Bronchopleural fistula management

Feb 24, 2017 by in CARDIAC SURGERY Comments Off on Bronchopleural fistula management

Figure 20.1A CXR of a patient 2 weeks after pneumonectomy ventilated via a tracheostomy. Figure 20.1B The same patient 12 hours later after developing a BPF; the fluid level in…

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Treatment of haemoptysis

Feb 24, 2017 by in CARDIAC SURGERY Comments Off on Treatment of haemoptysis

Pulmonary metastatic diseaseKaposi’s sarcomaGoodpasture’s syndromeWegner’s granulomatosisMicroscopic polyarteritisBehcet’s diseaseSystemic lupus erythematosusIdiopathic pulmonary hemosiderosisInfectionCoagulopathyBacterial pneumoniaTBMycetomaRespiratory viral infectionsLung abscessParasitic diseaseUse of anticoagulants or thrombolytic agentsVon Willebrand’s diseaseHaemophiliaThrombocytopeniaDisseminated intravascular coagulationAirways diseaseMiscellaneousBronchiectasisBronchitisCystic fibrosisTraumaForeign bodyIatrogenicPulmonary sequestrationEndometriosis/catamenialLymphangioleiomyomatosisCryptogenic…

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Esophageal cancer

Feb 24, 2017 by in CARDIAC SURGERY Comments Off on Esophageal cancer

Figure 24.1 Risk-adjusted survival for adenocarcinoma according to the 7th edition of the American Joint Committee on Cancer (AJCC)/UICC staging system. Figure 24.2 Risk-adjusted survival for squamous cell carcinoma according…

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Robotics in thoracic surgery

Feb 24, 2017 by in CARDIAC SURGERY Comments Off on Robotics in thoracic surgery

Figure 16.1 The da Vinci Surgical System set-up. The instruments are cable driven with 7 degrees of freedom and 360 degrees of rotation of the tip of the instruments (Figure…

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Evaluation of solitary pulmonary nodule

Feb 24, 2017 by in CARDIAC SURGERY Comments Off on Evaluation of solitary pulmonary nodule

>20–40 mm>40 mm0–30 mm>30 mm31185431174.1%66.6%100%72.1%81.8%0.4220.378Makris D et al., 2007 [31]ENB0–10 mm>10–20 mm>20–30 mm>30 mm41671375%43.7%71.4%76.9%Not reportedLamprecht B et al., 2012 [32]Combined FDG-PET, ENB, and ROSE0–20 mm>20 mm456775.6%89.6%0.066Pearlstein DP et al., 2012[33]ENB…

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Benign esophageal disease

Feb 24, 2017 by in CARDIAC SURGERY Comments Off on Benign esophageal disease

Abnormal (>45 mmHg)>8 mmHg0010 contractionsDistal esophageal spasmNormal (≤45 mmHg)Abnormal (>45 mmHg)Normal(≤8 mmHg)Abnormal(>8 mmHg)1–8≤2 waves≥2 contractions≤9 contractionsHypercontractile motilityHypertensive LESNutcracker esophagus>45 mmHg≤8 mmHg7–10 wavesb≤2 waves≤1 contractionHypocontractile motilityHypotensive LESIneffective esophageal motility<10 mmHg≤8 mmHg0–7…

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Primary spontaneous pneumothorax

Feb 24, 2017 by in CARDIAC SURGERY Comments Off on Primary spontaneous pneumothorax

Metastases to lung Epidemiology PSP has an incidence of 7.4 to 18 cases (age-adjusted incidence) per 100,000 population each year in males and 1.2 to 6 cases per 100,000 population…

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Pulmonary metastasectomy

Feb 24, 2017 by in CARDIAC SURGERY Comments Off on Pulmonary metastasectomy

Figure 17.1 Chest CT scan showing single pulmonary metastasis located in the left superior lobe originating from colorectal carcinoma excised by thoracoscopic wedge. Pulmonary reserve Complete pulmonary function and a…

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Medical treatment of lung cancer (neo and adjuvant chemoradiotherapy)

Feb 24, 2017 by in CARDIAC SURGERY Comments Off on Medical treatment of lung cancer (neo and adjuvant chemoradiotherapy)

61 (at 24 mo)723—0.047UFT meta-analysis[14]2003I-IIIUFT/observation806.44 (years)4.60.770.011NCIC-JBR10 Trial[6,7]482IB-IICis-VNB/observation6560150.690.011CALGB 9633 Trial[12]344IBPCL-carboplatin/observation854830.800.32ANITA Trial[9]840IB-IIIACis-VNB/observation56 ##>708.60.790.013 * Estimated 5-year survival rates were 39% for the RT only group and 33% for the CT-RT group. **…

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