The authors of this piece summarize how surgery has changed over the past decades. They do this using the mnemonic: TWO POEMS:
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Thoracic
October 21, 2014
Dirk Van Raemdonck of University Hospitals Leuven, Belgium, discusses the process of tracheal transplantation, from the revascularization of the donor trachea at the forearm through two years of postoperative care.
October 16, 2014
Because of the observation that already debilitated pts who undergo lung resection become even more debilitated afterwards, the authors conducted a randomized trial of endurance and strength training for 20 wks after major lung resection. Training significantly improved peak VO2, DLCO, strength, endurance, and muscle mass compared to controls. Qual
October 16, 2014
In the last EACTS meeting celebrated in Milan, presented by A. Kerr nee Bradley and colleagues from Birmingham Heartlands Hospital, are the first data in humans showing the improvement in chest wall motion in both operated and contralateral sides following diaphragmatic plication for unilateral paralysis.
October 15, 2014
It seems that patients with lung or colorectal cancer have poor enrollment in clinical trials, according to the recent multiregional survey carried out by the authors in a cohort of 8778 patients three to six months after diagnosis. Only 14% of patients have discussed their participation in clinical trials.
October 15, 2014
Using a data set of over 76,000 women from the Women's Health Initiative Observational Study, the effects of active and passive smoking on cancer were evaluated. Lung cancer incidence was highest among active smokers (HR 13.44) and was also high among prior smokers (HR 4.20). A prolonged exposure (>30 yr) to passive smoking in the household also
October 14, 2014
This multicenter observational study evaluated midterm outcomes after use of the lung volume reduction endobronchial coil for severe emphysema in 60 pts. The 30-day complication rate was moderate. At 12 mos, the St.
October 14, 2014
Lung cancer cases 2000-2013 in the UK Health Improvement Network were evaluated for factors associated with early death (within 90 days of diagnosis) vs later death. Risk factors for early death included male sex, older age, current smoking, social deprivation, and rural location. Those experiencing early death saw their primary care physicians mor
October 14, 2014
This video demonstrates how to use a curved stapler for superficial and deep lung resections.
October 13, 2014
Recorded during the the 2014 EACTS Annual Meeting in Milan, Italy, this roundtable discussion addresses the duty of candor in medical practice.