Difficult Decisions in Thoracic Surgery: An Evidence-Based Approach

Front Matter....Pages I-XXII
Front Matter....Pages 1-1
Introduction....Pages 3-11
Evidence-Based Medicine: Levels of Evidence and Evaluation Systems....Pages 13-22
Decision Analytic Techniques....Pages 23-37
Decision Making: The Surgeon’s Perspective....Pages 39-44
Decision Making: The Patient’s Perspective....Pages 45-57
Front Matter....Pages 59-59
PET for Mediastinal Restaging of Patients with Non Small Cell Lung Cancer after Induction Therapy....Pages 61-66
Optimal Initial Pathologic Mediastinal Staging of Lung Cancer: EUS, EBUS, Mediastinoscopy....Pages 67-75
VATS vs. Open Lobectomy for Early Stage Non-Small Cell Lung Cancer....Pages 77-88
N2 Disease Discovered at Thoracotomy: Resect or Abort?....Pages 89-103
Pulmonary Function Alterations After Induction Therapy for Lung Cancer: Preoperative Considerations....Pages 105-110
Lobectomy After Induction Therapy for Stage IIIA NSCLC in the Presence of Persistent N2 Disease....Pages 111-117
Pneumonectomy After Induction Therapy for Stage IIIA Non-small-cell Lung Cancer....Pages 119-124
Segmentectomy Versus Lobectomy for Stage I Lung Cancer in Patients with Good Pulmonary Function....Pages 125-133
Optimal Therapy for Patients with Marginal Lung Function and Peripheral Stage I Lung Cancer....Pages 135-144
VATS Versus Thoracotomy for Major Lung Resection After Induction Therapy....Pages 145-153
Chest Tube Management After Lung Resection....Pages 155-159
Management of the Pleural Space Early After Pneumonectomy....Pages 161-164
Perioperative Prophylaxis Against Venous Thrombo-Embolism in Major Lung Resection....Pages 165-169
Perioperative Arrhythmia Prophylaxis for Major Lung Resection....Pages 171-177
For Whom Is Lung Volume Reduction Surgery Effective?....Pages 179-185
Front Matter....Pages 59-59
Support Therapy for Lung Failure....Pages 187-194
Front Matter....Pages 195-195
Optimal Management of Barrett Esophagus with High Grade Dysplasia....Pages 197-202
Induction Therapy for Resectable Esophageal Cancer....Pages 203-212
Optimal Surgical Approach to Esophagectomy for Cancer....Pages 213-221
Extent of Lymph Node Dissection in Esophageal Cancer....Pages 223-231
Salvage Esophagectomy for Persistent Disease After Definitive Chemoradiotherapy....Pages 233-240
Barrett Mucosa in the Cervical Remnant After Esophagectomy for Cancer....Pages 241-248
Partial or Total Fundoplication for GERD in the Presence of Impaired Esophageal Motility....Pages 249-255
Surgical Management of Non-acid Reflux Unresponsive to Medical Therapy....Pages 257-262
Prophylactic Antireflux Surgery in Lung Transplantation....Pages 263-267
Optimal Initial Therapy for Achalasia....Pages 269-277
Stenting for Esophageal Perforation and Anastomotic Leak....Pages 279-285
Lengthening Gastroplasty for Managing GERD and Giant Paraesophageal Hernia....Pages 287-292
Optimal Therapy for Cricopharyngeal Diverticula....Pages 293-301
Management of Distal Esophageal Pulsion Diverticula....Pages 303-311
Front Matter....Pages 313-313
Giant Paraesophageal Hernia: Optimal Surgical Approach....Pages 315-327
Diaphragm Pacing for Acute Respiratory Failure....Pages 329-335
Synthetic Reinforcement of Diaphragm Closure for Large Hiatal Hernia Repair....Pages 337-344
Front Matter....Pages 345-345
Stents for Benign Airway Obstruction....Pages 347-352
Tracheal Reconstruction with Autologous and Engineered Tissues....Pages 353-362
Front Matter....Pages 345-345
Optimal Management of Malacic Airway Syndromes....Pages 363-366
Carinal Resection for Cancer....Pages 367-371
Front Matter....Pages 373-373
Use of Sealants to Reduce Air Leak Duration and Hospital Stay After Lung Resection....Pages 375-384
Optimal Initial Therapy for Pleural Empyema....Pages 385-393
Management of Malignant Pleural Effusion: Sclerosis or Chronic Tube Drainage....Pages 395-400
The Role of VATS Pleurodesis in the Management of Initial Primary Spontaneous Pneumothorax....Pages 401-407
Malignant Pleural Mesothelioma: Patient Selection for Pleurectomy....Pages 409-415
Malignant Pleural Mesothelioma: Patient Selection for Extrapleural Pneumonectomy....Pages 417-422
Front Matter....Pages 423-423
Thymectomy for Myathenias Gravis....Pages 425-431
Optimal Surgical Approach and Extent of Resection of the Thymus in Patients with Myasthenia Gravis....Pages 433-438
The Optimal Approach for Resection of Encapsulated Thymoma: Open Versus VATS....Pages 439-444
Management of Residual Disease After Therapy for Mediastinal Germ Cell Tumor and Normal Serum Markers....Pages 445-452
Symptomatic Malignant Pericardial Effusion: Surgical or Percutaneous Drainage?....Pages 453-459
Bronchogenic and Pericardial Cysts: Resect or Observe....Pages 461-469
Patient Selection and Optimal Extent of Surgery for Hyperhidrosis....Pages 471-478
Front Matter....Pages 479-479
Pectus Excavatum in the Adult: Current Treatment Modalities....Pages 481-488
Traumatic Rib Fracture: Conservative Therapy or Surgical Fixation?....Pages 489-493
Back Matter....Pages 495-504