图书简介
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.
<p>1. Introduction.- 2. Evidence based medicine: levels of evidence and evaluation systems.- 3. Decision analytic techniques and other decision processes.- 4. Decision making - the surgeon?s perspective.- 5. Decision making - the patient?s perspective.- 6. <b>EBUS vs mediastinoscopy for initial pathologic mediastinal staging in NSCLC</b>.- 7. Is preoperative smoking cessation for lung resection patients effective in reducing surgical morbidity.- 8. <b>Is low tech as good as high tech exercise testing in assessing healthy candidates for lung resection</b>.- 9. <b>Does assessment of frailty and sarcopenia in lung resection candidates affect oatient selection</b>.- 10. <b>Can frailty and sarcopenia be mitigated in lung resection candidates</b>.- 11. Is antibiotic prophylaxis necessary for major lung resection.- 12. <b>Uniportal vs multiportal VATS lobectomy</b>.- 13. Robotic vs VATS for major lung resection.- 14. <b>Does intrapleural therapy for persistent postoperative air leak reduce air leak duration</b>.- 15. <b>Segmentectomy vs lobectomy in patients with good pulmonary function</b>.- 16. Is resection of persistent N2 disease after induction therapy effective.- 17. <b>N2 disease discovered at the time of lung resection - resect or abort?</b>.- 18. <b>Is lung resection safe after immunotherapy</b>.- 19. <b>Is an enhanced recovery programs for lobectomy patients effective in improving surgical outcomes</b>.- 20. Resection vs SBRT for stage I NSCLC in patients with good pulmonary function.- 21. Do endobronchial valves assist in resolution of postoperative persistent air leak.- 22. Is long-term surveillance effective after resection of stage I NSCLC.- 23. Does ECMO for lung failure in ICU patients improve survival.- 24. <b>Does resection of oligometastatic disease in lung cancer patients improve survival</b>.- 25. Is pulmonary metastasectomy effective in prolonging survival.- 26. <b>Resection vs endoscopic therapy for T1bN0 esophageal adenocarcinoma</b>.- 27. <b>Does induction therapy for T2N0 esophageal adenocarcinoma improve survival</b>.- 28. <b>Do enhanced recovery programs for esophagectomy patients improve outcomes</b>.- 29. <b>Does jejunostomy after esophagectomy improve outcomes</b>.- 30. Surgery vs definitive chemoradiotherapy for regionally advanced esophageal squamous cell cancer.- 31. <b>Open vs robotic resection for esophageal adenocarcinoma</b>.- 32. Two-field vs three-field lymphadenectomy for esophageal adenocarcinoma.- 33. <b>Is resection of more nodes better for treating esophageal cancer</b>.- 34. Salvage esophagectomy for persistent disease after definitive chemoradiotherapy.- 35. Early postoperative feeding after esophagectomy.- 36. Stent vs primary repair for esophageal perforation.- 37. <b>Sump therapy vs stenting
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