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Thoracic

June 24, 2015
The ELCAP data set was evaluated for pts identified with non-solid nodules at baseline or during follow-up.  2392  (4.2%) pts had nonsolid nodules at baseline, of which 73 were diagnosed as adenocarcinoma.  A new nodule was identified in an additional 485 (0.7%) pts, of whom 11 were diagnosed with adenocarcinoma.  Nonsolid nodules improved in 66% of
June 23, 2015
This video demonstrates the performance of a VATS trisegmentectomy on a patient with a left upper lobe cT1aN0 adenocarcinoma.
June 18, 2015
Using UNOS data, the authors evaluated long-term survival and primary graft failure (PGF) comparing cohorts with less than and more than 6 hours of graft ischemia.  31% of patients had prolonged ischemia.  There was no association between prolonged ischemia and PGF or survival at 1 and 5 years.
June 16, 2015
Data from a variety of US sources were used to estimate the contribution of smoking to mortality for 12 common malignancies (colorectal, esophagus, kidney, larynx, liver, lung, leukemia, head/neck, pancreas, stomach, bladder, cervix.  The contribution of smoking to mortality ranged from 10% (colorectal) to 77% (larynx).  The overall contribution was 
June 16, 2015
The British Thoracic Society developed guidelines for evaluation and management of solitary pulmonary nodules based on a literature review and expert opinion.  New features include the use of a malignancy risk algorithm, use of a higher threshold for follow-up (5mm), and a reduction in the follow-up interval to 1 year for solid nodules.  Management o
June 16, 2015
This video shows the surgical technique for a single-port thymectomy through an infrasternal approach.
June 15, 2015
This video documents the author's technique for robotic diaphragm plication.
June 14, 2015
Trials evaluating the use of surgery in stage IIIB NSCLC are lacking. This study goes some way to address that and demonstrates that surgery as part of multi-modality therapy may result in a survival benefit.
June 12, 2015
This meta-analysis of published studies evaluated outcomes of multimodality therapy including resection for superior sulcus NSCLC invading the spine.  134 articles were evaluated, which included 135 patients.  63% had induction therapy, and all underwent en bloc resection.  52% had adjuvant therapy.  Survival at 3,5, and 10 years was 57%, 42%, and 27
June 12, 2015
Outcomes of esophagectomy, including in-hospital mortality and length of stay (LOS), were compared between England (centralized care) and the US (no centralized care).  Data for 2005-2010 included 7433 esophagectomies performed in 66 hospitals in England and 5858 esophagectomies performed in 775 hospitals in the US.  Morality was greater in the US (5

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