Trials evaluating the use of surgery in stage IIIB NSCLC are lacking. This study goes some way to address that and demonstrates that surgery as part of multi-modality therapy may result in a survival benefit.
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Thoracic
June 14, 2015
June 12, 2015
This meta-analysis of published studies evaluated outcomes of multimodality therapy including resection for superior sulcus NSCLC invading the spine. 134 articles were evaluated, which included 135 patients. 63% had induction therapy, and all underwent en bloc resection. 52% had adjuvant therapy. Survival at 3,5, and 10 years was 57%, 42%, and 27
June 12, 2015
Outcomes of esophagectomy, including in-hospital mortality and length of stay (LOS), were compared between England (centralized care) and the US (no centralized care). Data for 2005-2010 included 7433 esophagectomies performed in 66 hospitals in England and 5858 esophagectomies performed in 775 hospitals in the US. Morality was greater in the US (5
June 12, 2015
Laser-assisted fluorescent-dye angiography (LAA) was used prospectively in 150 patients undergoing esophagectomy with gastric pull-up to assess blood flow in the gastric tube. Anastomotic leak occured in 17%. Anastomoses performed in areas of normal perfusion had a 2% leak rate, compared to a 45% leak rate when anastomoses were performed in areas o
June 12, 2015
Dr. Robert Sade has made it his personal mission to educate surgeons regarding ethics and to help truly establish the field of surgical ethics. The Ethics of Surgery: Conflicts and Controversies represents the latest of his efforts.
June 11, 2015
Douglas Wood, Fawwaz Shaw, Emily Farkas, and Nahush Mokadam discuss work-life balance within the cardiothoracic surgery specialty.
June 11, 2015
The authors evaluated VATS vs pleural drainage for initial primary spontaneous pneumothorax in 122 pts, evaluating costs and QOL. Costs for VATS were half of those for pleural drainage. Quality adjusted life years were better for VATS. The incremental cost-effectiveness ratio for VATS was 7,600 euros at 1 year and 10,000 euros at 5 years, well wit
June 11, 2015
This single institution retrospective analysis of esophagectomy or gastrectomy for GEJ cancer compared outcomes between groups who did and did not complete recommended 2 cycles of postoperative adjuvant chemotherapy. Of 110 pts who underwent perioperative chemotherapy, 67% completed postoperative adjuvant chemotherapy. Completion of 2 cycles or mor
June 8, 2015
The authors report a case of tracheal ring resection with crico-tracheal anastomosis performed under endoscopic assistance.
June 4, 2015
This roundtable discussion, filmed at the 2015 STS Annual Meeting, focuses on the different training paths open to cardiothoracic surgery residents in the United States.