BOOK
Advanced Lung Cancer: Radical Surgical Therapy, An Issue of Thoracic Surgery Clinics, E-Book
(2014)
Additional Information
Book Details
Abstract
This issue of Thoracic Surgery Clinics is devoted to "Advanced Lung Cancer: Radical Surgical Therapy" and is edited by Dr. Raja M. Flores. Articles in this outstanding issue include: Surgical Resection of Lung Cancer in the Elderly; Extended Chest Wall Resection and Reconstruction in the Setting of Lung Cancer; The Management of Non–Small Cell Lung Cancer with Oligometastases; Lung Resection in Patients with Marginal Pulmonary Function; Surgery for Small Cell Lung Cancer; Bronchial and Arterial Sleeve Resection after Induction Therapy for Lung Cancer; Advanced Lung Cancer: Aggressive Surgical Therapy Vertebral Body Involvement; Pulmonary Resection after Pneumonectomy; Superior Vena Caval Resection in Lung Cancer; Surgical Resection of Non-Small Cell Lung Cancer with N2 Disease; Lung Transplantation for Multifocal Lung Adenocarcinoma; Extended Resections of Non-Small Cell Lung Cancers Invading the Aorta, Pulmonary Artery, Left Atrium or Esophagus: Can They Be Justified?; VATS Lobectomy after Induction Therapy; Extrapleural Pneumonectomy for Pleural Disease; Carinal Resection, and more!
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Advanced Lung Cancer:Radical Surgical Therapy | i | ||
| Copyright\r | ii | ||
| Contributors | iii | ||
| Contents | vii | ||
| Thoracic Surgery Clinics\r | xi | ||
| Preface\r\r | xiii | ||
| Erratum | xv | ||
| Lung Resection in Patients with Marginal Pulmonary Function | 361 | ||
| Key points | 361 | ||
| Introduction | 361 | ||
| Historical context | 361 | ||
| Current guidelines | 362 | ||
| Worst-case forced expiratory volume in the first second of expiration | 362 | ||
| Specific considerations | 362 | ||
| Minimally invasive surgery | 362 | ||
| Anatomic considerations | 366 | ||
| Sublobar resections | 366 | ||
| Discussion | 367 | ||
| Summary | 369 | ||
| References | 369 | ||
| Surgical Resection of Lung Cancer in the Elderly | 371 | ||
| Key points | 371 | ||
| Introduction: nature of the problem | 371 | ||
| Therapeutic options and/or surgical techniques | 372 | ||
| Clinical outcomes and the preoperative assessment | 373 | ||
| Physiologic Changes of Age | 373 | ||
| Preoperative Evaluation | 373 | ||
| Cardiac Risk Assessment | 374 | ||
| Pulmonary Risk Assessment | 374 | ||
| Cognitive Assessment | 376 | ||
| Geriatric Assessments | 376 | ||
| Complications and Concerns | 377 | ||
| Practical Recommendations | 378 | ||
| Summary | 379 | ||
| References | 379 | ||
| Extended Chest Wall Resection and Reconstruction in the Setting of Lung Cancer | 383 | ||
| Key points | 383 | ||
| Introduction | 383 | ||
| Preoperative Diagnosis and Staging | 383 | ||
| Neoadjuvant Therapy | 384 | ||
| Preoperative Planning | 384 | ||
| Resection and surgical technique | 384 | ||
| Surgical Technique | 384 | ||
| Positioning and Incision | 384 | ||
| Chest Wall Resection | 385 | ||
| En Bloc Resection | 385 | ||
| Reconstruction | 385 | ||
| General Considerations | 385 | ||
| Mesh Repair | 385 | ||
| Methyl Methacrylate | 386 | ||
| Riblike Method | 386 | ||
| Titanium Ribs | 386 | ||
| Biologics | 386 | ||
| Titanium Mesh | 387 | ||
| Soft Tissue Coverage | 387 | ||
| Clinical outcomes | 388 | ||
| Survival (Lung Cancer) | 388 | ||
| Functional | 388 | ||
| Complications and Concerns | 388 | ||
