Difficult Decisions in Thoracic Surgery: An Evidence-Based Approach 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. Alt
Difficult Decisions in Thoracic Surgery: An Evidence-Based Approach
β Scribed by Mark K. Ferguson MD (auth.), Mark K. Ferguson MD (eds.)
- Publisher
- Springer London
- Year
- 2007
- Tongue
- English
- Leaves
- 532
- Edition
- XX
- Category
- Library
No coin nor oath required. For personal study only.
β¦ Synopsis
Difficult Decisions in Thoracic Surgery: An Evidence-Based Approach 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. This book is unique in aiming to address the issues in the most clear and informed manner possible; the chapters contain both evidence-based recommendations and descriptions of surgeonsβ personal practices based on their experience and the published literature.
Chapters are organized around clearly identified recommendations. This provides uniformity to the presentations, making possible the identification of useful material at a glance. A general introduction describes evidence-based data and their use, decision analytic models, and how both physicians and patients make decisions currently. Over 50 different topics are then 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.
β¦ Table of Contents
Front Matter....Pages i-xx
Front Matter....Pages 1-1
Introduction....Pages 3-12
Evidence-Based Medicine: Levels of Evidence and Grades of Recommendation....Pages 13-20
Decision Analytic Techniques....Pages 21-35
Nonclinical Components of Surgical Decision Making....Pages 36-43
How Patients Make Decisions with Their Surgeons: The Role of Counseling and Patient Decision Aids....Pages 44-55
Front Matter....Pages 57-57
Radiographic Staging of Lung Cancer: Computed Tomography and Positron Emission Tomography....Pages 59-67
Routine Mediastinoscopy for Clinical Stage I Lung Cancer....Pages 68-74
Management of Unexpected N2 Disease Discovered at Thoracotomy....Pages 75-81
Induction Therapy for Clinical Stage I Lung Cancer....Pages 82-87
Induction Therapy for Stage IIIA (N2) Lung Cancer....Pages 88-93
Adjuvant Postoperative Therapy for Completely Resected Stage I Lung Cancer....Pages 94-102
Sleeve Lobectomy Versus Pneumonectomy for Lung Cancer Patients with Good Pulmonary Function....Pages 103-109
Lesser Resection Versus Lobectomy for Stage I Lung Cancer in Patients with Good Pulmonary Function....Pages 110-118
Lesser Resection Versus Radiotherapy for Patients with Compromised Lung Function and Stage I Lung Cancer....Pages 119-127
Resection for Patients Initially Diagnosed with N3 Lung Cancer after Response to Induction Therapy....Pages 128-139
Video-Assisted Thorascopic Surgery Major Lung Resections....Pages 140-146
Surgery for Non-Small Cell Lung Cancer with Solitary M1 Disease....Pages 147-150
Thoracoscopy Versus the Open Approach for Resection of Solitary Pulmonary Metastases....Pages 151-157
Unilateral or Bilateral Approach for Unilateral Pulmonary Metastatic Disease....Pages 158-164
Surgery for Bronchoalveolar Lung Cancer....Pages 165-174
Front Matter....Pages 57-57
Lung Volume Reduction Surgery in the Candidate for Lung Transplantation....Pages 175-185
Pleural Sclerosis for the Management of Initial Pneumothorax....Pages 186-192
Front Matter....Pages 193-193
Staging for Esophageal Cancer: Positron Emission Tomography, Endoscopic Ultrasonography....Pages 195-199
Induction Therapy for Resectable Esophageal Cancer....Pages 200-207
Transthoracic Versus Transhiatal Resection for Carcinoma of the Esophagus....Pages 208-217
Minimally Invasive Versus Open Esophagectomy for Cancer....Pages 218-224
Lymph Node Dissection for Carcinoma of the Esophagus....Pages 225-233
Intrathoracic Versus Cervical Anastomosis in Esophageal Replacement....Pages 234-241
Jejunostomy after Esophagectomy....Pages 242-249
Gastric Emptying Procedures after Esophagectomy....Pages 250-257
Posterior Mediastinal or Retrosternal Reconstruction Following Esophagectomy for Cancer....Pages 258-264
Postoperative Adjuvant Therapy for Completely Resected Esophageal Cancer....Pages 265-270
Celiac Lymph Nodes and Esophageal Cancer....Pages 271-278
Partial or Total Fundoplication for Gastroesophageal Reflux Disease in the Presence of Impaired Esophageal Motility....Pages 279-284
Botox, Balloon, or Myotomy: Optimal Treatment for Achalasia....Pages 285-291
Fundoplication after Laparoscopic Myotomy for Achalasia....Pages 292-297
Primary Repair for Delayed Recognition of Esophageal Perforation....Pages 298-304
Lengthening Gastroplasty for Managing Gastroesophageal Reflux Disease and Stricture....Pages 305-317
Lengthening Gastroplasty for Managing Giant Paraesophageal Hernia....Pages 318-322
Management of Zenkerβs Diverticulum: Open Versus Transoral Approaches....Pages 323-331
Front Matter....Pages 193-193
Management of Minimally Symptomatic Pulsion Diverticula of the Esophagus....Pages 332-339
Front Matter....Pages 341-341
Giant Paraesophageal Hernia: Thoracic, Open Abdominal, or Laparoscopic Approach....Pages 343-349
Management of Minimally Symptomatic Giant Paraesophageal Hernias....Pages 350-355
Plication for Diaphragmatic Eventration....Pages 356-364
Pacing for Unilateral Diaphragm Paralysis....Pages 365-370
Optimal Crural Closure Techniques for Repair of Large Hiatal Hernias....Pages 371-378
Management of Acute Diaphragmatic Rupture: Thoracotomy Versus Laparotomy....Pages 379-384
Front Matter....Pages 385-385
Stenting for Benign Airway Obstruction....Pages 387-397
Tracheal Resection for Thyroid or Esophageal Cancer....Pages 398-405
Front Matter....Pages 407-407
Pleural Sclerosis for Malignant Pleural Effusion: Optimal Sclerosing Agent....Pages 409-413
Management of Malignant Pleural Effusion: Sclerosis or Chronic Tube Drainage....Pages 414-423
Initial Spontaneous Pneumothorax: Role of Thoracoscopic Therapy....Pages 424-432
Intrapleural Fibrinolytics....Pages 433-441
Diffuse Malignant Pleural Mesothelioma: The Role of Pleurectomy....Pages 442-450
Treatment of Malignant Pleural Mesothelioma: Is There a Benefit to Pleuropneumonectomy?....Pages 451-460
Front Matter....Pages 461-461
Management of Myasthenia Gravis: Does Thymectomy Provide Benefit over Medical Therapy Alone?....Pages 463-468
Thymectomy for Myasthenia Gravis: Optimal Approach....Pages 469-473
Management of Residual Disease after Therapy for Mediastinal Germ Cell Tumor and Normal Serum Markers....Pages 474-481
Management of Malignant Pericardial Effusions....Pages 482-487
Asymptomatic Pericardial Cyst: Observe or Resect?....Pages 488-492
Front Matter....Pages 493-493
Optimal Approach to Thoracic Outlet Syndrome: Transaxillary, Supraclavicular, or Infraclavicular....Pages 495-502
Pectus Excavatum in Adults....Pages 503-508
Back Matter....Pages 509-525
β¦ Subjects
Thoracic Surgery; General Surgery; Surgery
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