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Cancer

July 17, 2015
Retrospective study of 917 patients undergoing esophagectomy for squamous cell carcinoma at a single hospital in China. In the 7th version of the AJCC staging system for esophageal cancer, nodal stage (N stage) is based solely on the number of lymph node (LN) metastases.
July 16, 2015
In order to improve the diagnostic accuracy of bronchoscopy for lung cancer, epithelial cells were collected from normal appearing mucosa in the mainstem bronchus of patients suspected of having lung cancer during diagnostic bronchoscopy.  The samples were evaluated with a gene expression classifier.  43% of the standard examinations were nondiagnost
July 14, 2015
Intraoperative events during VATS lobectomy should be expected. The management of these events is critical to achieving a good patient outcome. This video advocates for a preventative strategy, practicing event management, and communicating specific skills to address intraoperative events such as pulmonary artery bleeding.
July 14, 2015
This important consensus statement on definitions of postoperative complications after esophagectomy was developed by an international group of surgical experts.  It should serve as a template for data collection and reporting for clinical reports and trials.
July 14, 2015
This small randomized trial evaluated the potential benefits of ghrelin, an anti-inflammatory agent, in reducing the SIRS response after esophagectomy.  The ghrelin group had a reduced SIRS duration, lower CRP levels, and lower IL-6 levels compared to controls.  Pulmonary complications were reduced in the ghrelin group, but other complication inciden
July 14, 2015
This meta-analysis evaluated results from 6 studies totalling 868 patients randomized to local control (radiotherapy vs surgery) after induction therapy for NSCLC with N2 disease.  Four studies evaluated induction chemotherapy, the other 2 evaluated induction chemoradiotherapy.  Differences in outcomes were not significant, but there was a strong tre
July 9, 2015
Stephen Hazelrigg, Neil Christie, and Hiran Fernando discuss the use of stereotactic body radiation therapy (SBRT) in the treatment of lung cancer.
July 1, 2015
This video presents a single-port VATS right upper lobe sleeve lobectomy for a stage I carcinoid tumor in a 52-year-old patient. Sleeve lobectomy is a challenging and complex procedure. Typical carcinoids occluding the right upper lobe bronchus present an ideal opportunity for sleeve upper lobectomy due to their indolent nature and excellent oncologic outcomes.
June 28, 2015
Retrospective cross-sectional cohort study using 5 years of Medicare benficiary data to determine whether post discharge mortality varies by time-to-readmission. Two of the three operations analyzed were lung resection (n=101,092) and coronary artery bypass grafting (CABG) (n=484,260).
June 25, 2015
This study evaluated outcomes in patients undergoing resection for lung cancer who were found at surgery to have pleural carcinomatosis.  2.9% of registry patients were identified, of whom 49% had a macroscopic complete resection.  5-year survival in those without other metastatic disease was 29%.  5-year survival in those undergoing macroscopic comp

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