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Pleura

February 24, 2016
This video shows an extended lower lobectomy via left rethoracotomy for a recurrent tumor in the left lower lobe, and right-sided VATS clipping of the thoracic duct.
November 11, 2015
A prospective evaluation of patients suffering minor thoracic injuries was performed to assess functional impact at 90 days.  One-third had at least 1 rib fracture and 12% had a delayed hemothorax.  23% had severe or moderate disabilities at 90 days, which was more common among those with more severe injuries.  Outcomes were unrelated to age.
November 9, 2015
This video demonstrates the use of VATS to remove shrapnel from a patient's pleural cavity.
November 4, 2015
Alper Toker of Istanbul University Medical School, Istanbul, Turkey, delivers a talk on the surgical options for treating pleural sepsis.
October 19, 2015
The authors present a novel technique in which argon plasma energy (APE) is utilized to perform meticulous decortication, while preserving the lung parenchyma.
October 1, 2015
This single institution study evaluated patients with traumatic rib fracture treated with rib fixation vs medical management; patients were propensity score matched.  RF pts experienced a lower incidence of re-intervention for retained hemothorax, a lower incidence of empyema, and a lower incidence of readmision.
September 4, 2015
This study used a multicenter cohort in Italy to identify prognostic indicators for 3-year survival in patients who had undergone extrapleural pneumonectomy (EPP) for mesothelioma.  23% lived 3 years or longer.  This survival was related to age, epitheliod histology, lack of asbestos exposure, and involved LN ratio.  A risk score for survival was dev
July 30, 2015
The ESMO Guidelines Committee provides an update to its guidelines for evaluation and management of malignant pleural mesothelioma.  They recommend against screening.  A biopsy demonstrating tissue invasion is required for a definitive diagnosis.  Definitions for different extents of surgical radicality are provided.  No specific recommendations for
June 11, 2015
The authors evaluated VATS vs pleural drainage for initial primary spontaneous pneumothorax in 122 pts, evaluating costs and QOL.  Costs for VATS were half of those for pleural drainage.  Quality adjusted life years were better for VATS.  The incremental cost-effectiveness ratio for VATS was 7,600 euros at 1 year and 10,000 euros at 5 years, well wit
May 19, 2015
The question in this review was whether patients who experience tension pneumothorax differ in presentation depending on whether they are breathing spontaneously or are on positive pressure ventilation.  Assisted ventilation was more often associated with hypoxia, hypotension, and cardiac arrest.  These adverse clinical signs frequently arose within

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