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E-grāmata: Difficult Decisions in Thoracic Surgery: An Evidence-Based Approach

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This timely reference will help practicing surgeons, surgeons in training and educators with difficult, and even controversial, decisions in general thoracic surgery. It details the recommended ideal approach in selected clinical situations.

This updated volume provides a practical guide to decision making within thoracic surgery. Focussed chapters contain pithy analyses and recommendations that allow useful information to be identified at a glance. All new chapters bring insight into the challenges faced operating on the lung, esophagus, diaphragm, airway, pleaura, mediastinum, and chest wall.

Difficult Decisions in Thoracic Surgery aims to help the reader navigate the complexities of thoracic surgery through clearly formatted and evidence-based chapters. The book is relevant to practicing and trainee surgeons, as well as medical professionals working within thoracic surgery.

1 Introduction
1(14)
Mark K. Ferguson
2 Evidence Based Medicine: Quality of Evidence and Evaluation Systems
15(14)
Apoorva Krishna Chandar
Yngve Falck-Ytter
3 Decision Analytic Techniques and Other Decision Processes
29(12)
Varun Puri
Bryan F. Meyers
4 Decision Making: The Surgeon's Perspective
41(12)
Thomas K. Varghese Jr.
5 Involving Patients in Difficult Decisions About Having Surgery
53(14)
Joshua A. Hemmerich
Kellie Van Voorhis
Mark K. Ferguson
Part I Lung
6 EBUS vs. Mediastinoscopy for Initial Pathologic Mediastinal Staging in NSCLC
67(16)
Abhinav Agrawal
Septimiu Murgu
7 Does Preoperative Smoking Cessation Reduce Surgical Morbidity After Lung Resection?
83(12)
Michelle A. Wan
Lisa M. Brown
8 Is Low Tech as Good as High Tech Exercise Testing in Assessing Healthy Candidates for Lung Resection?
95(8)
Michael Gooseman
Alessandro Brunelli
9 Does Assessment of Frailty and Sarcopenia in Lung Resection Candidates Affect Patient Selection?
103(24)
Megan Huisingh-Scheetz
Michelle Martinchek
10 Can Frailty and Sarcopenia Be Mitigated in Lung Resection Candidates?
127(10)
Mark K. Ferguson
11 Is Antibiotic Prophylaxis Necessary for Major Lung Resection?
137(8)
Darren S. Bryan
Mark K. Ferguson
12 Uniportal Versus Multiportal VATS Lobectomy
145(12)
Alan D. L. Sihoe
13 Robotic Versus Video-Assisted Thoracoscopic Surgery (VATS) Major Lung Resection for Early Stage NSCLC
157(10)
Brian E. Louie
Jordan Wilkerson
14 Does Blood Patch for Persistent Postoperative Air Leak Reduce Air Leak Duration
167(10)
Adam Lam
Mark K. Ferguson
15 Is Resection of Persistent N2 Disease After Induction Therapy Effective?
177(16)
Mark F. Berry
16 N2 Disease Discovered at the Time of Vats Lung Resection: Resect or Abort?
193(12)
Marco Schiavon
Samuele Nicotra
Federico Rea
17 Does Induction Immunotherapy Confer Increased Operative Risk for Lung Resection?
205(10)
James G. Connolly
Matthew J. Bott
David R. Jones
18 Does an Enhanced Recovery Program for Lobectomy Improve Surgical Outcomes?
215(10)
Linda W. Martin
Reza J. Mehran
19 Resection vs. SBRT for Stage I NSCLC in Patients with Good Pulmonary Function
225(12)
Chase Corvin
Mark K. Ferguson
20 Do Endobronchial Valves Assist in Resolution of Postoperative Persistent Air Leak?
237(10)
Laura Frye
Sean Stoy
21 Is Long-Term Surveillance Effective After Resection of Stage I Non-small Cell Lung Cancer?
247(10)
Seth T. Sankary
Mark K. Ferguson
22 Does ECMO for Lung Failure in ICU Patients Improve Survival?
257(10)
Ben Dunne
Marc de Perrot
23 Does Local Therapy for Oligometastatic Disease in Lung Cancer Patients Improve Survival?
267(12)
Jessica S. Donington
24 Is Pulmonary Metastasectomy Effective in Prolonging Survival?
279(14)
Erin M. Corsini
Mara B. Antonoff
Part II Esophagus
25 Surgical Resection Versus Endoscopic Therapy for T1bN0 Esophageal Adenocarcinoma
293(12)
Bailey Su
Mark K. Ferguson
26 Does Induction Therapy for T2N0 Esophageal Adenocarcinoma Patients Improve Survival?
305(12)
Claire L. Donohoe
John V. Reynolds
27 Can Frailty and Sarcopenia Be Mitigated in Esophagectomy Candidates?
317(14)
Ana-Maria Misariu
Lorenzo Ferri
28 Do Enhanced Recovery Programs for Esophagectomy Patients Improve Outcomes?
331(12)
Sara H. Jamel
Sheraz R. Markar
29 Does Jejunostomy Tube Feeding Improve Outcomes After Esophagectomy?
343(12)
B. Feike Kingma
Jelle P. Ruurda
Richard van Hillegersberg
30 Surgery Versus Definitive Chemoradiotherapy for Regionally Advanced Esophageal Squamous Cell Cancer
355(6)
Diego M. Avella Patino
31 Robotic Minimally Invasive Esophagectomy (RAMIE) vs. Open Esophagectomy (OE) for Resectable Esophageal Cancer
361(8)
