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Difficult Decisions in Thoracic Surgery

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Why do thoracic surgeons need training in decision making? Many of us who have weathered harrowing residencies in surgery feel that, after such experiences, decision making is a natural extension of our selves. While this is no doubt true, correct de- sion making is something that many of us have yet to master. The impetus to develop a text on evidence-based decision making in thoracic surgery was stimulated by a conference for cardiothoracic surgical trainees developed in 2004 and sponsored by the American College of Chest Physicians. During that conference it became clear that we as thoracic surgeons are operating from a very limited fund of true evidence-based information. What was also clear was the fact that many of the decisions we make in our everyday practices are not only uninformed by evidence-based medicine, but often are contradictory to existing guidelines or evidence-based recommendations. The objectives of this book are to explain the process of decision making, both on the part of the physician and on the part of the patient, and to discuss speci? c clinical problems in thoracic surgery and provide recommendations regarding their mana- ment using evidence-based methodology. Producing a text that will purportedly guide experienced, practicing surgeons in the decision-making process that they are acc- tomed to observe on a daily basis is a daunting task.
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Contents
Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Contributors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part 1Background  1 Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Mark K. Ferguson  2 Evidence-Based Medicine: Levels of Evidence and Grades of  Recommendation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Andrew J. Graham and Sean C. Grondin  3 Decision Analytic Techniques . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Anirban Basu and Amy G. Lehman  4 Nonclinical Components of Surgical Decision Making . . . . . . . . . . . . . . . . . Jo Ann Broeckel Elrod, Farhood Farjah, and David R. Flum  5 How Patients Make Decisions with Their Surgeons: The Role of  Counseling and Patient Decision Aids . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Annette M. O’Connor, France Légaré, and Dawn Stacey
Part 2Lung  6 Radiographic Staging of Lung Cancer: Computed Tomography and  Positron Emission Tomography. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Frank C. Detterbeck  7 Routine Mediastinoscopy for Clinical Stage I Lung Cancer . . . . . . . . . . . . . Karl Fabian L. Uy and Thomas K. Waddell  8 Management of Unexpected N2 Disease Discovered at Thoracotomy . . . . . Hyde M. Russell and Mark K. Ferguson  9 Induction Therapy for Clinical Stage I Lung Cancer. . . . . . . . . . . . . . . . . . . David C. White and Thomas A. D’Amico 10 Induction Therapy for Stage IIIA (N2) Lung Cancer. . . . . . . . . . . . . . . . . . . Shari L. Meyerson and David H. Harpole, Jr.
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Adjuvant Postoperative Therapy for Completely Resected Stage I Lung Cancer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Thomas A. D’Amato and Rodney J. Landreneau
Sleeve Lobectomy Versus Pneumonectomy for Lung Cancer Patients with Good Pulmonary Function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Lisa Spiguel and Mark K. Ferguson
Lesser Resection Versus Lobectomy for Stage I Lung Cancer in Patients with Good Pulmonary Function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Anthony W. Kim and William H. Warren
Lesser Resection Versus Radiotherapy for Patients with Compromised Lung Function and Stage I Lung Cancer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Jeffrey A. Bogart and Leslie J. Kohman Resection for Patients Initially Diagnosed with N3 Lung Cancer after Response to Induction Therapy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Antonio D’Andrilli, Federico Venuta, and Erino A. Rendina Video-Assisted Thorascopic Surgery Major Lung Resections . . . . . . . . . . . Raja M. Flores and Naveed Z. Alam Surgery for Non-Small Cell Lung Cancer with Solitary M1 Disease . . . . . . Robert J. Downey Thoracoscopy Versus the Open Approach for Resection of Solitary Pulmonary Metastases. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Keith S. Naunheim Unilateral or Bilateral Approach for Unilateral Pulmonary Metastatic Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ashish Patel and Malcolm M. DeCamp, Jr. Surgery for Bronchoalveolar Lung Cancer . . . . . . . . . . . . . . . . . . . . . . . . . . . . Subrato J. Deb and Claude Deschamps Lung Volume Reduction Surgery in the Candidate for Lung Transplantation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Christine L. Lau and Bryan F. Meyers Pleural Sclerosis for the Management of Initial Pneumothorax . . . . . . . . . Richard W. Light
Part 3Esophagus 23 Staging for Esophageal Cancer: Positron Emission Tomography,  Endoscopic Ultrasonography . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Jarmo A. Salo 24 Induction Therapy for Resectable Esophageal Cancer . . . . . . . . . . . . . . . . . . Sarah E. Greer, Philip P. Goodney, and John E. Sutton 25 Transthoracic Versus Transhiatal Resection for Carcinoma  of the Esophagus. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Jan B.F. Hulscher and J. Jan B. van Lanschot
