BOOK
Thoracic Surgery in the Special Care Patient, An Issue of Thoracic Surgery Clinics, E-Book
(2017)
Additional Information
Book Details
Abstract
This issue of Thoracic Surgery Clinics of North America, guest edited by Dr. Sharon Ben-Or, is devoted to Thoracic Surgery in the Special Care Patient. Dr. Ben-Or has assembled expert authors to review the following topics: Thoracic surgery in the pregnant patient; Thoracic surgery in early stage small cell lung cancer; Lung cancer in the post transplant / immunosuppressed patient; The postpneumonectomy patient; Thoracic surgery considerations in the obese patient; Thoracic surgery considerations in the pediatric patient; Esophagectomy after weight reduction surgery; Thoracic surgery considerations in the mentally ill or handicapped patient; Lung cancer with concomitant cardiac disease; Malignant pleural effusion and the trapped lung; Empyema from an obstructing lung cancer; Synchronous esophageal and lung cancer; Thoracic surgery considerations in the AIDS patient; and more!
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Thoracic Surgery in the Special Care Patient\r | i | ||
| Copyright\r | ii | ||
| Contributors | iii | ||
| CONSULTING EDITOR | iii | ||
| EDITOR | iii | ||
| AUTHORS | iii | ||
| Contents | v | ||
| Preface: Thoracic Surgery in the Special Care Patient | v | ||
| Thoracic Surgery in the Pregnant Patient | v | ||
| Thoracic Surgery in Early-Stage Small Cell Lung Cancer | v | ||
| Lung Cancer and Lung Transplantation | v | ||
| Lung Resection in the Postpneumonectomy Patient | v | ||
| Thoracic Surgery Considerations in Obese Patients | v | ||
| Thoracic Surgery Considerations in the Child and Young Adult | vi | ||
| Esophagectomy After Weight-Reduction Surgery | vi | ||
| Thoracic Surgery Considerations in the Mentally Ill or Handicapped Patient | vi | ||
| Management of Lung Cancer with Concomitant Cardiac Disease | vi | ||
| Management of Malignant Lung Entrapment, the Oncothorax | vii | ||
| Empyema from Obstructing Lung Cancer | vii | ||
| Synchronous Esophageal and Lung Cancer | vii | ||
| Thoracic Surgery in Patients with AIDS | vii | ||
| THORACIC SURGERY CLINICS\r | viii | ||
| FORTHCOMING ISSUES | viii | ||
| May 2018 | viii | ||
| August 2018 | viii | ||
| November 2018 | viii | ||
| RECENT ISSUES | viii | ||
| November 2017 | viii | ||
| August 2017 | viii | ||
| May 2017 | viii | ||
| Preface:\rThoracic Surgery in the Special Care Patient | ix | ||
| Thoracic Surgery in the Pregnant Patient | 1 | ||
| Key points | 1 | ||
| INTRODUCTION | 1 | ||
| DIAGNOSTIC IMAGING | 1 | ||
| PERIOPERATIVE ISSUES | 2 | ||
| PREDOMINANT THORACIC CONDITIONS SEEN DURING PREGNANCY | 3 | ||
| Empyema | 3 | ||
| Spontaneous Pneumothorax | 3 | ||
| Diaphragmatic Hernia | 4 | ||
| LUNG CANCER IN PREGNANCY | 4 | ||
| SHARED DECISION MAKING | 5 | ||
| REFERENCES | 6 | ||
| Thoracic Surgery in Early-Stage Small Cell Lung Cancer | 9 | ||
| Key points | 9 | ||
| INTRODUCTION: NATURE OF THE PROBLEM | 9 | ||
| THERAPEUTIC OPTIONS AND SURGICAL TECHNIQUES | 9 | ||
| Epidemiology | 9 | ||
| Staging of small cell lung cancer | 10 | ||
| Small Cell Lung Cancer Treatment Options | 10 | ||
| CLINICAL OUTCOMES | 11 | ||
| Surgery versus Nonoperative Management | 11 | ||
