In this video-based article, Sarsam and colleagues demonstrate the use of continuous barbed sutures in four robotic procedures, two wedge bronchoplasties and two sleeve bronchoplasties.
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Thoracic
January 15, 2018
This video demonstrates the key steps of a right upper microlobectomy. The authors have performed microlobectomy for the last three years and the results of their experience were published in 2017.
January 13, 2018
The authors studied survival in patients with multiple lung cancers and their associated genetic mutations. There was 90% discordance in driver mutations beween cancers in individual patients that was associated with favorable survival. The two patients in whom condordance was present suffered recurrent cancer.
January 13, 2018
Interesting research/opinion piece about how the introduction of robots has forced a change in surgical training, with some residents gaining skill through a process of "shadow learning."
January 12, 2018
The authors summarizes a personal experience with 529 patients undergoing VATS operations under local anesthesia and sedation. No nerve block, epidural, laryngeal mask airway, or endotracheal intubation was used. Indications were lung nodule, hemothorax, empyema, pleural effusion, pericardial effusion, chylothorax, etc. There was one unsuccessful
January 11, 2018
Christian Etz of the Herzzentrum Leipzig in Germany discusses spinal cord protection during thoracoabdominal aortic procedures.
January 10, 2018
In his presidential address at the 2017 STSA Annual Meeting, David R. Jones discusses the importance of expertise in thoracic surgery.
Office-Based Spirometry: A New Model of Care in Preoperative Assessment for Low-Risk Lung Resections
January 10, 2018
The authors compared low risk patients undergoing office spirometry only (FEV1 of >60%) to those undergoing laboratory spirometry followed by lung resection.
January 10, 2018
Among patients aged 65 and older undergoing lung resection for NSCLC, long-term survival was related to cancer stage and patient age. Lobectomy patients fared better than those undergoing parenchymal-sparing resections or pneumonectomy. VATS approaches provided better long-term survival.
January 10, 2018
The authors review their clinical experience with management of postoperative chylothorax among 97 patients. They favor duct ligation over embolization, and recommend intervention in patients with outputs greater than 1,100/day.