The Staging of Malignant Pleural Mesothelioma.

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：: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：: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：: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：: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：: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：: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：: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：: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：: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：: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

authors： Lerut T,De Leyn P,Coosemans W,Decaluwé H,Decker G,Nafteux P,Van Raemdonck D

更新日期：2010-05-01 00:00:00

abstract：:Arterial thoracic outlet syndrome is rare and may be associated with a bony anomaly. Patient presentation can range from mild arm discoloration and claudication to severe limb-threatening ischemia. For patients with subclavian artery dilation without secondary complications, thoracic outlet decompression and arterial ...

journal_title：Thoracic surgery clinics

authors： Nguyen LL,Soo Hoo AJ

更新日期：2021-02-01 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：: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：: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：: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：: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 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：: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：: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：: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：: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：: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

abstract：:A thorough knowledge of thoracic anatomy is of fundamental importance to the thoracic surgeon. Surface anatomy is an often-neglected component of traditional topographic anatomic teaching, but a proper understanding of the relationship of surface features to deeper structures is invaluable in the clinical assessment o...

journal_title：Thoracic surgery clinics

authors： Sayeed RA,Darling GE

更新日期：2007-11-01 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：: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：: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 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：: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