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Minimally Invasive Versus Open Esophagectomy for Cancer. . . . . . . . . . . Ara Ketchedjian and Hiran Fernando Lymph Node Dissection for Carcinoma of the Esophagus. . . . . . . . . . . . . . Nasser K. Altorki Intrathoracic Versus Cervical Anastomosis in Esophageal Replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Christian A. Gutschow and Jean-Marie Collard
Jejunostomy after Esophagectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Lindsey A. Clemson, Christine Fisher, Terrell A. Singleton,and Joseph B. Zwischenberger Gastric Emptying Procedures after Esophagectomy . . . . . . . . . . . . . . . . . . . Jeffrey A. Hagen and Christian G. Peyre Posterior Mediastinal or Retrosternal Reconstruction Following Esophagectomy for Cancer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Lara J. Williams and Alan G. Casson
Postoperative Adjuvant Therapy for Completely Resected Esophageal Cancer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Nobutoshi Ando Celiac Lymph Nodes and Esophageal Cancer . . . . . . . . . . . . . . . . . . . . . . . . . Thomas W. Rice and Daniel J. Boffa Partial or Total Fundoplication for Gastroesophagael Reflux Disease in the Presence of Impaired Esophageal Motility . . . . . . . . . . . . . . . . . . . . . . Jedediah A. Kaufman and Brant K. Oelschlager Botox, Balloon, or Myotomy: Optimal Treatment for Achalasia. . . . . . . . . Lee L. Swanstrom and Michelle D. Taylor Fundoplication after Laparoscopic Myotomy for Achalasia . . . . . . . . . . . . . Fernando A. Herbella and Marco G. Patti Primary Repair for Delayed Recognition of Esophageal Perforation. . . . . Cameron D. Wright Lengthening Gastroplasty for Managing Gastroesophagael Reflux Disease and Stricture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Sandro Mattioli and Maria Luisa Lugaresi
Lengthening Gastroplasty for Managing Giant Paraesophageal Hernia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Kalpaj R. Parekh and Mark D. Iannettoni
Management of Zenker’s Diverticulum: Open Versus Transoral Approaches . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Douglas E. Paull and Alex G. Little
Management of Minimally Symptomatic Pulsion Diverticula of the Esophagus. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Giovanni Zaninotto and Giuseppe Portale
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Part 4Diaphragm 42 Giant Paraesophageal Hernia: Thoracic, Open Abdominal, or  Laparoscopic Approach . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Glenda G. Callender and Mark K. Ferguson 43 Management of Minimally Symptomatic Giant  Paraesophageal Hernias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . David W. Rattner and Nathaniel R. Evans 44 Plication for Diaphragmatic Eventration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Marco Alifano 45 Pacing for Unilateral Diaphragm Paralysis. . . . . . . . . . . . . . . . . . . . . . . . . . . Raymond P. Onders 46 Optimal Crural Closure Techniques for Repair of Large  Hiatal Hernias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Carlos A. Galvani and Santiago Horgan 47 Management of Acute Diaphragmatic Rupture: Thoracotomy  Versus Laparotomy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Seth D. Force
Part 5Airway 48 Stenting for Benign Airway Obstruction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Loay Kabbani and Tracey L. Weigel 49 Tracheal Resection for Thyroid or Esophageal Cancer. . . . . . . . . . . . . . . . . Todd S. Weiser and Douglas J. Mathisen
Part 6Pleura and Pleural Space 50 Pleural Sclerosis for Malignant Pleural Effusion:  Optimal Sclerosing Agent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Zane T. Hammoud and Kenneth A. Kesler 51 Management of Malignant Pleural Effusion: Sclerosis or Chronic  Tube Drainage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Joe B. Putnam, Jr. 52 Initial Spontaneous Pneumothorax: Role of Thoracoscopic Therapy . . . . . Faiz Y. Bhora and Joseph B. Shrager 53 Intrapleural Fibrinolytics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Jay T. Heidecker and Steven A. Sahn 54 Diffuse Malignant Pleural Mesothelioma: The Role of Pleurectomy . . . . . Jasleen Kukreja and David M. Jablons 55 Treatment of Malignant Pleural Mesothelioma: Is There  a Benefit to Pleuropneumonectomy?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Stacey Su, Michael T. Jaklitsch, and David J. Sugarbaker
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Part 7Mediastinum 56 Management of Myasthenia Gravis: Does Thymectomy Provide  Benefit over Medical Therapy Alone? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Vera Bril and Shaf Keshavjee 57 Thymectomy for Myasthenia Gravis: Optimal Approach. . . . . . . . . . . . . . . Joshua R. Sonett 58 Management of Residual Disease after Therapy for Mediastinal Germ  Cell Tumor and Normal Serum Markers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Luis J. Herrera and Garrett L. Walsh 59 Management of Malignant Pericardial Effusions. . . . . . . . . . . . . . . . . . . . . . Nirmal K. Veeramachaneni and Richard J. Battafarano 60 Asymptomatic Pericardial Cyst: Observe or Resect? . . . . . . . . . . . . . . . . . . . Robert J. Korst
Part 8Chest Wall 61 Optimal Approach to Thoracic Outlet Syndrome: Transaxillary,  Supraclavicular, or Infraclavicular . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Richard J. Sanders 62 Pectus Excavatum in Adults. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Charles B. Huddleston
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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http://www.springer.com/978-1-84628-384-0
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