Guiding Principles on the Importance of Thoracic Surgical Education on Establishing Integrated Thoracic Surgery Program, Interdisciplinary Thoracic Oncology Conferences, and an Interdisciplinary Approach to Management of Thoracic Malignancies
The objective of these notes is to stress the principles underlying the management of primary lung cancers and other types of malignancies in the thorax —diffuse malignant mesothelioma, invasive mediastinal tumors, chest wall sarcoma, and tracheal neoplasms—and from these considerations to outline a routine scheme for management, which can be followed easily by all staff. It is hoped that by adherence to this routine, adequate and efficient mana gement of all cases will be obtained, both in the very important matter of preoperative preparation, as well in the postoperative management. (Source: Thoracic Surgery Clinics)
Source: Thoracic Surgery Clinics - October 23, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Farid M. Shamji, Harman Jatinder S. Sekhon, Robert Malcolm MacRae, Donna E. Maziak Source Type: research
Assessment of Operability and Resectability in Lung Cancer
Lung cancer is a lethal disease, and chronic cigarette smoking is the most common cause. The selection of treatment is based on the histologic cell type, accurate staging, and adequacy of cardiopulmonary functional reserve. The risk for surgery is highest in patients over the age of 80 years. (Source: Thoracic Surgery Clinics)
Source: Thoracic Surgery Clinics - October 23, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Farid M. Shamji, Gilles Beauchamp Source Type: research
Anesthetic Management for Pulmonary Resection
Increasingly complex procedures are routinely performed using minimally invasive approaches, allowing cancers to be resected with short hospital stays, minimal postsurgical discomfort, and improved odds of cancer-free survival. Along with these changes, the focus of anesthetic management for lung resection surgery has expanded from the provision of ideal surgical conditions and safe intraoperative patient care to include preoperative patient training and optimization and postoperative pain management techniques that can impact pulmonary outcomes as well as patient lengths of stay. (Source: Thoracic Surgery Clinics)
Source: Thoracic Surgery Clinics - October 23, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Daniel Ankeny, Hovig Chitilian, Xiaodong Bao Source Type: research
Complications of Chest Wall Resection in Conjunction with Pulmonary Resection
Techniques for chest wall resection and reconstruction have evolved over the years. Chest wall resection in conjunction with pulmonary resection has several complications, including pulmonary and infectious. Risk factors for complications are related to the size of the defect, number of ribs resected, and the addition of a pulmonary resection. Material used for reconstruction does not impact the overall complication rate. (Source: Thoracic Surgery Clinics)
Source: Thoracic Surgery Clinics - October 23, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Rahul Nayak, Se-In Choe, Yaron Shargall Source Type: research
Sepsis in the Postpneumonectomy Space
Empyema may occur in the pleural space after pulmonary resection. Subsequent bacterial contamination results in infection and development of frank empyema. Pneumonectomy —surgical removal of the entire lung—is the treatment of choice for centrally located bronchogenic carcinoma, diffuse malignant mesothelioma, and chronic inflammatory lung diseases with destroyed lung from pulmonary tuberculosis, fungal infections, and bronchiectasis. In the uncomplicated case, on the pneumonectomy side, the diaphragm becomes elevated as the air–fluid level decreases with chest wall deformation and gradual disappearance of hydrothora...
Source: Thoracic Surgery Clinics - October 23, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Farid M. Shamji Source Type: research
Management of Lung Cancer in Part I and Part II
The topic of lung cancer, both small cell and non –small cell, was prepared in two parts as a tribute to Dr Jean Deslauriers, a prominent Canadian Thoracic Surgeon, who died of lung cancer on September 13, 2019. The authors, who were selected to write their articles, were requested by Dr Farid Shamji (Ontario) and Dr Gilles Beauchamp (Quebec). In Part I, 16 articles were selected to be written by thoracic surgeons (N = 15), thoracic radiologists (N = 8), thoracic pathologists (N = 3), and thoracic oncologists (N = 5). (Source: Thoracic Surgery Clinics)
Source: Thoracic Surgery Clinics - October 23, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Farid M. Shamji, Gilles Beauchamp Tags: Preface Source Type: research
Lung Cancer 2021, Part 2
THORACIC SURGERY CLINICS (Source: Thoracic Surgery Clinics)
Source: Thoracic Surgery Clinics - October 23, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Farid M. Shamji, Gilles Beauchamp Source Type: research
Copyright
ELSEVIER (Source: Thoracic Surgery Clinics)
Source: Thoracic Surgery Clinics - October 23, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research
Contributors
VIRGINIA R. LITLE, MD (Source: Thoracic Surgery Clinics)
Source: Thoracic Surgery Clinics - October 23, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research
Contents
Virginia R. Litle (Source: Thoracic Surgery Clinics)
Source: Thoracic Surgery Clinics - October 23, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research
Forthcoming Issues
Social Disparities in Thoracic Surgery (Source: Thoracic Surgery Clinics)
Source: Thoracic Surgery Clinics - October 23, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research
Oligometastatic Lung Cancer Defined by Biology, Science, and Secondary Growths
Breast cancer was the first malignant tumor for which TNM classification was proposed by the International Union Against Cancer. Volume and distribution of tumor burden were considered clinically important in this cancer. Lung cancer is caused by excessive cigarette smoking. Prognosis is worst in small cell lung cancer and in non –small cell lung cancer measuring over 3 cm in size and having regional lymphatic spread. Metastatic spread from lung cancer is favored by lymphatic spread to the locoregional lymph nodes and blood-borne spread to 5 sites—lung, brain, bone, liver, and adrenal—all of which are unfavorable pr...
Source: Thoracic Surgery Clinics - July 23, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Farid M. Shamji, Gilles Beauchamp, Donna E. Maziak Source Type: research
Recognition and Management of Acute and Late Complications of Pneumonectomy
Several important complications of pneumonectomy are discussed in a case-based format. Topics include chylothorax, cardiac herniation, postpneumonectomy syndrome, postpneumonectomy pulmonary edema, bronchopleural fistula, and empyema. (Source: Thoracic Surgery Clinics)
Source: Thoracic Surgery Clinics - July 23, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Gary Gelfand, Evan Barber Source Type: research
Extended Pulmonary Resection by Sleeve Lobectomy and Carinal Pneumonectomy
Minimally invasive surgical approaches for extended pulmonary resections are becoming increasingly common as more surgeons gain experience in thoracoscopic and robotic technique. Outcome studies demonstrate improved decreased morbidity as compared with an open surgery. (Source: Thoracic Surgery Clinics)
Source: Thoracic Surgery Clinics - July 23, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Christina L. Costantino, Cameron D. Wright Source Type: research
How to Design and Foster Thoracic Oncology Multidisciplinary Cancer Conferences
In this chapter, the authors review and discuss the literature on multidisciplinary cancer conferences (MCCs, aka tumor boards), clarifying the terminology, showing the evolution of the field, and providing an evidence-based perspective on positive outcomes, best practices, factors influencing the quality of MCCs, evaluation tools to assess the quality of MCCs, and quality improvement interventions for MCCs. The authors then discuss some perspectives from their MCC and initiatives that they undertook to improve the work of their team and the care that they provide to patients in the area of thoracic oncology. (Source: Thor...
Source: Thoracic Surgery Clinics - July 23, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Marcio M. Gomes, Carole Dennie, Scott A. Laurie, Farid M. Shamji Source Type: research
