Menu Expand
Current Management Guidelines in Thoracic Surgery,  An Issue of Thoracic Surgery Clinics - E-Book

Current Management Guidelines in Thoracic Surgery, An Issue of Thoracic Surgery Clinics - E-Book

M. Blair Marshall

(2012)

Additional Information

Book Details

Abstract

This issue highlights management issues surrounding specific subjects within the clinical practice of thoracic surgery. The articles represent areas of thoracic surgery where there may be controversy, lack of consensus, or evolution.  Each author summarizes the available literature with the addition of his or her own personal expertise.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Current Management Guidelines in Thoracic Surgery i
Copyright Page ii
Table of Contents v
Contributors iii
Preface: Current Management Guidelines in Thoracic Surgery xi
Chaptre 1. Perioperative\rSmoking Cessation 1
SMOKING CESSATION 2
CESSATION INTERVENTIONS 3
RECOMMENDATIONS AND BEST PRACTICES FOR SMOKING CESSATION 9
SUMMARY 9
REFERENCES 10
Chapter 2. Prophylaxis and Management of Atrial Fibrillation After General Thoracic Surgery 13
CAUSES AND RISK FACTORS 13
CONTINUATION OF PREOPERATIVE BETA BLOCKERS 14
CALCIUM-CHANNEL BLOCKER PROPHYLAXIS 15
AMIODARONE PROPHYLAXIS 16
BETA BLOCKER PROPHYLAXIS 17
MAGNESIUM PROPHYLAXIS 17
SUMMARY 21
REFERENCES 21
Chapter 3. Deep Vein Thrombosis/ Pulmonary Embolism: Prophylaxis, Diagnosis, and Management 25
DEEP VEIN THROMBOSIS 25
ACUTE PULMONARY EMBOLISM 26
SUMMARY 27
REFERENCES 28
Chapter 4. The Management of Anticoagulants Perioperatively 29
WARFARIN 29
THIENOPYRIDINES 30
HEPARIN 32
DABIGATRAN 32
OTHER ANTICOAGULANTS 32
DIPYRIDAMOLE 32
RESUMPTION OF ANTICOAGULANTS POSTOPERATIVELY 32
SUMMARY 33
REFERENCES 33
Chapter 5. Perioperative Antibiotics in Thoracic Surgery 35
DEFINITION OF SURGICAL SITE INFECTION 35
HISTORY OF SURGICAL ANTIBIOTIC PROPHYLAXIS 35
PRACTICE PATTERNS OF SURGICAL PROPHYLAXIS IN THORACIC SURGERY 36
SUMMARY 43
REFERENCES 43
Chapter 6. Physiologic Evaluation of Lung Resection Candidates 47
AGE 48
NUTRITION 48
CARDIOVASCULAR RISK 48
SURGEON SPECIALTY 49
PULMONARY FUNCTION TESTING 49
SPIROMETRY 49
TUMOR-RELATED ANATOMIC AND OTHER CONSIDERATIONS 50
CARDIOPULMONARY EXERCISE TESTING 51
STAIR CLIMBING 51
SIX-MINUTE WALK TEST/SHUTTLE-WALK TEST 51
ARTERIAL BLOOD GAS MEASUREMENTS 52
ADDITIONAL CONSIDERATIONS 52
SUMMARY 52
REFERENCES 53
Chapter 7. Management of Early Stage Non–Small Cell Lung Cancer in\rHigh-Risk Patients 55
SUBLOBAR RESECTION 55
RADIATION THERAPY 58
PERCUTANEOUS ABLATIVE THERAPIES 60
REFERENCES 62
Chapter 8. Induction Therapy for Lung Cancer: Sailing Across the Pillars of Hercules 67
A DECALOGUE ON INDUCTION TREATMENT IN 2011 68
SUMMARY 62
REFERENCES 73
Chapter 9. Chest Wall Sarcomas\rand Induction Therapy 77
PATHOLOGY 77
CLINICAL EVALUATION 77
PRIMARY SOFT TISSUE SARCOMAS 78
PRIMARY SARCOMAS OF THE CHEST WALL: SOFT TISSUE 78
PRIMARY SARCOMAS OF THE CHEST WALL: CARTILAGE AND BONE 79
SPECIAL CONSIDERATIONS 80
SUMMARY 80
REFERENCES 80
Chapter 10. Induction Therapy for\rThymic Malignancies 83
SHOULD PATIENTS WITH STAGE III OR GREATER THYMIC MALIGNANCIES RECEIVE INDUCTION CHEMOTHERAPY OR RADIATION? 83
DISCUSSION 85
SUMMARY 88
REFERENCES 88
Chapter 11. Pulmonary Metastasectomy 91
RADIOGRAPHIC IMAGING 92
LYMPH NODE STATUS 93
CONSIDERATIONS FOR THE SURGICAL APPROACH 94
EXTENT OF SURGICAL RESECTION 95
SOME COMMON PULMONARY METASTASECTOMY TUMOR HISTOPATHOLOGIES 96
SUMMARY 97
REFERENCES 97
Chapter 12. Management of Barrett Esophagus with High-grade Dysplasia 101
DEFINITIONS 101
DIAGNOSIS 102
SURVEILLANCE 103
NATURAL HISTORY 103
MANAGEMENT OPTIONS 104
SUMMARY 105
REFERENCES 106
Chapter 13. Evidence-Based Review of the Management of Cancers of the Gastroesophageal Junction 109
STAGE I ESOPHAGEAL CANCER 109
CLINICAL T2N0M0 ESOPHAGEAL CANCER 111
CLINICAL N1 OR T3N0 ESOPHAGEAL CANCER 112
NEOADJUVANT CHEMORADIATION FOLLOWED BY SURGERY FOR LOCALLY ADVANCED ESOPHAGEAL CANCER 115
DEFINITIVE CHEMORADIATION FOR LOCALLY ADVANCED ESOPHAGEAL CANCER 118
SUMMARY 119
REFERENCES 119
Chapter 14. Follow-up of Patients with Resected Thoracic Malignancies 123
METHODS 123
NON–SMALL CELL LUNG CANCER 124
ESOPHAGEAL 127
THYMOMA 128
CHEST WALL TUMORS 129
MESOTHELIOMA 129
SUMMARY 130
REFERENCES 130
Index 133