The Society of Thoracic Surgeons Composite Score Rating for Pulmonary Resection for Lung Cancer
ConclusionsParticipants in the STS GTSD perform lung cancer resection with low morbidity and mortality. Lymph node data suggest participants are meeting contemporary staging standards. There is wide variability among participants in application of minimally invasive approaches. Risk adjustment for approach alters ratings in 3% of participants.
CONCLUSION: Upper GI surgeons need to have an index of suspicion for PEDH. They must investigate and operate these patients if this complication develops, since an immediate surgery has a high mortality and poor outcome. PMID: 31983091 [PubMed - in process]
CONCLUSIONS: Participants in the STS GTSD perform lung cancer resection with low morbidity and mortality. Lymph node data suggest participants are meeting contemporary staging standards. There is wide variability among participants in application of minimally invasive approaches. Risk adjustment for approach alters ratings in 3% of participants. PMID: 31689407 [PubMed - as supplied by publisher]
AbstractWe herein report a case of mediastinoscopic salvage esophagectomy for recurrent esophageal squamous cell carcinoma after definitive chemoradiotherapy in a previously pneumonectomized patient. A 66 ‐year‐old man with a medical history of left‐sided pneumonectomy for lung cancer was diagnosed with local recurrence of lower esophageal squamous cell carcinoma (cT3N0M0 cStage II) 9 years after definitive chemoradiotherapy. The mediastinoscopic cervical approach and laparoscopic transhiatal a pproach were combined, and the thoracic esophagus was safely mobilized to separate the esophagus from the stump of the left ...
In this issue of the Journal, Okamura and colleagues1 present an interesting and complex case of esophagectomy for cT2N1M0 squamous cell carcinoma in a 66-year-old patient with a remote history of right pneumonectomy for non –small cell lung cancer. The procedure entailed a combination of an upper mediastinal lymphadenectomy that was performed through a partial sternotomy and a laparoscopic transhiatal esophagectomy. This approach was chosen because the patient was not a candidate for definitive chemoradiation in view of the risk of toxicity to his remaining lung, although he did receive induction chemotherapy.
ConclusionsBecause second primary malignancy developed often after achieving CR by dCRT for ESCC, it should be followed carefully.
CONCLUSIONS: Because second primary malignancy developed often after achieving CR by dCRT for ESCC, it should be followed carefully. PMID: 29520523 [PubMed - as supplied by publisher]
Conclusions This study demonstrates a trend toward decreased symptomatic VTE after Caprini RAM implementation, as demonstrated among high-risk cancer patients. The absence of bleeding complications and high provider and patient adherence to VTE RAM support the safety and feasibility of a VTE prevention protocol in thoracic surgery patients.
AbstractMetastasis to the posterior thoracic paraaortic lymph nodes rarely occurs in esophageal cancer, and a treatment strategy has not been established. We treated two cases of esophageal cancer with this type of metastasis; in both cases, we successfully performed surgical resection after neoadjuvant chemotherapy. In case 1, the patient received neoadjuvant chemotherapy, which consisted of docetaxel, cisplatin and 5-fluorouracil, and then underwent dissection of the posterior thoracic paraaortic lymph nodes. The left thoracic approach was used together with subtotal esophagectomy via a right thoracotomy. In case 2, the ...
CONCLUSION: The therapy of esophagopleural and bronchopleural fistula is long-term and complicated, requiring a multidisciplinary approach and several basic principles must be adhered to the management including treatment of infection and prevention of sepsis, local treatment of the fistula and pleural empyema, and adequate ventilation and nutritive care. PMID: 28460565 [PubMed - as supplied by publisher]