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Thoracic

February 18, 2015
Lymphangiomas, because of their underlying inherent properties—benign and fluid filled—make them ideal for a minimally invasive approach, in particular when involving the chest wall. However, there is limited experience with the use of these techniques in the management of these complex lesions.
February 16, 2015
This video shows a very rare vascular injury occurring during VATS left upper lobectomy, and its repair. The case suggests some of the limitations of VATS procedures.
February 16, 2015
Usually patients with prior cancer are excluded in lung cancer trials, but the impact on survival in lung cancer is not known. In a cohort of 102929 patients older than 65 with stage IV lung cancer, a propensity score analysis were performed and found that patients with prior cancer had better survival (all-cause and lung cancer-specific).
February 16, 2015
This trial randomized 61 pts to a program of endurance and strength training or no training beginning 5-7 weeks after lung resection for cancer and lasting 20 weeks.  Compared to controls, treatment group patients demonstrated significant improvements in peak O2 uptake, DLCO, leg and arm strength, muscle mass, and QOL.
February 13, 2015
This carefully prepared book is a wonderful compendium of scientific evidence regarding squamous cell cancer of the esophagus, written from a Japanese perspective.
February 9, 2015
Shanda Blackmon, MD of the Mayo Clinic in Rochester, MN, shares a snapshot of what life is like as a general thoracic surgeon.
February 6, 2015
The Centers for Medicare and Medicaid Services (CMS) announced on February 5, 2015, that CT lung cancer screening will be a covered service.  This long awaited decision followed the preliminary announcement in November 2014.  After a period of comment, the coverage ages were expanded to include patients 55-77 years old.  The process mandates maintena
February 4, 2015
Recorded via Google Hangouts, this roundtable discussion focuses on the impact of “human factors” in cardiothoracic surgery. Joel Dunning moderates the discussion with Tara Bartley, Arie Blitz, and Jill Ley.
February 3, 2015
This consensus statement from the European Neuroendocrine Society is based on extensive bibliographic searches and systematic review.  Surgery is the mainstay of therapy for most tumors, and includes resection of metastases when this can be accomplished in a curative manner.  Somatostatin analogues are considered first line therapy for unresectable c
February 2, 2015
The authors queried the National Cancer Data Base to assess outcomes of patients with R1 resection margins related to the presence and type of postoperative adjuvant therapy.  3.1% of over 54,000 resections had R1 margins, which negatively affected long-term survival.  Combined chemotherapy and radiation therapy improved outcomes; administration of c

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