The authors reviewed their experience with patients suffering blunt trauma who had evidence of a pneumomediastinum on CT. Among over 3,000 pts, 2.7% had pneumomediastinum. Those affected had higher injury scores and a higher mortality rate (12.5% vs 3.6%). Increased risk of mortality was associated with posterior mediastinal air, air in all medias
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Thoracic
June 25, 2015
June 25, 2015
This study evaluated outcomes in patients undergoing resection for lung cancer who were found at surgery to have pleural carcinomatosis. 2.9% of registry patients were identified, of whom 49% had a macroscopic complete resection. 5-year survival in those without other metastatic disease was 29%. 5-year survival in those undergoing macroscopic comp
June 24, 2015
Patients with afib undergoing elective surgery or invasive procedure who were on coumadin were randomized to bridging with low molecular weight heparin or placebo preoperatively. The incidence of arterial thromboembolism was .03% in the bridge group and 0.4% in the placebo group, demonstrating non-inferiority of placebo. The bleeding complication r
June 24, 2015
The ELCAP data set was evaluated for pts identified with non-solid nodules at baseline or during follow-up. 2392 (4.2%) pts had nonsolid nodules at baseline, of which 73 were diagnosed as adenocarcinoma. A new nodule was identified in an additional 485 (0.7%) pts, of whom 11 were diagnosed with adenocarcinoma. Nonsolid nodules improved in 66% of
June 23, 2015
This video demonstrates the performance of a VATS trisegmentectomy on a patient with a left upper lobe cT1aN0 adenocarcinoma.
June 18, 2015
Using UNOS data, the authors evaluated long-term survival and primary graft failure (PGF) comparing cohorts with less than and more than 6 hours of graft ischemia. 31% of patients had prolonged ischemia. There was no association between prolonged ischemia and PGF or survival at 1 and 5 years.
June 16, 2015
Data from a variety of US sources were used to estimate the contribution of smoking to mortality for 12 common malignancies (colorectal, esophagus, kidney, larynx, liver, lung, leukemia, head/neck, pancreas, stomach, bladder, cervix. The contribution of smoking to mortality ranged from 10% (colorectal) to 77% (larynx). The overall contribution was
June 16, 2015
The British Thoracic Society developed guidelines for evaluation and management of solitary pulmonary nodules based on a literature review and expert opinion. New features include the use of a malignancy risk algorithm, use of a higher threshold for follow-up (5mm), and a reduction in the follow-up interval to 1 year for solid nodules. Management o
June 16, 2015
This video shows the surgical technique for a single-port thymectomy through an infrasternal approach.
June 15, 2015
This video documents the author's technique for robotic diaphragm plication.