Peri-operative Management of the Thoracic Patient, An Issue of Thoracic Surgery Clinics

1st Edition, Volume 30-3 - July 2, 2020
Editors: Virginia R Litle, Robert J Canelli
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 7 3 3 0 1 - 4
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 7 3 3 0 2 - 1

This issue of Thoracic Surgery Clinics, guest edited by Drs. Virginia R. Litle and Robert J. Canelli, is devoted to Peri-operative Management of the Thoracic Patient. Drs. Litle… Read more

Peri-operative Management of the Thoracic Patient, An Issue of Thoracic Surgery Clinics

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This issue of Thoracic Surgery Clinics, guest edited by Drs. Virginia R. Litle and Robert J. Canelli, is devoted to Peri-operative Management of the Thoracic Patient. Drs. Litle and Canelli have assembled expert authors to review the following topics: Preoperative Evaluation of Patients Undergoing Thoracic Surgery; Prehab of the Thoracic Patient; Enhanced Recovery after Thoracic Surgery; Surgical Approaches for Esophagectomy: Open, Minimally Invasive, Robotic. What is the Approach Algorithm?; Intraoperative Anesthetic Management of the Thoracic Surgery Patient; Intraoperative Surgical and Anesthetic Concerns for Robotic Approach to the Thoracic Surgery Patient; Prevention of Postoperative Prolonged Air-leak after Pulmonary Resection; Intraoperative Pre-emptive Prevention of Esophagectomy Complications: Role of Feeding Tubes, Pyloric Drainage Procedures, Anastomotic Buttressing; Interventional Pulmonology: A Brave New World; Pain Management in Thoracic Surgery; Management of Complications after Lung Resections; Management of complications after esophagectomy; and more!

Cover image
Title page
Table of Contents
Copyright
Contributors
Thoracic Surgery Clinics
Foreword
Preface
Section A: Preoperative
Preoperative Evaluation for Thoracic Surgery
Key points
Introduction
Physiologic effects of chest surgery
Comorbid conditions
Preoperative assessment
Cardiac risk stratification
Laboratory and imaging studies
Pulmonary function testing
The preoperative visit
Summary
Prehabilitation of the Thoracic Surgery Patient
Key points
Introduction
Summary
Enhanced Recovery After Thoracic Surgery
Key points
Introduction
Preoperative phase
Intraoperative phase
Postoperative phase
Outcomes
Summary
Open, Minimally Invasive, and Robotic Approaches for Esophagectomy: What Is the Approach Algorithm?
Key points
Introduction
Operative approaches
Open versus minimally invasive esophagectomy
Transthoracic versus transhiatal esophagectomy
Location
Pathology
Lymph node resection
Oncologic outcomes
Quality of life
Experience and approach selection
Summary
Section B: Intraoperative management
Intraoperative Anesthetic Management of the Thoracic Patient
Key points
Introduction
One-lung ventilation
Complications of one-lung ventilation
Intraoperative anesthetic considerations
Summary
Intraoperative Anesthetic and Surgical Concerns for Robotic Thoracic Surgery
Key points
Introduction
Anesthetic management in robotic thoracic surgery
Patient and port positioning
Robotic pulmonary resection
Robotic mediastinal surgery
Robotic esophagectomy
Conversion to open thoracotomy
Operative efficiency and teaching
Prevention of Postoperative Prolonged Air Leak After Pulmonary Resection
Key points
Introduction
Pleural mesh patch
Sealants
Pleural Tenting
Prophylactic pneumoperitoneum
Staple line buttress
Postoperative Chest Tube Management
Summary
Surgical Adjuncts During Esophagectomy
Key points
Introduction
Summary
Interventional Pulmonology: A Brave New World
Key points
Introduction
Advanced diagnostic bronchoscopy
Therapeutic bronchoscopy for central airway obstruction
Bronchoscopic radiofrequency and microwave ablation
Endobronchial brachytherapy
Photodynamic therapy
Bronchoplasty and intralesional steroid injection
Airway stenting
Summary
Section C: Postoperative management
Pain Management in Thoracic Surgery
Key points
Introduction
Thoracotomy pain
Pain management
Post-thoracotomy pain syndrome
Summary
Management of Complications After Lung Resection: Prolonged Air Leak and Bronchopleural Fistula
Key points
Prolonged air leak
Preoperative risk factors
Intraoperative risk factors
Postoperative risk factors
Prolonged air leak predictive scores
Air leak evaluation
Principles of management
Bronchopleural fistula
Preoperative risk factors
Postoperative risk factors
Diagnosis
Principles of management
Summary
Management of Complications After Esophagectomy
Key points
Introduction
Anastomotic leak
Conduit necrosis
Conduit-airway fistula
Chylothorax
Recurrent laryngeal nerve injury
Summary