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 decortication. The standard approach for managing these patients is to place an indwelling catheter. Other options may include pleurectomy and decortication, intrapleural hyperthermic chemoperfusion, and intrapleural photodynamic therapy. However, these procedures should be provided selectively depending on patient performance status, extent of metastatic disease, and level of experience.
journal_name
Thorac Surg Clinjournal_title
Thoracic surgery clinicsauthors
Petrov R,Bakhos C,Abbas AEdoi
10.1016/j.thorsurg.2017.08.009subject
Has Abstractpub_date
2018-02-01 00:00:00pages
81-90issue
1eissn
1547-4127issn
1558-5069pii
S1547-4127(17)30091-9journal_volume
28pub_type
杂志文章,评审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
pub_type： 杂志文章,评审
doi：10.1016/j.thorsurg.2014.09.008
更新日期：2015-01-01 00:00:00
abstract：:MDCT using thin collimation and postprocessing techniques, such as multiplanar reformations along and perpendicular to the central axes of the central airways, and volume rendering techniques, such as virtual bronchoscopy and virtual bronchography, has become the imaging modality of choice for the diagnosis of nonneop...
journal_title：Thoracic surgery clinics
pub_type： 杂志文章
doi：10.1016/j.thorsurg.2009.12.005
更新日期：2010-02-01 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
pub_type： 杂志文章,评审
doi：10.1016/j.thorsurg.2014.07.001
更新日期：2014-11-01 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
pub_type： 杂志文章,评审
doi：10.1016/j.thorsurg.2004.06.010
更新日期：2004-11-01 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
pub_type： 杂志文章,评审
doi：10.1016/j.thorsurg.2015.12.009
更新日期：2016-05-01 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
pub_type： 杂志文章,评审
doi：10.1016/j.thorsurg.2008.01.005
更新日期：2008-05-01 00:00:00
abstract：:Surgical treatment of locally advanced or recurrent breast cancer involving the chest wall continues to play a role in the therapeutic armamentarium as part of the multidisciplinary treatment regimen. Significant progress has been made in chest wall resections and reconstructions, thanks to the availability of novel m...
journal_title：Thoracic surgery clinics
pub_type： 杂志文章,评审
doi：10.1016/j.thorsurg.2017.01.009
更新日期：2017-05-01 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
pub_type： 杂志文章
doi：10.1016/j.thorsurg.2005.01.007
更新日期：2005-05-01 00:00:00
abstract：:Cervical mediastinoscopy is a frequently used technique to assess the mediastinum, in particular the mediastinal lymph nodes in patients presenting with non-small cell lung cancer (NSCLC). The senior author of this article is credited for developing in 1989 the concept of what is now called videomediastinoscopy. The i...
journal_title：Thoracic surgery clinics
pub_type： 杂志文章,评审
doi：10.1016/j.thorsurg.2010.01.006
更新日期：2010-05-01 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
pub_type： 杂志文章,评审
doi：10.1016/j.thorsurg.2004.06.009
更新日期：2004-11-01 00:00:00
abstract：:Concerns regarding the sequelae of neoadjuvant chemotherapy or chemoradiotherapy on the pleural space and tissue planes had previously deterred the application of video-assisted thoracoscopic (VATS) lobectomy for patients who underwent neoadjuvant therapy. As experience with VATS has increased, however, its applicatio...
journal_title：Thoracic surgery clinics
pub_type： 杂志文章,评审
doi：10.1016/j.thorsurg.2014.07.013
更新日期：2014-11-01 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
pub_type： 杂志文章,评审
doi：10.1016/j.thorsurg.2019.07.011
更新日期：2019-11-01 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
pub_type： 杂志文章,评审
doi：10.1016/j.thorsurg.2005.06.009
更新日期：2005-11-01 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
pub_type： 杂志文章,评审
doi：10.1016/j.thorsurg.2006.12.006
更新日期：2007-11-01 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
pub_type： 杂志文章,评审
doi：10.1016/j.thorsurg.2006.07.004
更新日期：2006-11-01 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
pub_type： 杂志文章,评审
doi：10.1016/S1547-4127(04)00009-X
更新日期：2004-05-01 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
pub_type： 杂志文章,评审
doi：10.1016/S1547-4127(04)00025-8
更新日期：2004-08-01 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
pub_type： 杂志文章,评审
doi：10.1016/j.thorsurg.2016.06.006
更新日期：2016-11-01 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
pub_type： 杂志文章,评审
doi：10.1016/j.thorsurg.2013.05.009
更新日期：2013-08-01 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
pub_type： 杂志文章,评审
doi：10.1016/j.thorsurg.2007.03.006
更新日期：2007-02-01 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
pub_type： 杂志文章,评审
doi：10.1016/j.thorsurg.2018.12.009
更新日期：2019-05-01 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
pub_type： 杂志文章,评审
doi：10.1016/j.thorsurg.2009.02.006
更新日期：2009-05-01 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
pub_type： 杂志文章,评审
doi：10.1016/j.thorsurg.2017.06.006
更新日期：2017-11-01 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
pub_type： 杂志文章,评审
doi：10.1016/j.thorsurg.2010.07.008
更新日期：2010-11-01 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
pub_type： 杂志文章,评审
doi：10.1016/j.thorsurg.2007.10.003
更新日期：2008-02-01 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
pub_type： 杂志文章
doi：10.1016/j.thorsurg.2010.12.007
更新日期：2011-05-01 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
pub_type： 杂志文章,评审
doi：10.1016/j.thorsurg.2014.05.003
更新日期：2014-08-01 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
pub_type： 杂志文章,评审
doi：10.1016/j.thorsurg.2010.06.005
更新日期：2010-11-01 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
pub_type： 杂志文章,评审
doi：10.1016/j.thorsurg.2013.01.012
更新日期：2013-05-01 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
pub_type： 杂志文章,评审
doi：10.1016/j.thorsurg.2018.05.008
更新日期：2018-08-01 00:00:00
