The following is a collection of
featured thoracic articles from the Journal of Thoracic and Cardiovascular
Surgery (JTCVS). To read the latest issue, or
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preoperative noninvasive ventilation before lung cancer
surgery: The preOVNI randomized controlled study
Nicolas Paleiron, MD, Frédéric
Grassin, MD, Christophe Lancelin, MD, Cécile Tromeur,
MD, Jacques Margery, MD, PhD, Claudia Natale, MD,
Francis Couturaud, MD, PhD, the GFPC Group
randomized controlled study, preoperative NIV before
lung cancer surgery did not reduce postoperative
Work in progress—Defining optimal surgical
prehabilitation before lung resection
Corsini, MD, Mara B. Antonoff, MD
Surgical prehabilitation may improve
outcomes in patients undergoing lung resection.
Additional novel investigations are necessary.
Positive pressure toward a negative trial?
Rigorous study design constraints
may have made it difficult to detect therapeutic
benefits of preoperative external ventilatory
support therapy in high-risk pulmonary patients.
surveillance for diagnosis of venous thromboembolism
after pleurectomy for malignant pleural mesothelioma
Luis E. De León, MD, Carlos E.
Bravo-Iñiguez, MD, Sam Fox, BS
Jeffrey Tarascio, BA,
Samuel Freyaldenhoven, MD, Moshe Lapidot, MD, Michael
T. Jaklitsch, MD, Raphael Bueno, MD
surveillance with upper- and lower-extremity
noninvasive studies is effective and may help to
diagnose and treat asymptomatic DVT before it
progresses to symptomatic or fatal PE.
Mesothelioma: The Guinness world record holder in
B. Cameron, MD
The risk of thromboembolic events in
patients with mesothelioma undergoing surgery is
staggering; more attention needs to be paid to
early detection and treatment but most importantly
Focused attention on proactive identification of deep
venous thrombosis after pleurectomy/decortication for
malignant pleural mesothelioma
S. Groth, MD, MS, FACS, R. Taylor Ripley, MD, Philip
W. Carrott, MD, Bryan M. Burt, MD
The patient’s outcome correlates
directly with the surgeon’s attention to a myriad
of minor details.
To scan or not to scan: No longer the question for
mesothelioma patients after pleurectomy
A. David, MD, MAS, Scott M. Atay, MD
Routine noninvasive screening for
deep venous thrombosis should be performed in
patients undergoing pleurectomy/decortication for
thoracic versus cervical anastomosis on anastomotic leak
among patients who undergo esophagectomy after
Alexis Pluscherie Chidi, MD, PhD,
MSPH, Eric Wayne Etchill, MD, MPH, Jinny Suk Ha, MD,
MHS, Errol Lovester Bush, MD, Stephen Clyde Yang, MD,
Richard James Battafarano, MD, PhD, Stephen Robert
Broderick, MD, MPHS
patients with locally advanced esophageal cancer,
anastomosis location does not affect leak rate after
neoadjuvant chemoradiation. Patient factors and surgeon
experience should determine approach.
Where is the leak? From the anastomosis or the
Altorki, MD, Brendon Stiles, MD
Anastomotic leaks after
esophagectomy are associated with high mortality.
Implementation of failure to rescue protocols is
required to improve patients' outcomes.
Does the location of the anastomosis affect leak rate
Robert Shen, MD
The location of the anastomosis is
not the major driver of leak rate after
Esophageal anastomotic technique
in a patient with esophageal cancer undergoing Ivor
Lewis esophagectomy after neoadjuvant chemoradiation.
suture technique is associated with low rate of bronchial
complications after lung transplantation
Thomas Schweiger, MD, PhD, Ioannis
Nenekidis, MD, PhD, Jakob Elias Stadler, Stefan
Schwarz, MD, Alberto Benazzo, MD, Peter Jaksch, MD,
Konrad Hoetzenecker, MD, PhD, Walter Klepetko, MD, the
Vienna Lung Transplant Program
of a single-running suture technique results in a low
incidence of airway complications after lung
Bronchial anastomosis for lung transplantation—one
suture fits all
H. Chang, MD, Zachary N. Kon, MD
Single running suture for bronchial
anastomoses in lung transplant is a good technique,
with a low incidence of bronchial complications at
a high-volume center.
Running bronchial anastomotic suture in lung
transplantation: Should we run before we walk?
Although many surgeons hesitate to
use a single running suture bronchial anastomotic
technique, this large series reports a low rate of
end-expiratory pressure and recruitment maneuvers during
one-lung ventilation: A systematic review and
John K. Peel, MD, Duane J. Funk,
MD, Peter Slinger, MD, Sadeesh Srinathan, MD, MSc,
Biniam Kidane, MD, MSc
maneuvers and PEEP have physiologic advantages during
one-lung ventilation with yet-unclear clinical
Measure what matters in one lung ventilation
Geube, MD, FASE, Eduardo Mireles-Cabodevila, MD
The meta-analysis confirms the
beneficial effect of recruitment maneuvers and
positive end-expiratory pressure on physiological
respiratory parameters and demonstrates the lack of
knowledge about patient-centered clinical outcomes.
To PEEP, or not to PEEP, that is no longer a question
Ashikhmina, MD, PhD
The application of positive
end-expiratory pressure and recruitment maneuvers
during one-lung ventilation is associated with
greater PaO2, pulmonary compliance, and reduced