| Summary | 389 | ||
| References | 389 | ||
| The Management of Non–Small Cell Lung Cancer With Oligometastases | 391 | ||
| Key points | 391 | ||
| Introduction | 391 | ||
| Background | 391 | ||
| Extent of the problem: percentage of patients with non–small cell lung cancer with oligometastatic disease | 392 | ||
| The present | 393 | ||
| Lung metastases | 393 | ||
| Cerebral metastases | 394 | ||
| Adrenal metastases | 394 | ||
| Completed clinical trials | 395 | ||
| Future directions | 395 | ||
| Summary | 396 | ||
| References | 396 | ||
| Surgery for Small Cell Lung Cancer | 399 | ||
| Key points | 399 | ||
| Staging of SCLC | 400 | ||
| Patterns of failure in treated SCLC | 401 | ||
| Evidence supporting surgery for SCLC | 401 | ||
| Prospective Randomized Trials | 401 | ||
| Prospective Nonrandomized Trials | 402 | ||
| Institutional Retrospective Reviews | 403 | ||
| National Cancer Database Reviews | 403 | ||
| Indications for surgery | 405 | ||
| T1-2N0 Disease | 405 | ||
| Solitary Pulmonary Nodules (SPN) | 406 | ||
| Combined Histology Tumors | 406 | ||
| Salvage Surgery for Initial Treatment Failure or Relapse | 406 | ||
| New Tumors in Survivors of SCLC | 406 | ||
| Current guidelines and conclusions | 407 | ||
| References | 408 | ||
| Bronchial and Arterial Sleeve Resection After Induction Therapy for Lung Cancer | 411 | ||
| Key points | 411 | ||
| Introduction | 411 | ||
| Indications and preoperative evaluation | 412 | ||
| Operative technique | 413 | ||
| Dissection Phase | 413 | ||
| Resection and reconstruction phase | 414 | ||
| Bronchial resection and reconstruction | 414 | ||
| PA resection and reconstruction | 415 | ||
| Partial Resection and Patch Reconstruction | 415 | ||
| Sleeve Resection and Reconstruction by End-to-end Anastomosis | 415 | ||
| Sleeve Resection and Reconstruction by a Prosthetic Conduit | 416 | ||
| Complications and perioperative management | 416 | ||
| Short-term and long-term results | 417 | ||
| Comparison Between Bronchovascular Reconstructions and PN After Induction Therapy | 419 | ||
| Impact on Postoperative Quality of Life | 420 | ||
| Acknowledgments | 420 | ||
| References | 420 | ||
| Advanced Lung Cancer | 423 | ||
| Key points | 423 | ||
| Introduction | 423 | ||
| NOMS decision framework for spine metastases | 424 | ||
| NOMS assessment for NSCLC | 424 | ||
| NSCLC without ESCC | 424 | ||
| NSCLC with high-grade ESCC | 424 | ||
| Mechanical instability | 425 | ||
| Systemic disease and medical comorbidities | 426 | ||
| Imaging spine tumors | 426 | ||
| Surgical approaches | 427 | ||
| Separation surgery | 427 | ||
| Superior sulcus tumors with involvement of the spine | 428 | ||
| Major Complications | 429 | ||
| Instrumentation failure | 429 | ||
| Wound dehiscence or infection | 429 | ||
| Summary | 430 | ||
| References | 430 | ||
| Pulmonary Resection After Pneumonectomy | 433 | ||
| Key points | 433 | ||
| Introduction | 433 | ||
| Selection of patients for resection | 434 | ||
| Functional Status Evaluation and Cardiopulmonary Reserve | 434 | ||
| Non–Small Cell Lung Caner Extension Assessment | 435 | ||
| Surgical technique | 435 | ||
| Anesthetic Management | 435 | ||
| Surgical Procedure | 436 | ||
| Clinical outcomes | 438 | ||
| Alternatives to surgical management | 438 | ||
| Summary | 438 | ||
| References | 439 | ||
| Superior Vena Caval Resection in Lung Cancer | 441 | ||
