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Journal and News Scan

Source: Journal of Clinical Oncology
Submitted by: Mark Ferguson
July 23, 2015
Author(s): Sheraz Markar, Caroline Gronnier, Alain Duhamel, Arnaud Pasquer, Jérémie Théreaux, Mael Chalret du Rieu, Jérémie H. Lefevre, Kathleen Turner, Guillaume Luc and Christophe Mariette
This multicenter retrospective study evaluated the efficacy of salvage esophagectomy after definitive chemoradiotherapy compared to planned esophagectomy after induction chemoradiotherapy.  Operative mortality was similarly high in both groups (8.4% vs 9.3%).  Anastomotic leak was higher after salvage esophagectomy (17.2% vs 10.7%).  3-year survival was similar between the groups.  Salvage esophagectomy for persistent disease resulted in lower survival than when performed for recurrent disease.
Source: European Journal of Cardio-Thoracic Surgery
Submitted by: Joel Dunning
July 23, 2015
Author(s): Ovidio A. García-Villarreal
  Authors describe a technique allowing excellent exposure of the mitral valve while more safely performing cut-and-sew Cox-Maze III.  
Source: European Journal of Cardio-Thoracic Surgery
Submitted by: Joel Dunning
July 23, 2015
Author(s): Graeme L. Hickey, Joel Dunning, Burkhardt Seifert, Gottfried Sodeck, Matthew J. Carr, Hans Ulrich Burger, and Friedhelm Beyersdorf on behalf of the EJCTS and ICVTS Editorial Committees
  The paper presents the guidelines for authors on statistical and data reporting for the European Journal of Cardio-Thoracic Surgery (EJCTS) and the Interactive CardioVascular and Thoracic Surgery (ICVTS). It focusses on issues which are most frequently commented on by the statistical reviewers.
Source: European Journal of Cardio-Thoracic Surgery
Submitted by: Joel Dunning
July 23, 2015
Author(s): Kazumasa Tsuda, Norihiko Shiiya, Daisuke Takahashi, Kazuhiro Ohkura, Katsushi Yamashita, and Yumi Kando
Transoesophageal stimulation for motor-evoked potentials monitoring was evaluated in dogs. The method was feasible with technical ease and small interindividual variability and therefore warrants further studies. The project won the 2014 EACTS Hans G. Borst Award.
Source: European Journal of Cardio-Thoracic Surgery
Submitted by: Joel Dunning
July 23, 2015
Author(s): Martin Czerny, Diana Reser, Holger Eggebrecht, Karin Janata, Gottfried Sodeck, Christian Etz, Maximilian Luehr, Fabio Verzini, Diletta Loschi, Roberto Chiesa, Germano Melissano, Andrea Kahlberg, Philippe Amabile, Wolfgang Harringer, Rolf Alexander Janosi, Raimund Erbel, Jürg Schmidli, Piergiorgio Tozzi, Yutaka Okita, Ludovic Canaud, Ali Khoynezhad, Gabriele Maritati, Piergiorgio Cao, Tilo Kölbel, and Santi Trimarchi
  Among 4680 TEVAR procedures of the European Registry of Endovascular Aortic Repair Complications, 26 patients suffered from either central airway (aorto-bronchial) or pulmonary parenchymal (aorto-pulmonary) fistulation. A radical surgical approach was superior to any other treatment strategy with regard to overall survival. 
Source: World Journal for Pediatric and Congenital Heart Surgery
Submitted by: CTSNet Staff
July 22, 2015
Author(s): Eduard Quintana, Hartzell V. Schaff, and Joseph A. Dearani
Mayo Clinic surgeons describe and illustrate the techniques they utilize to relieve obstruction in hypertrophic cardiomyopathy in those circumstances where it is difficult to adequately expose the basal and midventricular septum through the aortic root. In selected patients, either at primary myectomy or at redo myectomy, septal excision can be approached through a left ventricular transapical incision. This important alternative should be considered in cases where successful relief of dynamic basal or midventricular obstruction cannot be accomplished through the aorta. 
Source: Annals of Thoracic Surgery
Submitted by: Arie Blitz
July 21, 2015
Author(s): James Tatoulis, MD, FRACScorrespondenceemail, Rochelle Wynne, PhD, Peter D. Skillington, FRACS, Brian F. Buxton, MS, FRACS
The authors analyzed an audited collaborative multicenter database in Australia of over 34,000 consecutive patients who underwent CABG from 2001 to 2012,  and they compared outcomes in those undergoing total arterial revascularization (TAR) vs. those that did not.  In their propensity-matched cohort, the operative mortality was 0.9% for TAR patients and 1.2% for non-TAR patients (p<.001).  Ten-year survival was 85.4% for the TAR patients and 81.2% for the non-TAR patients (p<0.001).  The authors conclude that TAR is associated with a low operative mortality and superior long-term survival and should be used more liberally than it is at present.  
Source: Thorax
Submitted by: Tom C. Nguyen
July 20, 2015
Author(s): Shamus R Carr, Wallace Akerley, Mia Hashibe, Lisa A Cannon-Albright
This study explores the genetical contribution to lung cancer in non-smoking patients using a state-wide cancer registry for lung cancer (n=5544).    This study provides insight into which non-smoking patients are at risk for lung cancer.
Source: Journal of the American College of Cardiology
Submitted by: Ruben Osnabrugge
July 20, 2015
Author(s): Scot Garg; Simon G. Anderson; Keith Oldroyd; Colin Berry; Connor A. Emdin; Sanne A.E. Peters; Nick E.J. West; Damian Kelly; Kanarath Balachandran; John McDonald; Ravi Singh; Sen Devadathan; Simon Redwood; Peter F. Ludman; Kazem Rahimi; Mark Woodward
The authors of this paper investigated the outcomes of percutaneous coronary intervention (PCI) performed in centers with and without cardiac surgical support onsite in a large database in the United Kingdom between 2006 and 2012. They found in multivarate analysis that there was no difference at 30 days, 1 year or 5 years. Therefore they conclude that performing PCI at centers that do not have onsite cardiac surgical backup does not carry a higher risk of mortality, both at short and long-term follow-up
Source: Journal of Thoracic Oncology
Submitted by: Lisa Brown
July 17, 2015
Author(s): Zhong-hua Ning, Zhi-gang Wang, Jun Chen, Xiao-dong Li, Lu-jun Chen, Bin Xu, Wen-dong Gu, Ying-jie Shao, Yun Xu, Jin Huang, Hong-lei Pei, and Jing-ting Jiang
Retrospective study of 917 patients undergoing esophagectomy for squamous cell carcinoma at a single hospital in China. In the 7th version of the AJCC staging system for esophageal cancer, nodal stage (N stage) is based solely on the number of lymph node (LN) metastases. However, an updated staging system that includes the extent of LN metastases is proposed to determine if patients can be better stratified according to stage and subsequent survival. The authors hypothesized that given the same number of LNs, the prognosis may differ between patients whose metastatic LNs are contained in one station versus multiple stations. The current AJCC staging system used global data from 4,627 patients, but only 40% of these patients had squamous cell carcinoma. All patients in this study underwent transthoracic en-bloc esophagectomy with mediastinal and abdominal two-field lymphadenectomies. Four revised N stages were proposed: r-N0, 0 station, r-N1, 1 station, r-N2, 2 stations, r-N3, 3 stations based on Casson's LN drainage map. There was improvement in discrimination in terms of survival between those with r-N2 versus r-N3 and also between stages IIIB and IIIC using the revised staging system.