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Thoracic

Preoperative Serum Lactate Dehydrogenase Level as a Predictor of Major Complications Following Thoracoscopic Lobectomy: A Propensity-Adjusted Analysis

Zhang and colleagues examined serum biomarker levels in patients undergoing a lobectomy using video-assisted thoracic surgery. Among 626 patients, they found that preoperative serum LDH was an independent predictor of 90-day cardiopulmonary complications. The authors recommend including LDH measurements in the risk assessment process prior to major lung resection.

Cardiothoracic Surgery Mock Oral Examinations: A Single Institution's 5-Year Experience

Corsini et al examined the results of a single-institution's 5-year experience of cardiothoracic surgery mock oral examinations. They demonstrate that this time- and labor-intensive exercise where trainees verbalize and practice their certification examination in a safe, controlled environment with their faculty can lead to improvement in preparation for the high-stakes real examination, with an impressive 5-year 100% pass rate for trainees involved in this experience.

Watch Live-in-a-Box Microlobectomy and Microthymectomy Surgical Videos Performed in Bologna, Italy

Click on the link below and register for free to gain access to two operations that were performed live in Bologna, Italy, on October 1st, 2018. 

https://www.microlobectomy.live/

The first video is a right upper lobe microthymectomy with energy division of the posterior ascending artery and tumour retrieval from a subxiphoid port with lymphadenectomy, followed by a presentation about microlobectomy. 

More Frequent Surveillance Following Lung Cancer Resection Is Not Associated With Improved Survival: A Nationally Representative Cohort Study

Using the National Cancer Database, the effect of the timing of computed tomography (CT) surveillance after resection of non-small cell lung cancer on survival was investigated.  Survival was similar for patients undergoing CTs every three months or every six months compared to those undergoing annual surveillance CTs.  More frequent imaging also had no impact on survival after recurrence.

Cochrane Collaboration in Crisis as Half of its Governing Board Resigns After a Member is Expelled

The highly respected Cochrane Collaboration is in crisis today at its 25th annual meeting in Edinburgh as one board member is expelled and six more resign. There are more links below but it seems to have been over a dispute regarding the independence of authors and members with regards to links to industry and pharmaceutical companies. Here is a statement from the rump governing board, released yesterday:
https://www.cochrane.org/news/message-governing-board

Implementing a Thoracic Enhanced Recovery Program: Lessons Learned in the First Year

Enhanced recovery programs are very popular now, but their benefits have been mostly theoretical.  This article describes challenges and outcomes after initiation of such a program, citing decreased costs, lower opioid usage, and shortened length of stay.

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