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Journal and News Scan
Although the standard of care in the West for regionally advanced esophageal cancer entails induction therapy, this is routinely not the case in China. This randomized trial involving over 450 randomized participants to induction therapy (vinorelbine, cisplatin, 40 Gy RT) followed by resection vs resection alone. At a median f/u of 53.5 mos, trimodality therapy demonstrated overall (HR 0.74; CI 0.57-0.97) and disease free (HR 0.60; CI 0.45 to 0.80) survival advantages compared to surgery alone. This study may establish a new standard of care for management of resectable regionally advanced esophageal cancer in China.
On July 22, The Annals of Thoracic Surgery published this consensus statement on nomenclature and classification of the congenital bicuspid aortic valve (BAV) and Its aortopathy.
This consensus statement divides BAV into 3 types: 1) Cusp-fused type (right-left, right-non and left-non-coronary cusp fusion ); 2) Two-sinus type (latero-lateral and antero-posterior ); and 3) Partial-fusion (forme fruste) type.
BAV-associated aortopathy are categorized into 3 types: 1) Ascending type; 2) Root type; and 3) Extended type.
This study assessed cognitive involved in cardiac surgical procedures from the perspective of three different specialty groups: surgeons, anesthesiologists, and perfusionists. The 137 unique processes that were identified were classified as: decision points, critical communications, pitfalls, and strategies. Understanding these processes and the different perspectives each team member brings to the operation may help improve patient safety and outcomes.