The paper reviews the anatomy of spinal cord perfusion, strategies to shorten the intraoperative duration of ischemia of the spinal cord, to increase its ischemic tolerance, to detect ischemia and to improve its perfusion.
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Thoracic
May 26, 2015
This video demonstrates the performance of a VATS anatomic sublobar resection on a patient with an apparently benign central mass.
May 22, 2015
In this retrospective review of 336 patients treated surgically for early stage NSCLC, the prognostic value of PET SUV was evaluated. Risks of recurrence and death increased steadily as SUV increased.
May 22, 2015
This interesting article summarizes the potential benefits of exercise in patients with lung cancer, including improved exercise capacity and quality of life, and reduced postoperative complications and length of postoperative stay. This modality is safe, and is likely underutilized in this patient population.
May 21, 2015
This prospective observational study followed 111 patients for 3 years after laparoscopic repair of a type III paraesophageal hernia. QOL improved at all postoperative time intervals from 28.5 preop to about 10. The radiographic recurrence rate was 27% at 1 year. Hernias involving most of the stomach were more likely to recur than smaller hernias.
May 20, 2015
A pooled analysis of outcomes from two randomized trials involving SBRT or surgery for operable patients with clinical early stage NSCLC was performed. The number of patients was small (58 total) and the follow-up was a median of 35-40 mos. Overall 3-year survival was better in the SBRT group (95% vs 79%; p=0.037) whereas recurrence free survival di
May 20, 2015
This video demonstrates the technique of robot-assisted trans-abdominal Nissen fundoplication for the surgical management of GERD. It includes discussion of techniques and tips to perform the operation well.
May 19, 2015
Pts with suspected lung cancer underwent sampling of normal-appearingbronchial epithelial cells in the main bronchi, unrelated to the suspected tumor. Gene expression was analyzed and classified. Classification for cancer was about 75% accurate.
May 19, 2015
The question in this review was whether patients who experience tension pneumothorax differ in presentation depending on whether they are breathing spontaneously or are on positive pressure ventilation. Assisted ventilation was more often associated with hypoxia, hypotension, and cardiac arrest. These adverse clinical signs frequently arose within
May 19, 2015
Competence-based rather than time-based surgical education will likely become the norm in the next decade. The authors reviewed current methods for assessing technical competence in trainees. No clear definition of technical competence was evident. Instruments used for assessment were originally designed to assess skill rather than competence. Th