| Key points | 441 | ||
| Introduction | 441 | ||
| Background | 441 | ||
| Preoperative evaluation | 441 | ||
| Therapeutic options and/or surgical techniques | 441 | ||
| Complications and concerns | 445 | ||
| Clinical outcomes | 446 | ||
| Summary | 446 | ||
| References | 446 | ||
| Surgical Resection of Non–Small Cell Lung Cancer with N2 Disease | 449 | ||
| Key points | 449 | ||
| Introduction | 449 | ||
| Extent of N2 disease | 449 | ||
| Induction chemotherapy | 451 | ||
| Induction chemoradiotherapy | 452 | ||
| Morbidity and mortality after induction therapy | 453 | ||
| Mediastinal restaging | 453 | ||
| T4N2 disease | 454 | ||
| Summary | 454 | ||
| References | 454 | ||
| Extended Resections of Non-small Cell Lung Cancers Invading the Aorta, Pulmonary Artery, Left Atrium, or Esophagus | 457 | ||
| Key points | 457 | ||
| Introduction | 457 | ||
| Historical background | 457 | ||
| More recent experience | 458 | ||
| Extended resections | 460 | ||
| Aorta | 460 | ||
| Pulmonary Artery | 460 | ||
| Left Atrium | 461 | ||
| Esophagus | 462 | ||
| Preoperative workup | 462 | ||
| Neoadjuvant therapy | 462 | ||
| Summary | 463 | ||
| References | 463 | ||
| Video-Assisted Thoracoscopic (VATS) Lobectomy After Induction Therapy | 465 | ||
| Key points | 465 | ||
| Introduction | 465 | ||
| Outcomes | 465 | ||
| Patient selection | 467 | ||
| Technique | 468 | ||
| References | 470 | ||
| Extrapleural Pneumonectomy for Pleural Malignancies | 471 | ||
| Key points | 471 | ||
| Introduction | 471 | ||
| History | 471 | ||
| Pleural dissemination of malignancy | 472 | ||
| Thymoma | 472 | ||
| Sarcoma | 472 | ||
| Pleural dissemination of nonsmall cell lung cancer | 472 | ||
| Nonsmall Cell Lung Cancer Staging | 472 | ||
| Mediastinal Nodal Disease | 472 | ||
| Care of the extrapleural pneumonectomy patient | 473 | ||
| Preoperative Assessment | 473 | ||
| Perioperative Considerations | 474 | ||
| Postoperative Care | 474 | ||
| Summary | 474 | ||
| References | 475 | ||
| Carinal Resection | 477 | ||
| Key points | 477 | ||
| Introduction | 477 | ||
| Indications | 477 | ||
| Operative management | 478 | ||
| Anesthesia | 478 | ||
| Surgical Incisions | 479 | ||
| Intraoperative Dissection | 479 | ||
| Resections | 479 | ||
| Carinal resection with right pneumonectomy/right upper lobectomy | 479 | ||
| Carinal resection with left pneumonectomy | 479 | ||
| Carinal resection without pulmonary resection | 480 | ||
| Lesion confined to the carina: neocarina | 480 | ||
| Carinal lesion with involvement of the distal trachea | 480 | ||
| Reconstruction Technique | 482 | ||
| General principles | 482 | ||
| Specific aspects | 482 | ||
| The end to side anastomosis | 482 | ||
| Isolated neocarina, tracheal transplant | 482 | ||
| Release Maneuvers | 483 | ||
| Clinical outcomes | 483 | ||
| Complications and concerns | 483 | ||
| Acute Respiratory Distress Syndrome | 483 | ||
| Anastomotic complications | 483 | ||
| Summary | 484 | ||
| Supplementary data | 484 | ||
| References | 484 | ||
| Lung Transplantation for Multifocal Lung Adenocarcinoma (Multifocal Lung Carcinoma) | 485 | ||
| Key points | 485 | ||
| Introduction | 485 | ||
| Patient selection | 486 | ||
| Bronchioloalveolar Carcinoma and Current Classification | 486 | ||
| Lung transplantation | 487 | ||
| Patient Outcomes | 487 | ||
| Summary | 489 | ||
| References | 490 | ||
| Index | 493 |