Thoracic irradiation in the elderly.

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 reduction in morbidity with preliminary results suggestive of stable outcomes. Prospective data from elderly specific trials are needed to determine the optimal treatment of lung cancer and to compare innovative radiation technology with standard therapies.

journal_name

Thorac Surg Clin

journal_title

Thoracic surgery clinics

authors

Redmond KJ,Song DY

doi

10.1016/j.thorsurg.2009.06.003

subject

Has Abstract

pub_date

2009-08-01 00:00:00

pages

391-400

issue

3

eissn

1547-4127

issn

1558-5069

pii

S1547-4127(09)00036-X

journal_volume

19

pub_type

杂志文章,评审
  • Video-assisted thoracoscopic (VATS) lobectomy after induction therapy.

    abstract::Concerns regarding the sequelae of neoadjuvant chemotherapy or chemoradiotherapy on the pleural space and tissue planes had previously deterred the application of video-assisted thoracoscopic (VATS) lobectomy for patients who underwent neoadjuvant therapy. As experience with VATS has increased, however, its applicatio...

    journal_title:Thoracic surgery clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.thorsurg.2014.07.013

    authors: Mollberg NM,Mulligan MS

    更新日期:2014-11-01 00:00:00

  • The role of lymphadenectomy in lung cancer surgery.

    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

    authors: D'Andrilli A,Venuta F,Rendina EA

    更新日期:2012-05-01 00:00:00

  • Chronic pain and thoracic surgery.

    abstract::The development of chronic pain after thoracic surgery is a particularly undesirable yet common complication. As the study of the pathophysiology of chronic pain with regard to the plasticity of the central nervous system advances, new insights are being gained into not only the potential origins of chronic postthorac...

    journal_title:Thoracic surgery clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.thorsurg.2004.10.001

    authors: Erdek MA,Staats PS

    更新日期:2005-02-01 00:00:00

  • Lung cancer screening: the European perspective.

    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

    authors: Veronesi G

    更新日期:2015-05-01 00:00:00

  • Results of Pulmonary Resection: Sarcoma and Germ Cell Tumors.

    abstract::Pulmonary metastasis occurs in as many as 88% and 80% of stage IV patients with sarcoma and germ cell tumors, respectively. Pulmonary metastatectomy may be the only means of rendering a patient disease free. Sublobar resection (wedge or segmentectomy), lobectomy, and pneumonectomy achieve complete resection. Bilateral...

    journal_title:Thoracic surgery clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.thorsurg.2015.09.007

    authors: Ceppa DP

    更新日期:2016-02-01 00:00:00

  • Blunt Tracheobronchial Trauma.

    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

    authors: Shemmeri E,Vallières E

    更新日期:2018-08-01 00:00:00

  • Current Treatment of Mesothelioma: Extrapleural Pneumonectomy Versus Pleurectomy/Decortication.

    abstract::The role of surgical resection in malignant pleural mesothelioma (MPM) is based on the principle of macroscopic resection of a solid tumor with adjuvant therapy to treat micrometastatic disease. Extrapleural pneumonectomy (EPP) and pleurectomy decortication (P/D) have been developed in this context. Cancer-directed su...

    journal_title:Thoracic surgery clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.thorsurg.2016.04.003

    authors: Wolf AS,Flores RM

    更新日期:2016-08-01 00:00:00

  • Prevention and Management of Nerve Injuries in Thoracic Surgery.

    abstract::Nerve injuries can cause substantial morbidity after thoracic surgical procedures. These injuries are preventable, provided that the surgeon has a thorough understanding of the anatomy and follows important surgical principles. When nerve injuries occur, it is important to recognize the options available in the immedi...

    journal_title:Thoracic surgery clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.thorsurg.2015.07.012

    authors: Auchincloss HG,Donahue DM

    更新日期:2015-11-01 00:00:00

  • Pulmonary Artery Bleeding During Video-Assisted Thoracoscopic Surgery: Intraoperative Bleeding and Control.

