Open, Minimally Invasive, and Robotic Approaches for Esophagectomy: What Is the Approach Algorithm?

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：: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：: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：: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：:There is mounting recognition that, to aid surgical decision making, treatment efficacy needs to be measured in a variety of ways, with health-related quality of life now widely regarded as an important outcome in pulmonary surgical populations. The aim of this review is to provide a comprehensive overview of the key ...

journal_title：Thoracic surgery clinics

authors： Fitzsimmons D,Wheelwright S,Johnson CD

更新日期：2012-11-01 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：: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：: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

authors： Nici L

更新日期：2008-02-01 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：: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：: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 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：: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：: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：: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：: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：: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：: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：: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：: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：: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：: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：: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：: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：: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：: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

authors： Sepesi B

更新日期：2017-05-01 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：: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：: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：: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