Journal and News Scan

Randomized evidence on the comparative outcomes of early-stage lung cancer resection by video-assisted thoracoscopic surgery (VATS) versus open resection is limited. Here was conducted a parallel-group multicenter randomized trial that recruited participants with known or suspected early-stage lung cancer and randomly assigned them to open or VATS resection of their lesions.

Acute, type A aortic dissection remains a challenging emergency in cardiovascular surgery.The management of life-threatening complications has evolved to include endovascular options and complex aortic repair, but expeditious open replacement of the ascending aorta remains the preferred approach. This expert consensus offers recommendations based on current clinical evidence and expert opinions where all cardiac and aortic surgeons needed to be updated.
Notions like antimpulse management pre operatively in order to avoid aortic stress and stabilise the patient using opiod analgesia, thinking about a transfer to a (CAC) comprehensive aortic centre after analysing the recent evidence, focusing on clinical questions that are crucial for the decision making in all aspects, this excellent document gives answers based on the current literature.

Recently, increased attention has been paid to the risk of chronic opioid use after surgery. In this nationwide cohort study, we examined the rate of new persistent opioid use after cardiac surgery by sternotomy.

A scholarly update on the previous (2016) guidelines, with an interesting Chapter 9 Gaps in evidence and future perspectives. The guidelines have been extensively reviewed by European and other experts. The authors insist on the only advisory value of their conclusions. Understandably, there is no mention of venous ECMO.