European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery
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Eur J Cardiothorac Surg · May 2009
Feasibility of video-assisted thoracoscopic surgery segmentectomy for selected peripheral lung carcinomas.
Segmentectomy for non-small cell lung cancer (NSCLC) is believed to increase the rates of recurrence and postoperative air leak. We sought to present our clinical data and outcome of VATS (video-assisted thoracoscopic surgery) segmentectomies with systematic node dissection for selected NSCLC patients. ⋯ VATS segmentectomy with systematic node dissection is a reasonable treatment option for selected peripheral NSCLC.
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Eur J Cardiothorac Surg · May 2009
Randomized Controlled TrialA prospective randomized study to assess the efficacy of a surgical sealant to treat air leaks in lung surgery.
A prospective, randomized study to evaluate the effectiveness and safety of a polymeric sealant (Coseal, Baxter Healthcare, Deerfield, IL) to reduce air leaks and to improve postoperative outcome in patients undergoing lung resection. ⋯ The application of Coseal sealant proved safe and effective in reducing air leaks occurring after lung resection and in shortening the duration of postoperative air leak with a trend towards a shorter postoperative hospital stay.
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Eur J Cardiothorac Surg · May 2009
Positron emission tomography may underestimate the extent of thoracic disease in lung cancer patients.
Although widely utilised in the staging of lung cancer various studies have questioned whether the accuracy of this staging modality is sufficient to replace conventional invasive staging techniques. We have therefore reviewed our experience in order to assess the accuracy of PET CT as an intrathoracic staging tool for non-small cell lung cancer (NSCLC). ⋯ Our experience would suggest that PET CT alone is not sufficiently accurate to replace mediastinoscopy and other conventional biopsy techniques in the evaluation of NSCLC cases. It may better be viewed as a valuable additional tool with which to inform decision making and to screen for disseminated disease.