Surgery Medical News about lung cancer

Become a Member Today!
Register

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

See Latest Articles

(Click the title below to leave the MDLinx Network and go to the Journal's Website)

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.

Results

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.

<< Previous
Operative Technique for Modified Radical Neck Dissection in...

Next >>
Management of hyperfunctioning single thyroid nodules in the era...

Lung cancer: a biologically different disease in women?
Women's Health, 10/30/09 Relevance Score: 73%

Oestrogen plus progestin and lung cancer in postmenopausal women (Womens Health Initiative trial): a post-hoc analysis of a randomised controlled trial
The Lancet, 10/12/09 Relevance Score: 72%

Haplotype and Cell Proliferation Analyses of Candidate Lung Cancer Susceptibility Genes on Chromosome 15q24-25.1
Cancer Research, 10/06/09 Relevance Score: 71%

Noninvasive detection of lung cancer by analysis of exhaled breath
BMC Cancer, 10/09/09 Relevance Score: 70%

African American lung cancer patients may have different response to new cancer-fighting drugs
EurekAlert, 10/08/09 Relevance Score: 70%