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BACKGROUND Pulmonary complications are the most frequent morbid event after esophagectomy. Understanding factors that are associated with pulmonary complications may help in patient selection and postoperative management. METHODS We performed a retrospective review of patients who underwent esophagectomy between 1980 and 2009. Univariate analysis was used(More)
Complications occur frequently after esophagectomy. Identifying the risk of complications preoperatively may help in patient selection and postoperative management. We performed a retrospective review of patients who underwent esophagectomy between 1980 and 2009. A previously reported scoring system was used to estimate risk, and its ability to predict(More)
BACKGROUND The increasing percentage of older patients undergoing lung resection for cancer necessitates a better understanding of long-term outcomes in this population. We studied the associations among quality of life, mood, clinical factors, and age after major lung resection. METHODS Outcomes for quality of life and mood questionnaires were compared(More)
OBJECTIVES The well-known revised cardiac risk index (RCRI) has recently been modified based on factors and outcomes specific to thoracic surgery patients (ThRCRI). We explored the accuracy of this modified scoring system in predicting cardiovascular morbidity after major lung resection. METHODS We analyzed outcomes from a prospective database of patients(More)
OBJECTIVES Predictors of long-term survival for patients with lung cancer assist in individualizing treatment recommendations. Diffusing capacity (DLCO) is a predictor of complications after resection for lung cancer. We sought to determine whether DLCO is also prognostic for long-term survival after lung resection for cancer. METHODS We assessed survival(More)
BACKGROUND Most surgeons believe that experience-based risk estimates for major lung resection are reliable. Elements that influence such estimates are poorly understood. METHODS Clinical vignettes were created for patients who underwent lung resection; 48 patients who had major complications were matched to 48 patients without complications. Ten senior(More)
BACKGROUND Macroscopic complete surgical resection with adjuvant chemotherapy can provide a survival advantage in patients with malignant pleural mesothelioma (MPM). Patients with nonepithelioid histology are largely excluded from such radical operations even though they might benefit. The degree of epithelioid differentiation varies in biphasic histology.(More)
BACKGROUND Maximal cytoreductive surgeries--extrapleural pneumonectomy and extended pleurectomy and decortication (EPD)--are effective surgical treatments in selected patients with malignant pleural mesothelioma. Extended pleurectomy and decortication results in equivalent survival yet better health-related quality of life (HRQoL). METHODS Patients with(More)
BACKGROUND The presence of frailty or prefrailty in older adults is a risk factor for postsurgical complications. The frailty phenotype can be improved through long-term resistance and aerobic training. It is unknown whether short-term preoperative interventions targeting frailty will help to mitigate surgical risk. The purpose of this study was to(More)
BACKGROUND Skills required for thoracoscopic and robotic operations likely differ. The needs and abilities of trainees learning these approaches require assessment. METHODS Trainees performed initial components of minimally invasive lobectomies using thoracoscopic or robotic approaches. Component difficulty was scored by trainees using the NASA task load(More)
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