Pain Management Following Thoracic 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

authors： Cykert S

更新日期：2004-08-01 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：: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

authors： Yeh RW,Triadafilopoulos G

更新日期：2005-08-01 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：: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 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：: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：:Thoracoscopy has afforded a huge advance for upper thoracic sympathetic procedures compared with prior open procedures. Different clinical syndromes of hyperhidrosis exist and require different forms of treatment. The classic severe palmoplantar pattern of hyperhidrosis will not respond effectively in the long term to...

journal_title：Thoracic surgery clinics

authors： Baumgartner FJ

更新日期：2008-05-01 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：: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

authors： Lin J,Iannettoni MD

更新日期：2005-05-01 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：: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 search for clinically applicable biologic markers or tumor signatures sufficiently powered as prognosticators of tumor behaviors or responses to therapeutic interventions has significantly advanced in scope and sophistication in the last 10 years. The TNM system, examining of tumor tissues to identify histopatholo...

journal_title：Thoracic surgery clinics

authors： Nguyen DM,Schrump DS

更新日期：2006-11-01 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

authors： Wright CD,Zeitels SM

更新日期：2006-02-01 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：: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：:Vertebral body resection for locally advanced lung cancer can be performed with acceptable morbidity and mortality rates, and with improved long-term survival, when combined with chemotherapy and radiation. A consensus has not been reached on either the optimal extent of vertebral resection or the optimal treatment re...

journal_title：Thoracic surgery clinics

authors： Martin LW,Walsh GL

更新日期：2004-05-01 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：: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

authors： Molins L,Fibla JJ,Mier JM,Sierra A

更新日期：2008-08-01 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

authors： Digesu CS,Hofferberth SC,Grinstaff MW,Colson YL

更新日期：2016-05-01 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：:In recent years, the subxiphoid approach has been used to avoid intercostal nerve damage in the field of thoracic surgery. A subxiphoid single-port thymectomy does not require sternotomy; it is associated with lesser pain because there is no intercostal nerve damage; and it provides excellent cosmetic outcomes. Furthe...

journal_title：Thoracic surgery clinics

authors： Suda T

更新日期：2017-11-01 00:00:00

abstract：:Curing cancer requires the treatment of metastatic disease. Whether this is a patient with advanced disease and clinically apparent metastases, or if the patient with localized disease is at risk for development of dissemination, failure to control metastasis will result in a poor outcome. Here, we have presented a mo...

journal_title：Thoracic surgery clinics

authors： Krishnan K,Khanna C,Helman LJ

更新日期：2006-05-01 00:00:00

abstract：:Esophageal perforation has historically been a devastating condition resulting in high morbidity and mortality. The use of endoluminal therapies to treat esophageal leaks and perforations has grown exponentially over the last decade and offers many advantages over traditional surgical intervention in the appropriate c...

journal_title：Thoracic surgery clinics

authors： Watkins JR,Farivar AS

更新日期：2018-11-01 00:00:00

abstract：:Although numerous articles have been written over the past two decades with regard to the treatment of traumatic diaphragmatic hernia, little has actually changed during that time. The ability to make the diagnosis has somewhat improved because of the technologic advances in CT; however, it remains true that the best ...

journal_title：Thoracic surgery clinics

authors： Scharff JR,Naunheim KS

更新日期：2007-02-01 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：: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：: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：: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

authors： Pairolero PC

更新日期：2007-08-01 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