Overview on current and future materials for chest wall reconstruction.

abstract：:Almost a half of patients diagnosed with nonesmall-cell lung cancer (NSCLC) present with incurable disease, and a significant number of patients who are treated with curative intent for early-stage disease will eventually recur. Systemic therapy is selected based on tumor histology, squamous versus nonsquamous NSCLC, ...

journal_title：Thoracic surgery clinics

authors： Horn L,Cass AS

更新日期：2020-05-01 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

authors： Paul S,Altorki N

更新日期：2013-11-01 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

authors： Wright CD

更新日期：2009-02-01 00:00:00

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

authors： Sesti J,Donington JS

更新日期：2016-08-01 00:00:00

abstract：:Early stage non-small cell lung cancer is a potentially curable manifestation of a disease that is typically associated with a grim prognosis. Therapies directed at early stage disease can be challenging to deliver because patients tend to be elderly with multiple comorbidities. Surgery, the standard of care, has been...

journal_title：Thoracic surgery clinics

authors： Shirvani SM,Chang JY,Roth JA

更新日期：2013-08-01 00:00:00

abstract：:Surgical education in 2019 faces may challenges to maintain the high standards of excellence achieved in prior generations of learners and trainers in cardiothoracic surgery. This compendium hopes to review the current and future strategies in surgical education. The topics include the adult learner, assessing compete...

journal_title：Thoracic surgery clinics

authors： Verrier ED

更新日期：2019-08-01 00:00:00

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

authors： Waller D,Oey I

更新日期：2009-05-01 00:00:00

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

authors： Auchincloss HG,Donahue DM

更新日期：2015-11-01 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

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

更新日期：2012-05-01 00:00:00

abstract：:Assessment for thoracic surgery in elderly patients should be based on physiologic rather than chronologic age. Thoracic surgery has been shown to be safe in selected elderly patients, and age should not be a contraindication to a therapy that offers the best chance of cure for patients with early-stage cancer. A targ...

journal_title：Thoracic surgery clinics

authors： Bravo-Iñiguez C,Perez Martinez M,Armstrong KW,Jaklitsch MT

更新日期：2014-11-01 00:00:00

abstract：:Because the esophagus is a tubular muscular structure only partially filled with air and surrounded by major structures (vessels, lungs, and heart), its radiologic evaluation cannot be performed solely by conventional chest radiograph or barium studies. The emergence of newer techniques has had a dramatic effect on th...

journal_title：Thoracic surgery clinics

authors： Ugalde PA,Pereira ST,Araujo C

更新日期：2011-05-01 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

authors： Cipriano A,Burfeind WR Jr

更新日期：2017-08-01 00:00:00

abstract：:Gastroesophageal reflux disease (GERD) is a well-defined disease characterized by symptoms or complications caused by an abnormal amount of GER, which is a retrograde movement of gastric contents into the esophagus. Laryngopharyngeal reflux (LPR) is a subset of GERD and given its own identity, because the main symptom...

journal_title：Thoracic surgery clinics

authors： Kwon YS,Oelschlager BK,Merati AL

更新日期：2011-11-01 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

authors： Bribriesco A,Patterson GA

更新日期：2018-08-01 00:00:00

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

authors： Lin J,Reddy RM

更新日期：2019-08-01 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

authors： Shemmeri E,Vallières E

更新日期：2018-08-01 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

authors： Minnich DJ,Mathisen DJ

更新日期：2007-11-01 00:00:00

abstract：:Stage IVA disease can be de novo disease or more commonly represent recurrent disease. The pleura is the most common site of relapse after thymoma resection. Local pleural disease is usually simply resected. This is usually combined with either induction or adjuvant chemotherapy. The ultimate extended surgery for adva...

journal_title：Thoracic surgery clinics

authors： Wright CD

更新日期：2011-02-01 00:00:00

abstract：:Tracheobronchomalacia is an uncommon acquired disorder of the central airways. Common symptoms include dyspnea, constant coughing, inability to raise secretions, and recurrent respiratory infections. Evaluation includes an inspiratory-expiratory chest CT (dynamic CT), an awake functional bronchoscopy, and pulmonary fu...

journal_title：Thoracic surgery clinics

authors： Wright CD

更新日期：2018-05-01 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

authors： Nici L

更新日期：2008-02-01 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

authors： Elmore B,Nguyen V,Blank R,Yount K,Lau C

更新日期：2015-11-01 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

authors： Ferraro P,Cugno S,Liberman M,Danino MA,Harris PG

更新日期：2010-11-01 00:00:00

abstract：:The shortage of adequate organ donors remains a great challenge in clinical lung transplantation. With increasing experience in the medical management and surgical technique of lung transplantation, gradual expansion of the criteria for lung donor selection has occurred with beneficial effects on the donor pool. Inter...

journal_title：Thoracic surgery clinics

authors： Yeung JC,Cypel M,Waddell TK,van Raemdonck D,Keshavjee S

更新日期：2009-05-01 00:00:00

abstract：:Despite the potential differences in patient characteristics, study designs, and types of instruments used, this review of the literature showed several common findings. Important improvements in QOL are reported after lung transplantation. These improvements were observed when cross-sectional comparisons were made ac...

journal_title：Thoracic surgery clinics

authors： Choong CK,Meyers BF

更新日期：2004-08-01 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

authors： Redmond KJ,Song DY

更新日期：2009-08-01 00:00:00

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

authors： Erdek MA,Staats PS

更新日期：2005-02-01 00:00:00

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 neo...

journal_title：Thoracic surgery clinics

authors： Cerfolio RJ,Bryant AS

更新日期：2008-11-01 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

authors： Bennett WF,Altaf F,Deslauriers J

更新日期：2011-05-01 00:00:00

abstract：:The few long-term survivors of MPM have been cured with radical surgical extirpation often followed by radiation therapy and adjuvant chemotherapy. The combination of pemetrexed and cisplatin recently was shown to improve survival over treatment with cisplatin alone. Given the size and robustness of that trial, the co...

journal_title：Thoracic surgery clinics

authors： Vogelzang NJ

更新日期：2004-11-01 00:00:00

abstract：:Hydatid disease is caused by the parasite Echinococcus granulosus. The liver and the lungs are common sites. When a cystic lesion is seen on CT scan, diagnosis is made based on the patient having lived in an endemic area. Serologic tests are used for differential diagnosis. Medical treatment is centered on albendazole...

journal_title：Thoracic surgery clinics

authors： Halezeroglu S,Okur E,Tanyü MO

更新日期：2012-08-01 00:00:00