John J. Brady
Tadeusz Witek
Inderpal S. Sarkaria
32 Two-Field vs. Three-Field Lymphadenectomy for Esophageal Adenocarcinoma
369(8)
Brendon M. Stiles
Nasser K. Altorki
33 What Is the Appropriate Extent of Lymph Node Dissection in Esophageal Cancer
377(10)
Traves D. Crabtree
James W. Feimster
34 Salvage Esophagectomy for Persistent or Recurrent Disease After Chemoradiation
387(14)
Nicolas Zhou
Erin M. Corsini
Wayne L. Hofstetter
35 Early Oral Feeding After Esophagectomy
401(12)
Hai-Bo Sun
Megan Schultz
Andrew C. Chang
36 Stent vs. Primary Repair for Esophageal Perforation
413(8)
Brian P. Fleischer
Mark K. Ferguson
37 Endoluminal Vacuum Therapy vs. Stenting for Esophageal Anastomotic Leaks
421(12)
Kody Wyant
Richard K. Freeman
38 Thoracoscopic Versus Endoscopic Therapy for Small Sub-epithelial Esophageal Tumors
433(12)
Jonathan Dowd
Trevor Long
Christopher G. Chapman
39 Laparoscopic vs. Endoscopic Therapy for Achalasia
445(10)
Mikhail Attaar
Michael B. Ujiki
40 Laparoscopy or Endoscopic Therapy for Recurrent Symptoms from Achalasia
455(12)
Giovanni Zaninotto
Nadia Guidozzi
Sheraz R. Markar
41 Laparoscopy or Thoracotomy for Symptomatic Recurrent Paraesophageal Hernia
467(8)
Miroslav P. Peev
Mark K. Ferguson
Part III Diaphragm
42 Does Diaphragm Pacing for Bilateral Phrenic Nerve Paralysis Improve Function or Quality of Life?
475(12)
Raymond Onders
43 Does Phrenic Nerve Reconstruction for Unilateral Diaphragm Paralysis Improve Function or Quality of Life
487(8)
Matthew R. Kaufman
Thomas Bauer
44 Is Plication for Diaphragmatic Eventration Effective in Improving Lung Function?
495(10)
Alina-Maria Budacan
Babu Naidu
Part IV Airways
45 Is Long-Term Stenting for Benign Airway Obstruction Effective?
505(8)
Faiz Y. Bhora
Mirza Zain Baig
46 Are Engineered Tissues Useful for Tracheal Reconstruction?
513(10)
Brooks V. Udelsman
Harald C. Ott
47 Management of Positive Margins After Resection of Primary Tracheal Malignancies
523(10)
Paul William Furlow
Maria Lucia L. Madariaga
48 Optimal Management of Posttransplant Bronchial Stenosis: Stenting or Reoperation
533(14)
Lucas Hoyos Mejia
Andres Varela de Ugarte
Part V Pleura and Pleural Spaces
49 Is tPA/DNase Effective in the Management of Pleural Empyema?
547(6)
Andrew R. Brownlee
Mark K. Ferguson
50 VATS vs Open Management of Pleural Empyema
553(8)
Brian Mitzman
51 Indwelling Pleural Catheters Versus Talc Pleurodesis for Recurrent Symptomatic Malignant Pleural Effusions
561(10)
Clinton T. Morgan
Daniel P. McCarthy
Malcolm M. DeCamp
52 Quality of Life: Extended Pleurectomy/Decortication vs Extrapleural Pneumonectomy
571(12)
Kimberly J. Song
Andrea S. Wolf
Part VI Mediastinum
53 Does Thymectomy Improve Outcomes in Patients with Nonthymomatous Myasthenia Gravis?
583(8)
Richard Dubois
Joshua Sonett
54 Magnetic Resonance Imaging for Evaluation of Suspected Encapsulated Thymoma
591(6)
Wenhan Weng
Xiao Li
55 Robotic vs. Thoracoscopic Thymectomy for Thymoma
597(8)
Seth B. Krantz
56 VATS for Resection of Mediastinal Parathyroid Adenomas
605(8)
Yuqin Cao
Hecheng Li
57 Thymectomy in the Setting of Pleural Metastasis
613(16)
Stephan Adamour Soder
Moishe Liberman
58 Sympathectomy for Malignant Ventricular Arrhythmias
629(6)
Vignesh Raman
David H. Harpole Jr.
59 The Extent of Surgery for Palmar Hyperhidrosis
635(10)
Shane P. Smith
Eric Vallieres
Part VII Chest Wall
60 Synthetic Versus Biologic Reconstruction of Bony Chest Wall Defects
645(10)
Onkar Khullar
Felix Fernandez
61 Traumatic Rib Fracture in the Absence of Flail Chest: Conservative Therapy or Surgical Fixation?
655(8)
Alex W. Helkin
Niels D. Martin
62 Is Surgical Management of Flail Chest Effective?
663(8)
Marcus Eby
Christopher W. Seder
63 Epidural vs Regional Blocks for VATS and Thoracotomy
671(14)
Dinesh J. Kurian
Husam Alghanem
64 The Nuss Procedure Versus the Modified Ravitch Repair for Pectus Excavatum in Adults
685(6)
Daniel P. Raymond
Index 691
Mark K. Ferguson, MD, is Professor of Surgery at University of Chicago Medical Center. He specializes in the surgical management of malignant and benign  thoracic diseases. He has served on the boards and committees of numerous national societies and institutions including the Food and Drug Administration (FDA) and the National Institutes of Health. Dr. Ferguson has edited or authored books on esophageal reconstructive surgery, failed anti-reflux therapy, and decision-making in thoracic surgery, and two atlases of general thoracic surgery. Dr. Ferguson serves as an editor or associate editor for a number of cardiothoracic surgery journals. His research interests include risk analysis, long-term outcomes after cancer surgery, bias in medical care, and surgical education.