A two-center prospective study on 229 patients with pulmonary lobectomy for lung cancer was conducted. Large postoperative pleural effusion (>400 ml/day) could be predicted by an aggregate score which includes age >70 years, lower lobectomy and presence of COPD.
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Thoracic
July 9, 2015
July 9, 2015
Approximately 5400 patients who underwent lobectomy for non-small-cell lung cancer were analyzed. Post-discharge mortality (PDM) within 90 days came up to 1.9%. Patient-dependent risk factors were identified by multivariate logistic and Cox regression analyses.
July 7, 2015
This video shows how to use orthopedic screws and bone cement molded in a latex drain for a very strong rib reconstruction. The author believes that the procedure is easy to implement, versatile, and economical.
July 4, 2015
A novel social networking group has been formed and is entitled, "The Thoracic Surgery Social Media Network." It is represented on Twitter by the handle, @TSSMN. In addition, tweets are tagged with the #TSSMN hashtag.
July 1, 2015
This video presents a single-port VATS right upper lobe sleeve lobectomy for a stage I carcinoid tumor in a 52-year-old patient. Sleeve lobectomy is a challenging and complex procedure. Typical carcinoids occluding the right upper lobe bronchus present an ideal opportunity for sleeve upper lobectomy due to their indolent nature and excellent oncologic outcomes.
June 29, 2015
This video shows a minimally invasive repair of a pectus excavatum through a periareolar incision.
June 28, 2015
Retrospective cross-sectional cohort study using 5 years of Medicare benficiary data to determine whether post discharge mortality varies by time-to-readmission. Two of the three operations analyzed were lung resection (n=101,092) and coronary artery bypass grafting (CABG) (n=484,260).
June 25, 2015
The authors reviewed their experience with patients suffering blunt trauma who had evidence of a pneumomediastinum on CT. Among over 3,000 pts, 2.7% had pneumomediastinum. Those affected had higher injury scores and a higher mortality rate (12.5% vs 3.6%). Increased risk of mortality was associated with posterior mediastinal air, air in all medias
June 25, 2015
This study evaluated outcomes in patients undergoing resection for lung cancer who were found at surgery to have pleural carcinomatosis. 2.9% of registry patients were identified, of whom 49% had a macroscopic complete resection. 5-year survival in those without other metastatic disease was 29%. 5-year survival in those undergoing macroscopic comp
June 24, 2015
Patients with afib undergoing elective surgery or invasive procedure who were on coumadin were randomized to bridging with low molecular weight heparin or placebo preoperatively. The incidence of arterial thromboembolism was .03% in the bridge group and 0.4% in the placebo group, demonstrating non-inferiority of placebo. The bleeding complication r