Lung Cancer 2021, Part 1, An Issue of Thoracic Surgery Clinics

Cover image

Title page

Table of Contents

Copyright

Contributors

Forthcoming Issues

Dedication

Preface

How to Design and Foster Thoracic Oncology Multidisciplinary Cancer Conferences

Key points

Background

Definitions

Multidisciplinary cancer conferences have a positive impact on health outcomes and have become standard of care

Multidisciplinary cancer conferences have been implemented worldwide with defined standards

Many factors influence multidisciplinary cancer conference effectiveness and can be reliably assessed

Specific interventions have been proposed to improve multidisciplinary cancer conferences quality

Insights on how to foster thoracic oncology multidisciplinary cancer conferences

Clinics care points

Supplementary data

Guiding Principles in the Management of Synchronous and Metachronous Primary Non–Small Cell Lung Cancer

Key points

Introduction

Definitions

Synchronous primary lung cancers

Metachronous primary lung cancer

Summary

Clinics care points

When Is It Safe to Operate for Lung Cancer? Selection of Fiscally Responsible Cardiopulmonary Function Tests for Limited Resection (Wedge Resection and Segmentectomy), Standard Lobectomy, Sleeve Lobectomy, and Pneumonectomy

Key points

Introduction

Pulmonary assessment

Pulmonary assessment: special considerations

Cardiac assessment for pulmonary resection

Summary

Clinics care points

Management of Air Leaks and Residual Spaces Following Lung Resection

Key points

Introduction

Risk factors

Intraoperative considerations

Pleural tent

Sealants

Staple line buttressing

Muscle flaps

Pneumoperitoneum and phrenic nerve paralysis

Managing air leaks in the postoperative setting

Options for managing air leaks that failed long chest tube drainage

Endobronchial valves

Reoperative approaches

Residual spaces following lung resection

Clinics care points

Extended Pulmonary Resection by Sleeve Lobectomy and Carinal Pneumonectomy: Selection and Technique

Key points

Introduction

Indications for extended pulmonary resection

Open approaches to sleeve lobectomy and carinal resections

Minimally invasive extended pulmonary resection

Summary

Clinics care points

Role of the Thoracic Radiologist in the Evaluation and Management of Solid and Subsolid Lung Nodules

Key points

Introduction

Discussion

Measurement of solid and subsolid nodules

Management of solid and subsolid nodules

Utility of PET with fludeoxyglucose F 18/computed tomography

Image-guided lung intervention

Practical approach to management of pulmonary nodules—case presentation

Summary

Clinics care points

Disclosure

Recognition and Management of Acute and Late Complications of Pneumonectomy: Clinical Cases and Treatment

Key points

Introduction

Cardiac herniation

Chylothorax

Postpneumonectomy syndrome

Postpneumonectomy pulmonary edema

Bronchopleural fistula and empyema

Summary

Clinics care points

Constants and Currents in the Education and Training of General Thoracic Surgeons

Key points

Introduction

Past challenges

The current challenge

Summary

Assessment and Rehabilitation of the Compromised Patient Prior to Thoracotomy

Key points

Introduction

Identification and level 1 assessment

First level of decision making

Second-level assessment and testing

Second level of decision making

Rehabilitation

Third level of decision making

Summary

Clinics care points

Disclosure

Is Small Cell Lung Cancer a Surgical Disease at the Present Time?

Key points

Introduction

Changes in the terminology of SCLC stages

Treatment of SCLC: 1960 to 2000

Reevaluating the role of surgery in the management of SCLC

Change of practice: surgery as part of the multimodal treatment of SCLC

Summary

Clinics care points

Embolotherapy in Bronchial Hemorrhage

Key points

Introduction

Pathophysiology of hemoptysis

Anatomic considerations

Preprocedural considerations

Procedure

Outcomes of bronchial artery embolization

Complications

Summary

Clinics care points

Ethics for Thoracic Surgeons in the Management of Lung Cancer

Key points

Professional ethics in thoracic surgery

Resolution of dilemmas: a framework

Tumor board: the loss of control by thoracic surgeons?

Technology and innovation

Teaching ethics when dealing with lung cancer

Summary: ethics must be inclusive in contemporary surgical treatment of lung cancer

Clinics care points

Oligometastatic Lung Cancer Defined by Biology, Science, and Secondary Growths

Key points

Introduction

Definition of microscopic versus macroscopic metastases from cancer and oligometastases

Oligometastases: defined by prognosis and evaluated by cure: the cancer definition and science of oligometastases

Biology and science of oligometastases

Stereotactic ablative radiotherapy

Summary

Clinical Care Points

Implications of Adverse Biological Factors and Management of Solitary Fibrous Tumors of the Pleura

Key points

Introduction/background/prevalence

Patient evaluation overview

Pharmacologic treatment of solitary fibrous tumors of the pleura

Surgical treatment of solitary fibrous tumors of pleura

Embolization of a large solitary fibrous tumor of the pleura

New developments

Summary

Clinics care points

Can Biologic Aggressiveness and Metastatic Potential of Primary Lung Cancer Be Predicted from Clinical Staging Alone?

Key points

Introduction

Up to date biologic information on lung cancer

Staging in lung cancer

Advances made in lung cancer

Cause of lung cancer and staging

Biologic behavior of lung cancer

The reasons for the inability to predict biologic aggressiveness and metastatic potential in lung cancer

Modes of spread by lung cancer

The important information on lung cancer

The biology of lung cancer and its implication in biologic aggressiveness and metastatic potential

Summary

Clinical Care Points