapy, particularly thoracic surgery. Therapy can be delivered to tumors in a more targeted fashion, with less systemic toxicity. Nanoparticles may aid in diagnosis, preoperative characterization, and intraoperative localization of thoracic t...
journal_title：Thoracic surgery clinics
pub_type： 杂志文章,评审
doi：10.1016/j.thorsurg.2015.12.009
更新日期：2016-05-01 00:00:00
abstract：:Practically, hiatal hernias are divided into sliding hiatal hernias (type I) and PEH (types II, III, or IV). Patients with PEH are usually symptomatic with GERD or obstructive symptoms, such as dysphagia. Rarely, patients present with acute symptoms of hernia incarceration, such as severe epigastric pain and retching....
journal_title：Thoracic surgery clinics
pub_type： 杂志文章,评审
doi：10.1016/j.thorsurg.2009.08.006
更新日期：2009-11-01 00:00:00
abstract：:This article summarizes the pertinent points of tracheal and bronchial anatomy, including the relationships to surrounding structures. Tracheal and bronchial anatomy is essential knowledge for the thoracic surgeon, and an understanding of the anatomic relationships surrounding the airway is crucial to the safe perform...
journal_title：Thoracic surgery clinics
pub_type： 杂志文章,评审
doi：10.1016/j.thorsurg.2006.12.006
更新日期：2007-11-01 00:00:00
abstract：:With appropriate planning and operative technique, the risk of pulmonary artery injury and bleeding during video-assisted thoracoscopic surgery (VATS) lobectomy can be minimized. However, the risk cannot be completely eliminated; surgeons should always ensure that they are prepared to manage this situation if it occur...
journal_title：Thoracic surgery clinics
pub_type： 杂志文章,评审
doi：10.1016/j.thorsurg.2015.04.007
更新日期：2015-08-01 00:00:00
abstract：:European studies have contributed significantly to the understanding of lung cancer screening. Smoking within screening, quality of life, nodule management, minimally invasive treatments, cancer prevention programs, and risk models have been extensively investigated by European groups. Mortality data from European scr...
journal_title：Thoracic surgery clinics
pub_type： 杂志文章,评审
doi：10.1016/j.thorsurg.2014.12.002
更新日期：2015-05-01 00:00:00
abstract：:Air leakage after pulmonary resections is considered the most prevalent postoperative problem, and it is often the only morbidity identified. Ideally, treatment begins with prevention; the onset of this complication should be anticipated and recognized during surgery, and intraoperative strategies should be attempted ...
journal_title：Thoracic surgery clinics
pub_type： 杂志文章,评审
doi：10.1016/j.thorsurg.2010.03.004
更新日期：2010-08-01 00:00:00
