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Pleura

July 31, 2014
Using a retrospective analysis of pts undergoing VATS for suspected pleural malignancy, the authors assessed the utility of CT in diagnosing pleural malignancy.  Of 370 pts studied, 211 had a pleural malignancy diagnosis established by biopsy.  The sensitivity of CT for detecting malignancy was 68%, and the negative predictive value was 65%.  CT alon
July 16, 2014
Spontaneous pneumothorax is often treated with a large bore chest tube placement and hospitalization. This article presents a reproducible education model for treating spontaneous pneumothorax with a percutaneous catheter and water seal/collection device.
May 29, 2014
This multicenter retrospective review included 518 pts from 9 centers who underwent EPP from 2000 to 2010.  Half the pts received induction chemotherapy, and nearly three-quarters of the patients received postoperative adjuvant therapy, primarily chemotherapy.  The major surgical complication rate was 26% and 90 day mortality was 6.9%.  3-year surviv
March 15, 2014
The authors evaluated the impact of small (<10mm) pleural effusion on outcomes in patients with NSCLC.  Of over 2000 pts, minimal PE was present in 13%.  It was more common in patients with more advanced stages.  Minimal PE was associated with decreased median survival (7.7 vs 17.7 mos) after adjustment for other prognostic variables.  The impact
February 24, 2014
A group of 1365 pts from 6 institutions was retrospectively reviewed for outcomes after palliative treatment, chemotherapy alone, pleurectomy/decortication (P/D), or extrapleural pneumonectomy (EPP). Multivariable analysis identified age
February 11, 2014
Dual incision thoracoscopic (DIT) decortication for stage 2 fibrinopurulent effusion is a further reduction in the invasiveness of thoracoscopy. DIT decortication is less invasive in a patient who is already morbid with infection, and the limited incisions or ports further reduce nerve injury in a relatively crowded rib space.
February 8, 2014
The authors performed a population-based study to determine the extent to which mesothelioma occurs absent occupational asbestos exposure. A clear dose-response relationship between degree of exposure and risk of mesothelioma was identified.
January 24, 2014
The most common type of mesothelioma is malignant pleural mesothelioma, a nearly invariably lethal tumour of the pleura. Very seldom diagnosed prior to the advent of widespread asbestos mining in the early to mid twentieth century, this disease has sharply risen in incidence over the last five decades (1).
November 5, 2013
Stage 3 organized pleural effusions are a relative contraindication to thoracoscopic decortications. This video demonstrates a left-sided single incision thoracoscopic decortication procedure for stage 3 organized pleural effusion, in a patient previously treated for pulmonary tuberculosis with pleural effusion.
October 28, 2013
Extrapleural pneumonectomy is a surgical resection option for the treatment of malignant pleural mesothelioma. This video shows a right-sided extrapleural pneumonectomy on a 60-year-old woman with mesothelioma.

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