Video-assisted thoracoscopic (VATS) lobectomy after induction therapy.

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

authors： Jacobson JA

更新日期：2005-11-01 00:00:00

abstract：:Most cases of hemothorax are related to blunt or penetrating chest trauma. Criteria for surgical intervention for initial hemothorax are well defined. Appropriate management of retained hemothorax following initial trauma management is critical, and the best approach remains controversial. Spontaneous hemothorax is mu...

journal_title：Thoracic surgery clinics

authors： Broderick SR

更新日期：2013-02-01 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：: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：: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：: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：:Arterial thoracic outlet syndrome is rare and may be associated with a bony anomaly. Patient presentation can range from mild arm discoloration and claudication to severe limb-threatening ischemia. For patients with subclavian artery dilation without secondary complications, thoracic outlet decompression and arterial ...

journal_title：Thoracic surgery clinics

authors： Nguyen LL,Soo Hoo AJ

更新日期：2021-02-01 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：: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

authors： Shamji FM,Deslauriers J

更新日期：2013-05-01 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

authors： Berry MF

更新日期：2015-08-01 00:00:00

abstract：:MPM is an uncommon disease with limited treatment options. Early diagnosis, a standardized staging system, early referral to centers experienced in MPM, and efforts to develop collaborative multicenter trials are essential to improving treatment for patients with MPM. Efforts to manage this malignancy, which is projec...

journal_title：Thoracic surgery clinics

authors： Kukreja J,Jaklitsch MT,Wiener DC,Sugarbaker DJ,Burgers S,Baas P

更新日期：2004-11-01 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

authors： Minnich DJ,Mathisen DJ

更新日期：2007-11-01 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：: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

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

authors： Morreim EH

更新日期：2005-11-01 00:00:00

abstract：:In spite of numerous clinical trials, the jury is still out on the value of induction therapy for locally advanced lung cancer. We elected to address this topic from the multifaceted views of the clinicians often involved in lung cancer management and according the most recent views on locally advanced NSCLC. The conc...

journal_title：Thoracic surgery clinics

authors： Rocco G,Morabito A,Muto P

更新日期：2012-02-01 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

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

更新日期：2015-01-01 00:00:00

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：: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

authors： Pardolesi A,Veronesi G

更新日期：2014-05-01 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 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

authors： Wolf AS,Flores RM

更新日期：2016-08-01 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 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：: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：: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：: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

authors： Villeneuve PJ,Sundaresan S

更新日期：2006-08-01 00:00:00

abstract：:Benign stenosis of trachea results mainly from tracheotomy, ventilation, or trauma. The combination of a defect of the mucosa or the tracheal wall and infection produce secondary scar tissue healing with shrinkage of the tracheal lumen or instability of the tracheal wall. Standard of treatment consists of resection of...

journal_title：Thoracic surgery clinics

authors： Stoelben E,Koryllos A,Beckers F,Ludwig C

更新日期：2014-02-01 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：: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

authors： Witek TD,Melvin TJ,Luketich JD,Sarkaria IS

更新日期：2020-08-01 00:00:00

abstract：:Pleural metastasis is a common occurrence in up to 30% of patients with metastatic cancer. When lung entrapment and loculation of fluid occur, treatment is more difficult and we have named this condition "oncothorax." The malignant adhesions that entrap the lung in an oncothorax are not typically amenable to surgical ...

journal_title：Thoracic surgery clinics

authors： Petrov R,Bakhos C,Abbas AE

更新日期：2018-02-01 00:00:00