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：: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：:Esophageal cancer requires a multimodality treatment approach, with surgical resection a key component in many cases. When it comes to esophagectomy, several approaches and techniques exist, including transhiatal versus transthoracic and open versus minimally invasive. Each approach has its associated risks and advant...

journal_title：Thoracic surgery clinics

authors： Witek TD,Melvin TJ,Luketich JD,Sarkaria IS

更新日期：2020-08-01 00:00:00

abstract：:Almost a half of patients diagnosed with nonesmall-cell lung cancer (NSCLC) present with incurable disease, and a significant number of patients who are treated with curative intent for early-stage disease will eventually recur. Systemic therapy is selected based on tumor histology, squamous versus nonsquamous NSCLC, ...

journal_title：Thoracic surgery clinics

authors： Horn L,Cass AS

更新日期：2020-05-01 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：:Nonintubated video-assisted thoracoscopic surgery for the treatment of primary and secondary pneumothorax was first reported in 1997 by Nezu. However, studies on this technique are few. Research in the past 20 years has focused on the perioperative outcomes, including the surgical duration, length of hospital stay, an...

journal_title：Thoracic surgery clinics

authors： Chen PH,Hung WT,Chen JS

更新日期：2020-02-01 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：: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：: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

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：: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：: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：: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：: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：: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：: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：: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：: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：: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：: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：: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：: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：: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：: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：: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：:Nerve injuries can cause substantial morbidity after thoracic surgical procedures. These injuries are preventable, provided that the surgeon has a thorough understanding of the anatomy and follows important surgical principles. When nerve injuries occur, it is important to recognize the options available in the immedi...

journal_title：Thoracic surgery clinics

authors： Auchincloss HG,Donahue DM

更新日期：2015-11-01 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：: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：:European studies have contributed significantly to the understanding of lung cancer screening. Smoking within screening, quality of life, nodule management, minimally invasive treatments, cancer prevention programs, and risk models have been extensively investigated by European groups. Mortality data from European scr...

journal_title：Thoracic surgery clinics

authors： Veronesi G

更新日期：2015-05-01 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：: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

authors： Bravo-Iñiguez C,Perez Martinez M,Armstrong KW,Jaklitsch MT

更新日期：2014-11-01 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

authors： Mollberg NM,Mulligan MS

更新日期：2014-11-01 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：:Anatomic lung segmentectomy is a possible alternative to lobectomy for small (<2 cm) primary lung cancers. Interest in anatomic lung segmentectomy has increased further after the adoption of high-resolution computed tomography and the implementation of lung cancer screening studies, which are increasing the detection ...

journal_title：Thoracic surgery clinics

authors： Pardolesi A,Veronesi G

更新日期：2014-05-01 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：: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：: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：: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：: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：: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