NHS england carries out a series of consultations to guide national policy. Their recommendations are usually completely binding and result in policy change across the whole of the UK. Hospitals are unable to carry out operations for which they withdraw NHS funding.
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Thoracic
February 5, 2016
This video shows a completion pneumonectomy performed totally by video-assisted thoracoscopic surgery (VATS) on a 64-year-old female non-smoker.
February 2, 2016
This video demonstrates the technical details of a thoracoscopic left lower lobectomy utilizing the fissureless fissure-last technique.
January 31, 2016
Whether open and VATS lobectomy for lung cancer result in similar nodal assessment is unclear. The authors compared rates of nodal upstaging for nearly 17,000 patients in the National Cancer Database who underwent resection for T2N0M0 or lower stage NSCLC. Upstaging was more common in patients undergoing open resection (12.8% vs 10.3%).
January 30, 2016
Readmission after lung resection is associated with increased costs and is used as a benchmark for quality. Outcomes of more than 22,000 lobectomies were evaluated for factors associated with readmission. 30- and 90-day readmission rates were 11.5% and 19.8%. Causes for readmission were pulmonary (24%), cardiovascular (16%), and surgical/procedura
January 28, 2016
This video demonstrates a left lobectomy on a 49-year-old patient with bronchiectasis.
January 25, 2016
This video demonstrates a lobectomy performed through a transcervical incision without sternal lifting or retracting.
January 23, 2016
Retrospective study of surgery versus SBRT for clinical stage I NSCLC using the National Cancer Data Base (NCDB). Propensity score matching was used to create 5355 matched pairs. In that analysis, median survival for those undergoing surgery was 62.3 months versus 33.1 months in those undergoing SBRT.
January 19, 2016
This video presents the case of a 74-year-old patient, who suffered from recurrent pneumonias due to the presence of bronchiectasis in the lung. A VATS anatomical resection of the anterior upper lobe segment (S3) was performed.
January 14, 2016
This systematic review assessed outcomes of surgery for thymomas treated with open vs minimally invasive approaches. The vast majority of tumors were Masaoka I and II. Minimally invasive approaches were associated with shorter LOS and less blood loss. Complication rates were similar between the groups, as were rates of R0 resection and recurrence