Most Viewed Abstracts
1. Report Shows Shift in Starting Salaries for Physicians 2. Taxane-based combinations as adjuvant chemotherapy of early breast cancer: a meta-analysis of randomized trials 3. Gene expression signatures, clinicopathological features, and individualized therapy in breast cancer 4. 2008 Exclusive Survey—Earnings: Good news for primary care income 5. Paclitaxel plus bevacizumab versus paclitaxel alone for metastatic breast cancer
Your Article Summary
Routine surgical videothoracoscopy as the first step of the planned resection for lung cancer
The Journal of Thoracic and Cardiovascular Surgery, 06/16/09
Vergani C et al. - In a study to evaluate the validity of routine videothoracoscopy, performed as the first step of every planned resection for non–small cell lung cancer (NSCLC), to assess tumor resectability and feasibility of the resection through thoracoscopy, it apears that routine preliminary videothoracoscopy ensured assessment of tumor resectability and feasibility of the resection through thoracoscopy and limited unnecessary thoracotomies.
Methods- From November 1991 to December 2007, 1306 pts with NSCLC, judged operable at conventional staging, underwent videothoracoscopy before the operation.
- Thoracoscopy revealed inoperability in 58 (4.4%) pts, mostly owing to pleural dissemination (2.5%) or mediastinal infiltration (1.7%).
- In the remaining 1248 (95.6%), thoracoscopy did not reveal inoperability.
- Of these, 449 (34.4%) underwent thoracoscopic resection; the other 799 (61.2%) underwent thoracotomy: 767 underwent resection, but 32 (2.5%) had an exploratory thoracotomy.
- Thoracoscopy had suggested unresectability in 7 (0.5%) pts, had been incompletely carried out in 4 (0.3%), and was unfeasible in 21 (1.6%) owing to insurmountable technical reasons.
- In a previous series from 1980 to 1991, exploratory thoracotomy rate had been 11.6%; in the present series, after introduction of routine thoracoscopy in the staging process, exploratory thoracotomy rate was 2.5%.
- Thoracoscopy was reliable in excluding unresectability (negative predictive value 0.97).
- Global percentage of correct staging was significantly better by thoracoscopy (73.3%) than by computed tomography (48.7%).
- Considering T descriptor, video-assisted thoracic surgery correctly matched with final pathologic staging in 96.2% of pts.
Today in Surgical Oncology...keeping you current
Receive free subspecialty "5-minute updates" via email
Original contribution: surgeon recommendations and receipt of mastectomy for treatment of breast cancer
JAMA, 10/28/09
Extended lymphadenectomy versus conventional surgery for rectal cancer: a meta-analysis : The Lancet Oncology
The Lancet Oncology - Online First, 10/23/09
Surgical management of colorectal liver metastases
Community Oncology , 10/09/09
Today in Surgical Technique...keeping you current
Receive free subspecialty "5-minute updates" via email
Complicated appendicitis in children: is laparoscopic appendectomy appropriate? A comparative study with the open appendectomy
Journal of Pediatric Surgery, 10/26/09
Fractionated CO2 Laser Resurfacing: Our Experience With More Than 2000 Treatments
Aesthetic Surgery Journal, 09/22/09
Novel Pancreaticojejunostomy with a Low Rate of Anastomotic Failure-Related Complications
Journal of the American College of Surgeons, 10/30/09
Today in Thoracic...keeping you current
Receive free subspecialty "5-minute updates" via email
Surgical Lung Resection for Severe Hemoptysis
Annals of Thoracic Surgery, 10/23/09
A Propensity-Matched Comparison of the Incidence of New-Onset Postoperative Atrial Arrhythmias in Cardiac and Noncardiac Thoracic Surgery Patients
Journal of Cardiothoracic and Vascular Anesthesia, 10/16/09
Current treatment paradigms of superior sulcus tumours
European Journal of Cardio-Thoracic Surgery, 10/14/09
Sponsor
Article Search
Sponsor


See Latest Articles


