DESCRIPTION:
As the complexity of decision-making in medicine, and surgery in particular, is growing exponentially, this book provides a practical guide to decision-making in thoracic surgery. It offers guidance on how to select among the varied and complex approaches that new technology provides. Concise and easy to follow chapters are devoted to one or two specific questions or decisions in thoracic surgery, aiding the reader to develop their decision-making skills.
Difficult Decisions in Thoracic Surgery offers clearly formatted and evidence-based chapters to help the reader navigate the complexities of thoracic surgery. All new chapters bring insight into the challenges faced operating on the lung, esophagus, diaphragm, airway, pleaura, mediastinum, and chest wall.
The book is relevant to practicing surgeons, surgeons in training, as well as medical professionals working with thoracic diseases.
CONTENTS:
Introduction
Evidence Based Medicine: Quality of Evidence and Evaluation Systems
Decision Analytic Techniques and Other Decision Processes
Decision Making: The Surgeon""s Perspective
Involving Patients in Difficult Decisions About Having Surgery
ERAS
Does Early Postoperative Ambulation Improve Surgical Outcomes After Lung Resection for Cancer?
Does Reduction of Postoperative Opioid Use Lessen Opioid Dependence After Lung Resection for Cancer?
Does Carbohydrate Loading Improve Outcomes After Esophagectomy?
Is Intraoperative Fluid Restriction Effective in Reducing Complications After Esophagectomy?
Does Early Post-Operative Feeding Improve Outcomes After Esophagectomy?
Does Early Postoperative Ambulation Improve Surgical Outcomes After Esophagectomy?
Prehabilitation
Exercise Prehabilitation and Lung Resection
Nutritional Prehabilitation and Lung Resection
Prehabilitation Before Esophagectomy: What Are the Benefits of Exercise?
Nutritional Prehabilitation and Esophagectomy
Exercise Prehabilitation and Radical Surgery for Pleural Mesothelioma
Lung
Reducing Surgical Morbidity After Lung Resection: Effects of Smoking Cessation
High-Tech Intraoperative Guided Biopsy and Robotic Bronchoscopy Biopsy Versus Wedge Resection for a Suspicious Peripheral Nodule
Which Is the Optimal Platform for Robotic-Assisted Diagnostic Bronchoscopy?
Dye vs. Fiducial Marking for Targeted Sublobar and Wedge Resection
Utility of MVO2 vs. Ventilatory Efficiency (VE/VCO2) in Assessing Lung Resection Risk
Optimal Timing of Early-Stage Lung Cancer Resection
Can Wedge Resection Supplant Segmentectomy for Small Peripheral NSCLC?
Does Vein First Hilar Division Improve Survival After Lung Cancer Resection?
Segmentectomy Versus Lobectomy in Patients with Good Pulmonary Function: Oncologic Outcomes
Should Pulmonary Function Evaluation Be Repeated After Induction Therapy for Lung Cancer Prior to Resection?
Does Induction Immunotherapy Confer Increased Operative Risk for Lung Resection
Wedge Resection Versus Stereotactic Body Radiotherapy in Stage I Non-small Cell Lung Cancer
Salvage Resection After Definitive Radiation Therapy for Stage I Non-small Cell Lung Cancer
Is Assessment of cDNA Useful in Surveillance After Lung Cancer Resection
Esophagus
Is Mucosal Eradication an Effective Intervention for Barrett Esophagus with Dysplasia?
Do Oral Hygiene Interventions Affect Surgical Outcomes After Esophagectomy
Is Measurement of Lung Function Helpful in Assessing Risk of Esophagectomy?
Preoperative Biomarkers in Gastro-oesophageal Adenocarcinoma
Induction Chemotherapy vs Chemoradiotherapy for Esophageal Adenocarcinoma
Delayed Surgical Intervention After Induction Chemoradiotherapy for Esophageal Cancer
Right vs Left Thoracic Approach for Esophageal Adenocarcinoma
Resection of 15 or More Nodes Improves Survival in Esophageal Cancer Treatment
Organ Sparing Therapy for Locally Advanced Esophageal Cancer
Can Goals for Early Postoperative Ambulation After Esophagectomy Be Established?
Is EndoFLIPÖ Helpful in Individualizing G-POEM for Delayed Gastric Emptying After Esophagectomy
Optimal Initial Therapy for Achalasia
Are Stents Good Enough for Routine Initial Therapy of Esophageal Perforation?
The Utility of EndoFLIP in Individualizing POEM for Achalasia
Peroral Endoscopic or Open Myotomy for Zenker""s Diverticulum
Mediastinum
Does MRI Contribute to the Accuracy of Thymoma Diagnosis?
Thymectomy in the Setting of Synchronous Pleural Metastases
Pleural Metastasectomy for Regionally Disseminated Recurrence of Thymoma
Controversies in Cardiac Sympathetic Denervation for Ventricular Arrhythmias
Pleura
Is tPA/DNase Effective Routine Initial Therapy for Pleural Empyema?
Indwelling Pleural Catheter Combined with Chemical Pleurodesis for the Treatment of Malignant Pleural Effusion
Survival: Pleural Resection Vs Nonsurgical Management of Pleural Mesothelioma
Airway
Are Bronchoscopic Techniques Sufficient for Managing Posttransplant Bronchial Stenosis?
Optimal Surgical Approach to Tracheobronchoplasty
Diaphragm
Temporary Diaphragm Pacing for ICU Patients at Risk for Long-Term Ventilation
Optimal Technique of Phrenic Nerve Reconstruction for Diaphragm Paralysis
The Utility of Paradoxical Motion in Selecting Patients for Diaphragm Plication
Diaphragm Paralysis: An Open Vs. Minimally Invasive Approach
Chest Wall
Regional Vs Intercostal Blocks for Minimally Invasive Thoracic Surgery
Optimal Duration of Nuss Bar Implant for Pectus Deformities
Intrathoracic or Extrathoracic Fixation of Rib Fractures
Complementary Medicine
A Survey of Perioperative Applications of Traditional Chinese Medicine