| Type of Surgery | 11 | ||
| Standard of Care for Stage I Small Cell Lung Cancer | 11 | ||
| Future Directions | 12 | ||
| SUMMARY | 12 | ||
| REFERENCES | 12 | ||
| Lung Cancer and Lung Transplantation | 15 | ||
| Key points | 15 | ||
| INTRODUCTION | 15 | ||
| LUNG CANCER AS AN INDICATION FOR TRANSPLANT | 15 | ||
| LUNG CANCER IN THE TRANSPLANTED AND CONTRALATERAL NATIVE LUNG | 17 | ||
| INCIDENTAL FINDING OF LUNG CANCER IN THE EXPLANTED LUNG | 17 | ||
| SUMMARY | 18 | ||
| REFERENCES | 18 | ||
| Lung Resection in the Postpneumonectomy Patient | 19 | ||
| Key points | 19 | ||
| INTRODUCTION | 19 | ||
| SELECTION OF PATIENTS FOR RESECTION | 20 | ||
| Functional Status and Cardiopulmonary Evaluation | 20 | ||
| Assessment of Tumor Extent | 20 | ||
| SURGICAL TECHNIQUE | 21 | ||
| Anesthetic Management | 21 | ||
| Surgical Procedure | 21 | ||
| OUTCOMES | 21 | ||
| ALTERNATIVES TO SURGICAL MANAGEMENT | 23 | ||
| SUMMARY | 23 | ||
| REFERENCES | 23 | ||
| Thoracic Surgery Considerations in Obese Patients | 27 | ||
| Key points | 27 | ||
| INTRODUCTION | 27 | ||
| PREOPERATIVE ASSESSMENT OF COMORBIDITIES AND RISK FACTORS FOR SURGERY | 28 | ||
| GENERAL ANESTHESIA IN OBESE PATIENTS | 31 | ||
| OPERATIVE PLANNING AND CONSIDERATIONS | 32 | ||
| POSTOPERATIVE MANAGEMENT | 34 | ||
| OUTCOMES IN LUNG AND ESOPHAGEAL CANCER | 36 | ||
| SUMMARY | 36 | ||
| REFERENCES | 36 | ||
| Thoracic Surgery Considerations in the Child and Young Adult | 43 | ||
| Key points | 43 | ||
| INTRODUCTION | 43 | ||
| EMBRYOLOGY | 44 | ||
| Diagnosis | 44 | ||
| Complete vascular rings | 45 | ||
| Innominate artery compression | 46 | ||
| Pulmonary artery sling | 46 | ||
| Other vascular abnormalities | 46 | ||
| CONGENITAL CARDIAC MALFORMATIONS | 46 | ||
| PRIMARY DISORDERS OF THE TRACHEA AND BRONCHUS | 47 | ||
| Primary Tracheomalacia | 48 | ||
| Acquired or Secondary Tracheomalacia | 48 | ||
| TRACHEAL WEBS | 49 | ||
| CONGENITAL TRACHEAL STENOSIS | 49 | ||
| TRACHEAL CARTILAGINOUS SLEEVE | 50 | ||
| AGENESIS AND ATRESIA OF THE TRACHEA | 51 | ||
| OTHER RARE ANOMALIES | 51 | ||
| SUMMARY | 51 | ||
| REFERENCES | 52 | ||
| Esophagectomy After Weight-Reduction Surgery | 53 | ||
| Key points | 53 | ||
| INTRODUCTION | 53 | ||
| TECHNICAL CONSIDERATIONS | 54 | ||
| Roux-en-Y Gastric Bypass | 54 | ||
| Laparoscopic Gastric Sleeve Resection | 55 | ||
| Band Gastroplasty | 56 | ||
| OTHER CONSIDERATIONS | 56 | ||
| Approach to Perform the Esophagectomy: Open, Minimally Invasive, or Robotic? | 56 | ||
| Should Patients Undergoing Bariatric Procedures be Screened for Esophageal Cancer? | 57 | ||
| SUMMARY | 57 | ||
| ACKNOWLEDGMENTS | 57 | ||
| REFERENCES | 57 | ||
| Thoracic Surgery Considerations in the Mentally Ill or Handicapped Patient | 59 | ||
| Key points | 59 | ||
| INTRODUCTION | 59 | ||
| RESPIRATORY FAILURE AND AIRWAY MANAGEMENT | 60 | ||
| Case 1 | 60 | ||
| Discussion | 60 | ||
| BENIGN FOREGUT DISEASE | 62 | ||
| Case 2 | 62 | ||
| Case 3 | 62 | ||
| Discussion | 63 | ||
| THORACIC MALIGNANCY | 65 | ||
| Case 4 | 65 | ||
| Discussion | 65 | ||
| SUMMARY | 67 | ||
| SUPPLEMENTARY DATA | 67 | ||
| REFERENCES | 67 | ||
| Management of Lung Cancer with Concomitant Cardiac Disease | 69 | ||
| Key points | 69 | ||
