National Quality Forum Metrics for Thoracic Surgery.

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：: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：: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

authors： Yablonskii PK,Kudriashov GG,Avetisyan AO

更新日期：2019-02-01 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：: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：: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：: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：: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：: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：: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：: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：: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：:Surgery has proven superiority over medical management for patients with nonthymomatous myasthenia gravis. The key is complete resection of the gland, which can be achieved with various techniques. The uniportal video-assisted transcervical technique allows minimally invasive surgery with a low complication rate, a go...

journal_title：Thoracic surgery clinics

authors： Lemaître PH,Keshavjee S

更新日期：2019-05-01 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：: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

authors： Broderick SR

更新日期：2020-05-01 00:00:00

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：: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

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：: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：: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：: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：:Thoracoscopic lobectomy is emerging as the procedure of choice for patients with early stage non-small cell lung cancer, based on advantages in quality of life as well as long-term outcomes. In addition, thoracoscopic lobectomy has been demonstrated to be safe and effective for selected patients with locally advanced ...

journal_title：Thoracic surgery clinics

authors： D'Amico TA

更新日期：2008-08-01 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：: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：:The incorporation of research into a career in thoracic surgery is a complex process. Ideally, the preparation for a career in academic thoracic surgery begins with a research fellowship during training. In the academic setting, a research portfolio might include clinical research, translational research, or basic res...

journal_title：Thoracic surgery clinics

authors： D'Amico TA,Tong BC,Berry MF,Burfeind WR Jr,Onaitis MW

更新日期：2011-08-01 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：: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：:Endoscopic thoracic sympathectomy (ETS) is an effective treatment of primary hyperhidrosis of the face, upper extremities, and axillae. The major limitation is the side effect of compensatory sweating severe enough that patients request reversal in up to 10% of cases. When ETS is performed by cutting the sympathetic c...

journal_title：Thoracic surgery clinics

authors： Hynes CF,Marshall MB

更新日期：2016-11-01 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