    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

    authors: Berry MF

    更新日期:2015-08-01 00:00:00

  • Endoscopic antireflux therapy: the Stretta procedure.

    abstract::The Stretta procedure is safe and effective for the treatment of GERD. There are well-documented clinical trial data supporting its use, including a randomized sham-controlled study, single- and multi-center prospective trials, and community practice reports. The complication rate is within the acceptable range for th...

    journal_title:Thoracic surgery clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.thorsurg.2005.03.006

    authors: Yeh RW,Triadafilopoulos G

    更新日期:2005-08-01 00:00:00

  • Robot-assisted lung anatomic segmentectomy: technical aspects.

    abstract::Anatomic lung segmentectomy is a possible alternative to lobectomy for small (<2 cm) primary lung cancers. Interest in anatomic lung segmentectomy has increased further after the adoption of high-resolution computed tomography and the implementation of lung cancer screening studies, which are increasing the detection ...

    journal_title:Thoracic surgery clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.thorsurg.2014.02.008

    authors: Pardolesi A,Veronesi G

    更新日期:2014-05-01 00:00:00

  • Overview on current and future materials for chest wall reconstruction.

    abstract::This article focuses on new materials available to thoracic surgeons for the reconstruction of chest wall defects. Each surgeon is called to select the best reconstructive strategy based on the disease for which the resection is needed, the possible extension to adjacent structures, the availability of professional co...

    journal_title:Thoracic surgery clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.thorsurg.2010.06.005

    authors: Rocco G

    更新日期:2010-11-01 00:00:00

  • National Quality Forum Metrics for Thoracic Surgery.

    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

    authors: Cipriano A,Burfeind WR Jr

    更新日期:2017-08-01 00:00:00

  • The significance of histology: typical and atypical bronchial carcinoids.

    abstract::The aim of this study is to assess in bronchial carcinoid tumors, the prognostic factors in relation to the histology that would determine their most appropriate therapy. The histologic aggressiveness is a determining factor in tumor size and nodal involvement in these tumors. The knowledge of the histologic limits of...

    journal_title:Thoracic surgery clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.thorsurg.2014.05.003

    authors: García-Yuste M,Matilla JM

    更新日期:2014-08-01 00:00:00

  • Complications of pulmonary resection: postpneumonectomy pulmonary edema and postpneumonectomy syndrome.

    abstract::Bassed on the authors' review of the unusual variants of PPS and the body of published experience, a revision of the current classification scheme for PPS into a more comprehensive form is justified as follows: (1) by the nature of obstruction; and (2) by the time of onset. This classification encompasses early and la...

    journal_title:Thoracic surgery clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.thorsurg.2006.05.001

    authors: Villeneuve PJ,Sundaresan S

    更新日期:2006-08-01 00:00:00

  • Risk acceptance and risk aversion: patients' perspectives on lung surgery.

    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

    authors: Cykert S

    更新日期:2004-08-01 00:00:00

  • The Staging of Malignant Pleural Mesothelioma.

    abstract::Staging of malignant pleural mesothelioma has been challenging because of a paucity of cases and poor survival. At least 5 staging systems were proposed before 1990 until the first consensus system was published in 1995. This system used tumor, node, metastasis designations and borrowed heavily from parenchymal lung c...

    journal_title:Thoracic surgery clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.thorsurg.2020.07.001

    authors: Euhus CJ,Ripley RT

    更新日期:2020-11-01 00:00:00

  • Fast-tracking investigation and staging of patients with lung cancer.

    abstract::Standardized clinical care pathways for the investigation of patients with lung cancer allow for a reduction in the time interval between suspicion of lung cancer and treatment, lower costs, increased patient satisfaction, and quality of care. It may also be associated with a modest increase in survival. ...

    journal_title:Thoracic surgery clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.thorsurg.2013.01.012

    authors: Shamji FM,Deslauriers J

    更新日期:2013-05-01 00:00:00

  • Management of Recurrent Paraesophageal Hernia.

    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

    authors: Witek TD,Luketich JD,Pennathur A,Awais O

    更新日期:2019-11-01 00:00:00

  • Surface anatomy and surface landmarks for thoracic surgery.

    abstract::A thorough knowledge of thoracic anatomy is of fundamental importance to the thoracic surgeon. Surface anatomy is an often-neglected component of traditional topographic anatomic teaching, but a proper understanding of the relationship of surface features to deeper structures is invaluable in the clinical assessment o...

    journal_title:Thoracic surgery clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.thorsurg.2006.12.002

    authors: Sayeed RA,Darling GE

    更新日期:2007-11-01 00:00:00

  • Nonintubated Video-Assisted Thoracic Surgery for the Management of Primary and Secondary Spontaneous Pneumothorax.

