Using a Taiwanese national database, the authors evaluated long-term survival after VATS vs open lobectomy for lung cancer using propensity matching and multvariate analyses. Among 5,222 patients, 2,164 (41%) had a VATS approach. Propensity matching yielded 1848 patients in each group. 5-year survival was similar for the VATS and open groups (68.7
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Cancer
August 2, 2016
Proposed definitions for the 8th edition of the AJCC Cancer Staging Manual are presented.
August 2, 2016
This randomized trial evaluated the efficacy of postoperative metoprolol or losartan in preventing atrial fibrillation in patients with elevated N-terminal pro-brain natriuretic peptide who were undergoing lung resection for cancer. Among candidates, 29% (320) of patients had elevated NT-proBNP and were randomized. Both metoprolol and losartan redu
August 1, 2016
This video shows a uniportal VATS left lower lobectomy. The dissection was performed down to up, and an aberrant vein was incidentally found.
July 15, 2016
This is a retrospective National Cancer Data Base cohort study of patients with pathologic stage T3 invasive NSCLC with separate tumor nodules in the same lobe. The goal was to determine with adjuvant chemotherapy increased survival.
June 30, 2016
The multi-institutional prospective study evaluated the behavior of pure GGOs (85%), heterogeneous GGOs (part solid only on CT lung windows; 7%), and part-solid GGOs on soft-tissue windows. Among pure GGOs, 6.6% advanced to one of the other categories during a mean follow-up period of 4.3 years. Of the 35 pure GGOs that were resected, none was an
June 28, 2016
This video shows a uniportal subxiphoid lobectomy in a patient with a proven adenocarcinoma of the middle lobe.
June 11, 2016
The authors summarize findings in a single institution retrospective review of patients undergoing pre-discharge VTE screening after pneumonectomy for NSCLC and compare outcomes to an historic series of patients who did not have screening. Rates of VTE in the screened group were 8.9% at discharge, an additional 3.4% within 30 days postop, and 5.4% &
June 11, 2016
The author describes the growing role of SBRT in lung cancer therapy and the growing role of radiation oncologists in decision-making regarding lung cancer. The cautionary note is that surgeons need to remain actively involved in staging, patient assessment, and treatment recommendations.
Commentary:
June 7, 2016
This video demonstrates the surgical treatment of a 57-year-old patient with a neuroendocrine tumor in the apical segment of the right upper lobe.