Tratar un derrame pleural maligno (DPM) cuando el pulmón no se logra expandir puede ser un problema muy frustrante. El pulmón atrapado por un derrame pleural maligno es una situación que se encuentra con relativa frecuencia. Se puede optar por realizar toracocentesis seriadas, pero este no es un procedimiento exento de complicaciones y se necesita […]
¿Qué harían con un caso como este? Un hombre de 65 años, ex fumador de 20 cigarrillos por día por 30 años, que se le realizó una TC de tórax por otro motivo y en la misma se ve una imagen nodular en vidrio esmerilado en el centro del lóbulo superior izquierdo de 1 cm
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
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