Difficult Decisions in Thoracic Surgery: An Evidence-Based Approach

Front Matter....Pages i-xx
Front Matter....Pages 1-1
Introduction....Pages 3-12
Evidence-Based Medicine: Levels of Evidence and Grades of Recommendation....Pages 13-20
Decision Analytic Techniques....Pages 21-35
Nonclinical Components of Surgical Decision Making....Pages 36-43
How Patients Make Decisions with Their Surgeons: The Role of Counseling and Patient Decision Aids....Pages 44-55
Front Matter....Pages 57-57
Radiographic Staging of Lung Cancer: Computed Tomography and Positron Emission Tomography....Pages 59-67
Routine Mediastinoscopy for Clinical Stage I Lung Cancer....Pages 68-74
Management of Unexpected N2 Disease Discovered at Thoracotomy....Pages 75-81
Induction Therapy for Clinical Stage I Lung Cancer....Pages 82-87
Induction Therapy for Stage IIIA (N2) Lung Cancer....Pages 88-93
Adjuvant Postoperative Therapy for Completely Resected Stage I Lung Cancer....Pages 94-102
Sleeve Lobectomy Versus Pneumonectomy for Lung Cancer Patients with Good Pulmonary Function....Pages 103-109
Lesser Resection Versus Lobectomy for Stage I Lung Cancer in Patients with Good Pulmonary Function....Pages 110-118
Lesser Resection Versus Radiotherapy for Patients with Compromised Lung Function and Stage I Lung Cancer....Pages 119-127
Resection for Patients Initially Diagnosed with N3 Lung Cancer after Response to Induction Therapy....Pages 128-139
Video-Assisted Thorascopic Surgery Major Lung Resections....Pages 140-146
Surgery for Non-Small Cell Lung Cancer with Solitary M1 Disease....Pages 147-150
Thoracoscopy Versus the Open Approach for Resection of Solitary Pulmonary Metastases....Pages 151-157
Unilateral or Bilateral Approach for Unilateral Pulmonary Metastatic Disease....Pages 158-164
Surgery for Bronchoalveolar Lung Cancer....Pages 165-174
Front Matter....Pages 57-57
Lung Volume Reduction Surgery in the Candidate for Lung Transplantation....Pages 175-185
Pleural Sclerosis for the Management of Initial Pneumothorax....Pages 186-192
Front Matter....Pages 193-193
Staging for Esophageal Cancer: Positron Emission Tomography, Endoscopic Ultrasonography....Pages 195-199
Induction Therapy for Resectable Esophageal Cancer....Pages 200-207
Transthoracic Versus Transhiatal Resection for Carcinoma of the Esophagus....Pages 208-217
Minimally Invasive Versus Open Esophagectomy for Cancer....Pages 218-224
Lymph Node Dissection for Carcinoma of the Esophagus....Pages 225-233
Intrathoracic Versus Cervical Anastomosis in Esophageal Replacement....Pages 234-241
Jejunostomy after Esophagectomy....Pages 242-249
Gastric Emptying Procedures after Esophagectomy....Pages 250-257
Posterior Mediastinal or Retrosternal Reconstruction Following Esophagectomy for Cancer....Pages 258-264
Postoperative Adjuvant Therapy for Completely Resected Esophageal Cancer....Pages 265-270
Celiac Lymph Nodes and Esophageal Cancer....Pages 271-278
Partial or Total Fundoplication for Gastroesophageal Reflux Disease in the Presence of Impaired Esophageal Motility....Pages 279-284
Botox, Balloon, or Myotomy: Optimal Treatment for Achalasia....Pages 285-291
Fundoplication after Laparoscopic Myotomy for Achalasia....Pages 292-297
Primary Repair for Delayed Recognition of Esophageal Perforation....Pages 298-304
Lengthening Gastroplasty for Managing Gastroesophageal Reflux Disease and Stricture....Pages 305-317
Lengthening Gastroplasty for Managing Giant Paraesophageal Hernia....Pages 318-322
Management of Zenker’s Diverticulum: Open Versus Transoral Approaches....Pages 323-331
Front Matter....Pages 193-193
Management of Minimally Symptomatic Pulsion Diverticula of the Esophagus....Pages 332-339
Front Matter....Pages 341-341
Giant Paraesophageal Hernia: Thoracic, Open Abdominal, or Laparoscopic Approach....Pages 343-349
Management of Minimally Symptomatic Giant Paraesophageal Hernias....Pages 350-355
Plication for Diaphragmatic Eventration....Pages 356-364
Pacing for Unilateral Diaphragm Paralysis....Pages 365-370
Optimal Crural Closure Techniques for Repair of Large Hiatal Hernias....Pages 371-378
Management of Acute Diaphragmatic Rupture: Thoracotomy Versus Laparotomy....Pages 379-384
Front Matter....Pages 385-385
Stenting for Benign Airway Obstruction....Pages 387-397
Tracheal Resection for Thyroid or Esophageal Cancer....Pages 398-405
Front Matter....Pages 407-407
Pleural Sclerosis for Malignant Pleural Effusion: Optimal Sclerosing Agent....Pages 409-413
Management of Malignant Pleural Effusion: Sclerosis or Chronic Tube Drainage....Pages 414-423
Initial Spontaneous Pneumothorax: Role of Thoracoscopic Therapy....Pages 424-432
Intrapleural Fibrinolytics....Pages 433-441
Diffuse Malignant Pleural Mesothelioma: The Role of Pleurectomy....Pages 442-450
Treatment of Malignant Pleural Mesothelioma: Is There a Benefit to Pleuropneumonectomy?....Pages 451-460
Front Matter....Pages 461-461
Management of Myasthenia Gravis: Does Thymectomy Provide Benefit over Medical Therapy Alone?....Pages 463-468
Thymectomy for Myasthenia Gravis: Optimal Approach....Pages 469-473
Management of Residual Disease after Therapy for Mediastinal Germ Cell Tumor and Normal Serum Markers....Pages 474-481
Management of Malignant Pericardial Effusions....Pages 482-487
Asymptomatic Pericardial Cyst: Observe or Resect?....Pages 488-492
Front Matter....Pages 493-493
Optimal Approach to Thoracic Outlet Syndrome: Transaxillary, Supraclavicular, or Infraclavicular....Pages 495-502
Pectus Excavatum in Adults....Pages 503-508
Back Matter....Pages 509-525