Prevention and Management of Nerve Injuries in Thoracic Surgery.

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：: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 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

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

更新日期：2007-05-01 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：: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：: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：: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：: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：: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

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

更新日期：2019-11-01 00:00:00

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

authors： García-Yuste M,Matilla JM

更新日期：2014-08-01 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：: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

authors： Rocco G

更新日期：2010-11-01 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：: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：: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：: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：: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：: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

authors： Gilbert S,Luketich JD,Christie NA

更新日期：2004-02-01 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：: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

authors： Ceppa DP

更新日期：2016-02-01 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 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：: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：:Surgical treatment of idiopathic scoliosis has classically included posterior, anterior, or combined open surgical techniques. In recent years, a videothoracoscopic approach to the spine has been increasingly employed either in combination with the posterior open approach or as a stand-alone treatment including anteri...

journal_title：Thoracic surgery clinics

authors： Pompeo E,Mancini F,Ippolito E,Mineo TC

更新日期：2010-05-01 00:00:00

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

authors： Euhus CJ,Ripley RT

更新日期：2020-11-01 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

authors： Venuta F,Rendina EA,De Giacomo T,Coloni GF

更新日期：2010-08-01 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：: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：:Video-assisted thoracic surgery (VATS) lobectomy has become a standard approach for early stage 1 lung cancer. However, concerns still remain regarding certain clinical situations, such as potential damage to the heart or bypass grafts when VATS is performed after median sternotomy for cardiac surgery. In this article...

journal_title：Thoracic surgery clinics

authors： Serna-Gallegos D,Merry H,McKenna RJ Jr

更新日期：2015-08-01 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