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Thoracic

December 3, 2014
Program directors from 6 distinctly different training centers assessed educational costs for CT resident training.  Before formal accounting information was explored, the PDs estimated the annual cost per resident to be $250,000.  The actual costs per year per resident ranged from $330,000 to $667,000, with a mean of $483,000.  Faculty teaching cost
December 3, 2014
This study explored recent patterns of surveillance imaging 4-8 mos after surgical treatment of early stage lung cancer using the SEER database.  Initial imaging consisted of CXR (60%), CT (25%) and PET (3%).  13% of patients received no imaging.  NCCN guidelines adherence for receipt of CT was 47%, but increased from 28% to 60% over the period of st
December 2, 2014
This is an interesting historical vignette describing the discovery of transfer factor (TLCO, DLCO) and its subsequent importance in pulmonary physiology and cardiorthoracic risk assessment.
December 1, 2014
This video demonstrates a technique for a right video-assisted pneumonectomy.
November 30, 2014
A reexamination of data from the National Lung Screening Trial (NLST) with nodules above the 4mm, has been shown that increasing the nodule size threshold for a positive screen, substantially reduces the false-positive CT screenings rate and increase slightly the lung cancer missed or delayed but without affecting the survival.
November 25, 2014
Simply fabulous !!   Well done Shanda Blackmon. We are all proud to be Cardiothoracic surgeon too !
November 24, 2014
This video demonstrates two helpful items for uniportal VATS lobectomy: a SILS Dissector and a MicroCutter.
November 24, 2014
Data from the Barrett's and Esophageal Adenocarcinoma Genetic Susceptibility Study were used to determine the relationship of a genetic risk score associated with obesity to cancer risk.  The risk score was not associated with GERD or smoking.  Cancer and Barrett's were strongly associated with increasing BMI.  The authors conlude that those with a g
November 24, 2014
Data from the National Lung Screening Trial (NLST) were examined by exploring different size thresholds for classifying CT screening scans as positive.  In the NLST, nearly two-thirds of nodules were 7mm in diameter or less.  Using a threshold of 5mm, the percentage of missed/delayed diagnosis and the likelihood of avoiding false positive findings we
November 22, 2014
You have to check out this amazing VATS lobectomy surgery simulator. It is unbelievably realistic and comes in a LAP surgery simulator: staplers, slings, the works!!  Henrik Hansen was key in designing this, so it uses his anterior approach to do the lobectomy.     

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