    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

    authors: Chen PH,Hung WT,Chen JS

    更新日期:2020-02-01 00:00:00

  • Cervical videomediastinoscopy.

    abstract::Cervical mediastinoscopy is a frequently used technique to assess the mediastinum, in particular the mediastinal lymph nodes in patients presenting with non-small cell lung cancer (NSCLC). The senior author of this article is credited for developing in 1989 the concept of what is now called videomediastinoscopy. The i...

    journal_title:Thoracic surgery clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.thorsurg.2010.01.006

    authors: Lerut T,De Leyn P,Coosemans W,Decaluwé H,Decker G,Nafteux P,Van Raemdonck D

    更新日期:2010-05-01 00:00:00

  • Teaching, Mentorship, and Coaching in Surgical Education.

    abstract::Teaching and mentorship have a long history in surgical education, but with a growing focus on safety, quality improvement, and continuous professional development, it is clear that the current training system is inadequate. Challenges from changes in residency training, financial constraints, rapidly increasing knowl...

    journal_title:Thoracic surgery clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.thorsurg.2019.03.008

    authors: Lin J,Reddy RM

    更新日期:2019-08-01 00:00:00

  • Surgical Resection in the Treatment of Pulmonary Tuberculosis.

    abstract::Surgery for tuberculosis is becoming more relevant today. This article discusses the main indications, contraindications, features of operations, and perioperative period. This information is useful for practicing surgeons and specialists in the treatment of pulmonary tuberculosis. ...

    journal_title:Thoracic surgery clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.thorsurg.2018.09.003

    authors: Yablonskii PK,Kudriashov GG,Avetisyan AO

    更新日期:2019-02-01 00:00:00

  • Video-assisted thoracoscopic surgery lobectomy for stage I lung cancer.

    abstract::The literature shows that, in the hands of experienced thoracoscopic surgeons, VL is a safe operation that offers patients at least comparable complication and survival rates compared with lobectomy by thoracotomy. VL can be performed safely with proven advantages over conventional thoracotomy for lobectomy: smaller i...

    journal_title:Thoracic surgery clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.thorsurg.2007.03.019

    authors: Mahtabifard A,DeArmond DT,Fuller CB,McKenna RJ Jr

    更新日期:2007-05-01 00:00:00

  • Adjuvant and Neoadjuvant Immunotherapy in Non-small Cell Lung Cancer.

    abstract::The advent of immune checkpoint blockade has revolutionized the management of advanced non-small cell lung cancer (NSCLC). Impressive results in the metastatic setting have prompted substantial interest in the application of these agents in earlier-stage disease. Applications of checkpoint blockade in the adjuvant set...

    journal_title:Thoracic surgery clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.thorsurg.2020.01.001

    authors: Broderick SR

    更新日期:2020-05-01 00:00:00

  • Management of Breast Cancer Invading Chest Wall.

    abstract::Surgical treatment of locally advanced or recurrent breast cancer involving the chest wall continues to play a role in the therapeutic armamentarium as part of the multidisciplinary treatment regimen. Significant progress has been made in chest wall resections and reconstructions, thanks to the availability of novel m...

    journal_title:Thoracic surgery clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.thorsurg.2017.01.009

    authors: Sepesi B

    更新日期:2017-05-01 00:00:00

  • Staged lung volume reduction surgery--rationale and experience.

    abstract::The current convention is for bilateral one-stage lung volume reduction surgery. Unilateral surgery results in a symptomatic improvement in most patients. A staged approach to the second lung may reduce the risk of surgery and lead to a slower decline in physiologic improvement. The timing of the second operation can ...

    journal_title:Thoracic surgery clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.thorsurg.2009.02.001

    authors: Waller D,Oey I

    更新日期:2009-05-01 00:00:00

  • The effect of patients' noncompliance on their surgeons' obligations.

    abstract::Professional oaths and codes do not establish a firm basis for the obligation to treat all patients and they provide little or no clear guidance about whether patient nonadherence exempts a physician from a longstanding and still prevalent tradition in surgery supports a strong obligation to one's established patients...

    journal_title:Thoracic surgery clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.thorsurg.2005.06.012

    authors: Jacobson JA

    更新日期:2005-11-01 00:00:00

  • Airway complications after lung transplantation.

    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

    authors: Machuzak M,Santacruz JF,Gildea T,Murthy SC

    更新日期:2015-01-01 00:00:00