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As the complexity of decision-making in medicine, and surgery in particular, is growing exponentially, this book provides a practical guide to decision-making in thoracic surgery. It offers guidance on how to select among the varied and complex approaches that new technology provides. Concise and easy to follow chapters are devoted to one or two specific questions or decisions in thoracic surgery, aiding the reader to develop their decision-making skills.
Difficult Decisions in Thoracic Surgery offers clearly formatted and evidence-based chapters to help the reader navigate the complexities of thoracic surgery. All new chapters bring insight into the challenges faced operating on the lung, esophagus, diaphragm, airway, pleaura, mediastinum, and chest wall.
The book is relevant to practicing surgeons, surgeons in training, as well as medical professionals working with thoracic diseases.
Pages i-xvi
Pages 1-14
Pages 15-29
Pages 31-41
Pages 43-53
Pages 55-65
Front Matter
Pages 67-67
Does Early Postoperative Ambulation Improve Surgical Outcomes After Lung Resection for Cancer?
Pages 69-77
Does Reduction of Postoperative Opioid Use Lessen Opioid Dependence After Lung Resection for Cancer?
Pages 79-86
Does Carbohydrate Loading Improve Outcomes After Esophagectomy?
Pages 87-99
Is Intraoperative Fluid Restriction Effective in Reducing Complications After Esophagectomy?
Pages 101-109
Does Early Post-Operative Feeding Improve Outcomes After Esophagectomy?
Pages 111-123
Does Early Postoperative Ambulation Improve Surgical Outcomes After Esophagectomy?
Pages 125-133
Front Matter
Pages 135-135
Exercise Prehabilitation and Lung Resection
Pages 137-144
Nutritional Prehabilitation and Lung Resection
Pages 145-154
Prehabilitation Before Esophagectomy: What Are the Benefits of Exercise?
Pages 155-169
Nutritional Prehabilitation and Esophagectomy
Pages 171-178
Exercise Prehabilitation and Radical Surgery for Pleural Mesothelioma
Pages 179-192
Front Matter
Pages 193-193
Reducing Surgical Morbidity After Lung Resection: Effects of Smoking Cessation
Pages 195-204
Pages 205-215
Which Is the Optimal Platform for Robotic-Assisted Diagnostic Bronchoscopy?
Pages 217-225
Dye vs. Fiducial Marking for Targeted Sublobar and Wedge Resection
Pages 227-240
Utility of MVO2 vs. Ventilatory Efficiency (VE/VCO2) in Assessing Lung Resection Risk
Pages 241-246
Optimal Timing of Early-Stage Lung Cancer Resection
Pages 247-255
Can Wedge Resection Supplant Segmentectomy for Small Peripheral NSCLC?
Pages 257-266
Does Vein First Hilar Division Improve Survival After Lung Cancer Resection?
Pages 267-280
Segmentectomy Versus Lobectomy in Patients with Good Pulmonary Function: Oncologic Outcomes
Pages 281-287
Pages 289-297
Does Induction Immunotherapy Confer Increased Operative Risk for Lung Resection
Pages 299-310
Wedge Resection Versus Stereotactic Body Radiotherapy in Stage I Non-small Cell Lung Cancer
Pages 311-321
Salvage Resection After Definitive Radiation Therapy for Stage I Non-small Cell Lung Cancer
Pages 323-335
Is Assessment of cDNA Useful in Surveillance After Lung Cancer Resection
Pages 337-345
Front Matter
Pages 347-347
Is Mucosal Eradication an Effective Intervention for Barrett Esophagus with Dysplasia?
Pages 349-355
Do Oral Hygiene Interventions Affect Surgical Outcomes After Esophagectomy
Pages 357-362
Is Measurement of Lung Function Helpful in Assessing Risk of Esophagectomy?
Pages 363-373
Preoperative Biomarkers in Gastro-oesophageal Adenocarcinoma
Pages 375-385
Induction Chemotherapy vs Chemoradiotherapy for Esophageal Adenocarcinoma
Pages 387-399
Delayed Surgical Intervention After Induction Chemoradiotherapy for Esophageal Cancer
Pages 401-410
Right vs Left Thoracic Approach for Esophageal Adenocarcinoma
Pages 411-419
Resection of 15 or More Nodes Improves Survival in Esophageal Cancer Treatment
Pages 421-426
Organ Sparing Therapy for Locally Advanced Esophageal Cancer
Pages 427-438
Can Goals for Early Postoperative Ambulation After Esophagectomy Be Established?
Pages 439-447
Is EndoFLIP™ Helpful in Individualizing G-POEM for Delayed Gastric Emptying After Esophagectomy
Pages 449-454
Optimal Initial Therapy for Achalasia
Pages 455-464
Are Stents Good Enough for Routine Initial Therapy of Esophageal Perforation?
Pages 465-475
The Utility of EndoFLIP in Individualizing POEM for Achalasia
Pages 477-483
Peroral Endoscopic or Open Myotomy for Zenker’s Diverticulum
Pages 485-491
Front Matter
Pages 493-493
Does MRI Contribute to the Accuracy of Thymoma Diagnosis?
Pages 495-504
Thymectomy in the Setting of Synchronous Pleural Metastases
Pages 505-511
Pleural Metastasectomy for Regionally Disseminated Recurrence of Thymoma
Pages 513-520
Controversies in Cardiac Sympathetic Denervation for Ventricular Arrhythmias
Pages 521-530
Front Matter
Pages 531-531
Is tPA/DNase Effective Routine Initial Therapy for Pleural Empyema?
Pages 533-545
Pages 547-553
Survival: Pleural Resection Vs Nonsurgical Management of Pleural Mesothelioma
Pages 555-560
Front Matter
Pages 561-561
Pages 617-623
Front Matter
Pages 625-625
Regional Vs Intercostal Blocks for Minimally Invasive Thoracic Surgery
Pages 627-641
Optimal Duration of Nuss Bar Implant for Pectus Deformities
Pages 643-654
Intrathoracic or Extrathoracic Fixation of Rib Fractures
Pages 655-661
Front Matter
Pages 663-663
A Survey of Perioperative Applications of Traditional Chinese Medicine
Pages 665-673
Pages C1-C1
Pages 675-680
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