Chylothorax is one of the complications I considered the most fearful. Patients having this PO complication deteriorate so quickly that when you start considering reoperation might be too late. It’s not the same a chylothorax after esophageal surgery than after lung surgery. Prior publications have shown that chylothorax after lung surgery is more likely to […]
Back in 1988, Patterson and colleges described a better 5 year survival for those patients with isolated metastasis to LN stations #5 and 6 when a complete resection was done (around 42% 5-year survival). This is a much better 5- survival than the described for patients with N2 disease in other mediastinal LN stations. Cerfolio
We already went through the importance of the adequate staging of lung cancer. It’s not only about the stage of the disease, but also because the stage dictates treatment. Also, mediastinal staging has been considered a quality measure of lung cancer treatment. In the upcoming (February) issue of JTO there’s a very interesting article about
No one doubts about the need of doing mediastinal lymph node sampling during lobectomy for lung cancer. In the presence of a patient deemed cN0, it is well known that sampling, or better yet, dissecting mediastinal lymph nodes will result in a significant number (up to 20%) of patients that will be upstaged to N1
En el último numero de Thoracic Surgery News, publicado por el AATS, una nota se dedica a tratar el tema mediastinoscopía vs. EBUS-TBNA. Es en base a un estudio presentado en el último congreso del AATS, realizado en el Toronto General Hospital en el cual EBUS-TBNA se encontró igual de eficaz que la mediastinoscopía para
We have seen many reports that address VATS as an effective way of doing thymectomy for thymomas. I was never very keen of doing VATS for removing a thymic tumor, as I don’t think I can get all mediastinal fat with this approach. The mediastinal dissection, at least in my hands, is just not the
Hay diferentes maneras de tratar a un paciente con empiema pulmonar, desde la colocación de un tubo de tórax hasta una ventana pleurocutánea. Las diferentes opciones tienen una complejidad intermedia entre estos dos extremos. Para muchos de nosotros la colocación de un tubo de drenaje pleural es la primera medida. Sin embargo, muchas veces ocurre
In the current edition of the Thoracic Surgery News, published by the AATS, a note addresses the issue of mediastinoscopy vs. EBUS-TBNA. It’s a study presented at the last AATS meeting, done at the Toronto General Hospital in which EBUS-TBNA was found equally effective as mediastinoscopy when staging lung cancer. They enrolled 153 patients and
Hay varios trabajos publicados que muestran que la videotoracoscopía es un abordaje efectivo para hacer una timectomía para resecar un timoma. A mí nunca me gustó mucho la idea de remover el timo por videotoracoscopía; no creo poder remover toda la grasa tímica de esta forma. La disección de la grasa mediastinal, al menos en