| INTRODUCTION: NATURE OF THE PROBLEM | 69 | ||
| PATIENT POPULATION AND PRESENTATION | 70 | ||
| PREOPERATIVE ASSESSMENT | 70 | ||
| THERAPEUTIC OPTIONS AND/OR SURGICAL TECHNIQUE | 71 | ||
| Percutaneous Coronary Intervention | 71 | ||
| Staged Versus Combined Procedures | 71 | ||
| Operative Approach | 73 | ||
| Sternotomy versus thoracotomy | 73 | ||
| On-Pump Versus Off-Pump | 74 | ||
| With Cardiopulmonary Bypass (On-Pump) | 74 | ||
| Without Cardiopulmonary Bypass (Off-Pump) | 76 | ||
| SUMMARY | 76 | ||
| REFERENCES | 77 | ||
| Management of Malignant Lung Entrapment, the Oncothorax | 81 | ||
| Key points | 81 | ||
| INTRODUCTION | 81 | ||
| PATHOPHYSIOLOGY | 82 | ||
| DIAGNOSIS | 82 | ||
| MANAGEMENT OF RECURRENT MALIGNANT PLEURAL EFFUSION | 83 | ||
| Pleurodesis | 83 | ||
| Technique | 83 | ||
| Results | 83 | ||
| INDWELLING PLEURAL CATHETER | 84 | ||
| Technique | 84 | ||
| Results | 84 | ||
| Indwelling Catheter and Pleurodesis | 85 | ||
| PLEUROPERITONEAL SHUNT | 85 | ||
| MANAGEMENT OF MALIGNANT LUNG ENTRAPMENT (ONCOTHORAX) | 85 | ||
| PLEURECTOMY AND DECORTICATION | 85 | ||
| Technique | 85 | ||
| Results | 86 | ||
| DECORTICATION WITH INTRAOPERATIVE HYPERTHERMIC CHEMOPERFUSION | 86 | ||
| Technique | 86 | ||
| Results | 87 | ||
| INTRAPLEURAL PHOTODYNAMIC THERAPY | 87 | ||
| THE INFECTED ONCOTHORAX | 88 | ||
| SUMMARY AND RECOMMENDATIONS | 88 | ||
| REFERENCES | 88 | ||
| Empyema from Obstructing Lung Cancer | 91 | ||
| Key points | 91 | ||
| INTRODUCTION | 91 | ||
| PLEURAL CONDITIONS | 91 | ||
| Para-Malignant Effusion | 91 | ||
| Malignant Effusion | 92 | ||
| Trapped Lung | 92 | ||
| MANAGEMENT OPTIONS | 92 | ||
| Chest Tube Drainage | 92 | ||
| Pleural Fibrinolytic Therapy | 92 | ||
| Pleurodesis | 93 | ||
| Pleural Exploration | 93 | ||
| Medical Pleuroscopy | 93 | ||
| Video-Assisted Thoracoscopic Surgery and Open Explorations | 93 | ||
| Pulmonary Resection and Decortication | 94 | ||
| Pain Control Strategy | 94 | ||
| ENDOBRONCHIAL MANAGEMENT OF OBSTRUCTING TUMORS | 95 | ||
| Bronchoscopy | 95 | ||
| SUMMARY | 95 | ||
| REFERENCES | 95 | ||
| Synchronous Esophageal and Lung Cancer | 97 | ||
| Key points | 97 | ||
| INTRODUCTION | 97 | ||
| PERSPECTIVES: CONCOMITANT LUNG AND ESOPHAGEAL CARCINOMA IN THE LITERATURE | 97 | ||
| SYNCHRONOUS ESOPHAGEAL AND LUNG CANCERS: SPECIAL CONSIDERATIONS | 98 | ||
| Need for Accurate Diagnosis and Staging | 98 | ||
| Preoperative Risk Assessment: Eligibility for Surgical Treatment of Synchronous Lung and Esophageal Cancer | 98 | ||
| Operative Planning: Single-Stage Versus Two-Stage Esophageal Reconstruction | 99 | ||
| Operative Planning: Incision, Extent of Pulmonary Resection, and Buttressing Bronchial Stump | 99 | ||
| A Comment on Metachronous Cancers | 102 | ||
| SYSTEMATIC REVIEW OF THE LITERATURE | 102 | ||
| SUMMARY | 103 | ||
| REFERENCES | 103 | ||
| Thoracic Surgery in Patients with AIDS | 105 | ||
| Key points | 105 | ||
| INTRODUCTION | 105 | ||
| PNEUMOTHORAX | 105 | ||
| NECROTIZING ESOPHAGITIS | 106 | ||
| PLEURAL EFFUSION IN PATIENTS WITH HUMAN IMMUNODEFICIENCY VIRUS | 106 | ||
| CANCER AND HUMAN IMMUNODEFICIENCY VIRUS | 106 | ||
| LUNG CANCER AND HUMAN IMMUNODEFICIENCY VIRUS | 106 | ||
| SUMMARY | 107 | ||
| REFERENCES | 107 |