Bilobectomy and right lobectomy were compared in a retrospective case-control study with 117 matched pairs. Space-mismatch related complications were not more frequent following bilobectomy, however, the rate of cardiovascular events was higher after lower and middle lobectomy compared with lower lobectomy.
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Lung
June 17, 2014
In this video, a single 3.5 cm incision was used for a VATS right upper lobectomy and lymph node dissection for non-small cell carcinoma in a 61-year-old female patient. The incision was only slightly larger than a chest tube insertion incision.
June 10, 2014
This report on 127 pts with atypical pulmonary carcinoid evaluated clinical and pathological prognostic features. Recurrence developed in 25% of pts during follow-up, with sublobar resection being the only independent predictor. Survival was related only to distant recurrence on multivariable analysis. The authors recommend complete standard anato
June 2, 2014
LVR using endobronchial therapies remains experimental. This multicenter study tested LVR coils in 60 pts for safety and efficacy. There were a total of 18 serious adverse events. At 6 and 12 mos, dyspnea scores decreased 11%, 6 min walk increased 30-50 m, and FEV1 increased 0.11 L. Pts with either heterogeneous or homogeneous emphysema appeared
May 28, 2014
J. Matthew Reinersman presents a new technique that combines POEM and laparoscopic dor fundoplication.
May 22, 2014
David Sugarbaker, Director of the International Mesothelioma Program, discusses the use of extrapleural pneumonectomy in the treatment of mesothelioma.
May 21, 2014
This study evaluated over 200 RTCs of systemic therapy for NSCLC. There has been a steady increase in the number of trials reporting outcomes for progression-free survival. Over 50% of trials now report a positive outcome without meeting the primary endpoint of the trial. Although the sample size of the trials is increasing, the magnitude of repor
May 15, 2014
Betty Tong, Co-Director of the Lung Cancer Screening Program at Duke University Medical Center, discusses the process of establishing a lung cancer screening program.
May 9, 2014
Using the Nationwide Inpatient Sample, the authors evaluated outcomes and costs of VATS (37,595) vs robotic (2,498) lobectomy 2008-2011. Robotic lobectomy was associated with higher rates of complications, particularly cardiovascular and iatrogenic bleeding, and higher costs ($22,582 vs $17,874).
May 6, 2014
67 patients without a previous history of lung cancer underwent FNA of a GGO with results suspicious for, but not diagnostic of, adenocarcinoma. 47 pts who elected to undergo resection were compared to 16 who opted for observation. 6/16 observed pts developed interval growth or increase in the solid component of the GGO and 5 underwent resection or