The Thoracic and cardiovascular surgeon
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Thorac Cardiovasc Surg · Dec 2007
Comparative StudyImpact on pulmonary function after lobectomy in patients with chronic obstructive pulmonary disease.
The purpose of this study was to evaluate the operative outcome and pulmonary function after lobectomy; this included systematic mediastinal and hilar lymph node dissection for primary non-small cell lung cancer or pulmonary metastases of extrapulmonary origin in patients with chronic obstructive pulmonary disease (COPD) and a preoperative FEV (1) of less than 1.5 l (< 80 % of predicted value) and FEV (1)/FVC < 70 % (COPD II degrees ). ⋯ It appears that surgical resection of malignant lung tumours by lobectomy can also be performed successfully in selected patients with low FEV (1) and COPD II degrees without significant loss of pulmonary function.
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Thorac Cardiovasc Surg · Dec 2007
Operative indications for lung cancer with idiopathic pulmonary fibrosis.
Idiopathic pulmonary fibrosis (IPF) is well known to be associated with lung cancer. However, surgical morbidity and mortality in lung cancer patients with IPF remains unclear. ⋯ Lung cancer patients with IPF who have a low preoperative %FVC should be carefully assessed prior to any surgical intervention.
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Thorac Cardiovasc Surg · Oct 2007
Comparative StudyEvaluation of a wireless ingestible temperature probe in cardiac surgery.
CorTemp is a wireless intestinal temperature monitoring system in the form of an ingestible pill and an external receiver. The aim of the study was to evaluate the system's accuracy and practicality during cardiac surgery. ⋯ The significant temperature differences detected during rewarming urge caution regarding CorTemp use as an accurate estimator of brain temperature in cardiac surgery. Further studies are required to assess its potentially useful role as a body core and intestinal temperature monitoring system and as a useful adjunct in investigating bowel ischaemia aetiology in cardiac surgery.