Journal and News Scan

It is controversal whether extrapleural pneumonectomy (EPP) or extended pleurectomy/decortication (P/D) is the optimal resection for malignant pleural mesothelioma. We therefore compared perioperative outcomes and long-term survival of patients who underwent EPP versus P/D.

Because of the rapidly evolving technology and techniques to manage patients affected with type B aortic dissection (TBAD), The Society of Thoracic Surgeons (STS) and the American Association for Thoracic Surgery (AATS) gathered a panel of expert aortic surgeons to methodically review the current data to provide recommendations on the management of patients with TBAD.

Randomized evidence on the comparative outcomes of early-stage lung cancer resection by video-assisted thoracoscopic surgery (VATS) versus open resection is limited. Here was conducted a parallel-group multicenter randomized trial that recruited participants with known or suspected early-stage lung cancer and randomly assigned them to open or VATS resection of their lesions.

Acute type A aortic dissection remains a challenging emergency in cardiovascular surgery.The management of life-threatening complications has evolved to include endovascular options and complex aortic repair, but expeditious open replacement of the ascending aorta remains the preferred approach. This expert consensus offers recommendations based on current clinical evidence and expert opinions where all cardiac and aortic surgeons needed to be updated.

Notions like antimpulse management preoperatively in order to avoid aortic stress and stabilize the patient using opioid analgesia, thinking about a transfer to a (CAC) comprehensive aortic center after analyzing the recent evidence, focusing on clinical questions that are crucial for the decision making in all aspects, this excellent document gives answers based on the current literature.