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Lung Cancer - Surgery

August 11, 2017
This prospective study evaluated whether intraoperative molecular imaging (IMI) with a folate receptor targeted contrast agent visible in the near-infrared spectrum improved the detection of peripheral malignant lung nodules.  Fifty patients undergoing surgery for peripheral nodules had a preoperative PET scan and were imaged intraoperatively.
August 8, 2017
Despite VATS lobectomy being 25 years old, we do need definitive results urgently and from large randomised clinical trials in order to demonstrate the remarkable advantage for the patients undergoing major lung resection by minimally invasive approach.
August 3, 2017
Grigor and colleagues investigated the relationship between self-reported patient experience and the incidence of adverse events or prolonged length of hospitalization after surgery. Patients with a prolonged length of stay rated their experience lower on more measures than patients with adverse events did.
August 2, 2017
This retrospective study of the association of BMI to long-term survival after resection of NSCLC identified BMI > 30kg/m2 as an independent predictor of survival.  In a propensity score matched set, patients with BMI >30 had better survival than those with a BMI of 25 (p=0.003).   The reason for this relationship remains to be elucidated.
August 2, 2017
This is an excellent summary of progress during the past year in all aspects of lung cancer, from prevention/detection through molecular therapies and future perspectives.  Each section is written by a handful of international experts. 
July 27, 2017
Lacroix and colleagues evaluated pulmonary function, pain, and quality of life in patients who underwent robotic thoracic surgery, predominantly for non-small cell lung cancer. The authors observed no difference between preoperative and 7-month postoperative pulmonary function.
July 19, 2017
I particularly enjoyed Table 1 of this succinct mini manual on ' robotic' assisted oncologic pulmonary resections (‘robotic’ is a catchy cross-speciality misnomer particularly adored by popular media; probably too late to ostracise the term, yet it leaves the computer-assisted surgeons open to malpractice claims!).
July 11, 2017
Video assisted thoracoscopic surgery (VATS) lobectomies have been instrumental in the evolution of thoracic surgical oncology since its introduction in the early 90s.
May 17, 2017
An assessment of regional lung resection outcomes relative to compliance with NCCN resection guidelines was performed.  Negative margins 94%, 91% anatomic, 51% hilar nodes sampled, 26% 3 mediastinal nodal stations sampled.  On average, 17% of resections met all criteria, although the trend was upward over time.
March 27, 2017
Evidence for the benefit of sleeve lobectomy over pneumonectomy for lung cancer is limited.  This 10 year retrospective nationwide study compared propensity score matched sleeve resection and pneumonectomy patients (794 in each group).  Postoperative outcomes and long-term disease-free survival were superior in the sleeve resection patients when matc