Difficult Decisions in Thoracic Surgery describes the recommended ideal approach, rather than customary care, in selected clinical situations. Brief chapters are devoted to a specific question or decision in general thoracic surgery that is difficult or controversial. Although some of the content may be available in major thoracic texts, rarely are such questions posed specifically and analyzed according to the level of supporting evidence available. The chapters contain both evidence-based recommendations and descriptions of surgeons' personal practices based on their experience and the published literature.Chapters are organized around clearly identified recommendations, making possible the identification of useful material at a glance. Over 50 different topics are presented, including a review of available evidence and a general discussion of recommended practice.This book is a valuable reference source for practicing surgeons, surgeons in training, and educators.

Background
Introduction
Evidence-Based Medicine: Levels of Evidence and Grades of Recommendation
Decision Analytic Techniques
Non-Clinical Components of Surgical Decision Making
How Patients Make Decisions with their Surgeons: The Role of Counseling and Patient Decision Aids
Lung: Radiographic Staging of Lung Cancer: Computed Tomography (CT) and Positron Emission Tomography (PET)
Routine Mediastinoscopy for Clinical Stage I Lung Cancer
Management of Unexpected N2 Disease Discovered at Thoracotomy
Induction Therapy for Clinical Stage I Lung Cancer
Induction Therapy for Stage IIIA (N2) Lung Cancer
Adjuvant postoperative therapy for completely resected stage I lung cancer
Sleeve Lobectomy vs. Pneumonectomy for Lung Cancer Patients with Good Pulmonary Function
Lesser Resection Versus Lobectomy for Stage I Lung Cancer in Patients with Good Pulmonary Function.-. Lesser Resection vs RT for Patients with Compromised Lung Function and STAGE I Lung Cancer
Resection for Patients Initially Diagnosed with N3 Lung Cancer after Response to Induction Therapy
VATS Major Lung Resections
Surgery for Non-Small Cell Lung Cancer with Solitary M1 Disease
Thoracoscopy Versus the Open Approach for Resection of Solitary Pulmonary Metastases
Unilateral or bilateral approach for unilateral pulmonary metastatic disease
Surgery for Bronchoalveolar Lung Cancer
LVRS in the Candidate for Lung Transplantation
Pleural Sclerosis for the Management of Initial Pneumothorax
Esophagus: Staging for Esophageal Cancer: PET, EUS
Induction Therapy for Resectable Esophageal Cancer
Transthoracic versus Transhiatal Resection for Carcinoma of the Esophagus
Minimally Invasive vs Open Esophagectomy for Cancer
Lymph Node Dissection for Carcinoma of the Esophagus
Intrathoracic vs Cervical Anastomosis in Esophageal Replacement
Jejunostomy after Esophagectomy
Gastric Emptying Procedures after Esophagectomy
Posterior Mediastinal or Retrosternal Reconstruction Following Esophagectomy for Cancer
Postoperative adjuvant therapy for completely resected esophageal cancer
Celiac Lymph Nodes and Esophageal Cancer
Partial or Total Fundoplication for GERD in the Presence of Impaired Esophageal Motility
Botox, Balloon or Myotomy: Optimal treatment for Achalasia
Fundoplication after Laparoscopic Myotomy for Achalasia
Primary Repair for Delayed Recognition of Esophageal Perforation
Lengthening Gastroplasty for Managing GERD and Stricture
Lengthening Gastroplasty for Managing Giant Paraesophageal Hernia
Evidenced-Based Management of Zenker''s Diverticulum: Open Versus Transoral Approaches
Management of Minimally Symptomatic Pulsion Diverticula of the Esophagus
Diaphragm: Giant Paraesophageal Hernia: Thoracic, Open Abdominal, or Laparoscopic Approach
Management of Minimaly Symptomatic Giant Paraesophageal Hernias
Plication for Diaphragmatic Eventration
Pacing for Unilateral Diaphragm Paralysis
Optimal Crural Closure Techniques for Repair of Large Hiatal Hernias
Management of Acute Diaphragmatic Rupture: Thoracotomy versus Laparotomy
Airway: Stenting for Benign Airway Obstruction
Tracheal Resection for Thyroid or Esophageal Cancer
pleura And Pleural Space: Pleural Sclerosis for Malignant Pleural Effusion: Optimal Sclerosing Agent
Management of Malignant Pleural Effusion: Sclerosis or Chronic Tube drainage
Initial Spontaneous Pneumothorax: The Role of Thoracoscopic Therapy
Intrapleural Fibrinolytics
Diffuse Malignant Pleural Mesothelioma: The Role of Pleurectomy
Treatment of Malignant Pleural Mesothelioma: Is There a Benefit to Pleuropneumonectomy?
Tmediastinum: Management of Myasthenia Gravis: Does Thymectomy Provide Benefit over Medical Therapy
Thymectomy for Myathenias Gravis
Management of Residual Disease after Therapy for Mediastinal Germ Cell Tumor and Normal Serum Markers
Management of Malignant Pericardial Effusions
Asymptomatic Pericardial Cyst: Observe or Resect
chest Wall
Table of Contents provided by Publisher. All Rights Reserved.

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Difficult Decisions in Thoracic Surgery : An Evidence-Based Approach

9781846283840

1846283841

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