There are many ways to treat a patient with an empyema that goes from a chest tube insertion to a thoracostomy window. Different options lay in between these two extremes. For many of us a chest tube insertion is the first measure in a patient with empyema. However, I found many times, no matter how […]
Many times we faced the decision about what to do with an N2 patient that has gone through chemo-radiation therapy. Despite many publications in favor and against it, it’s not clear what lung resection surgery adds in terms of survival to this group of patients. To complicate more things, there is not an ideal test
When I started training I found out that some patients that had lung biopsy for diffuse lung disease had a complicated postoperative course and there was even some mortality associated with the procedure. The ATS/ERS guidelines recommend doing surgical lung biopsy when the clinical picture and high resolution CT scan are not characteristic of idiopathic