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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highlights, please visit www.jtcvs.org.
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preoperative noninvasive ventilation before lung cancer
surgery: The preOVNI randomized controlled study
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
In this randomized controlled study,
preoperative NIV before lung cancer surgery did not
reduce postoperative complications.
Work in progress—Defining optimal surgical
prehabilitation before lung resection
Erin M. Corsini, MD, Mara B. Antonoff,
prehabilitation may improve outcomes in patients
undergoing lung resection. Additional novel
investigations are necessary.
Positive pressure toward a negative trial?
Todd L. Demmy, MD
study design constraints may have made it difficult
to detect therapeutic benefits of preoperative
external ventilatory support therapy in high-risk
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
Routine 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
Robert B. Cameron, MD
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 to prevention.
Focused attention on proactive identification of deep
venous thrombosis after pleurectomy/decortication for
malignant pleural mesothelioma
Shawn S. Groth, MD, MS, FACS, R.
Taylor Ripley, MD, Philip W. Carrott, MD, Bryan M.
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
Elizabeth A. David, MD, MAS, Scott M.
noninvasive screening for deep venous thrombosis
should be performed in patients undergoing
pleurectomy/decortication for mesothelioma.
thoracic versus cervical anastomosis on anastomotic leak
among patients who undergo esophagectomy after
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
In patients with locally advanced
esophageal cancer, anastomosis location does not affect
leak rate after neoadjuvant chemoradiation. Patient
factors and surgeon experience should determine
Where is the leak? From the anastomosis or the
Nasser Altorki, MD, Brendon Stiles, MD
leaks after esophagectomy are associated with high
mortality. Implementation of failure to rescue
protocols is required to improve patients'
Does the location of the anastomosis affect leak rate
K. Robert Shen, MD
location of the anastomosis is not the major driver
of leak rate after esophagectomy.
anastomotic technique in a patient with esophageal
cancer undergoing Ivor Lewis esophagectomy after
suture technique is associated with low rate of bronchial
complications after lung transplantation
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
The use of a single-running suture
technique results in a low incidence of airway
complications after lung transplantation.
Bronchial anastomosis for lung transplantation—one
suture fits all
Stephanie H. Chang, MD, Zachary N.
running suture for bronchial anastomoses in lung
transplant is a good technique, with a low
incidence of bronchial complications at a
Running bronchial anastomotic suture in lung
transplantation: Should we run before we walk?
Jules Lin, MD
many surgeons hesitate to use a single running
suture bronchial anastomotic technique, this large
series reports a low rate of bronchial
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
Recruitment maneuvers and PEEP have
physiologic advantages during one-lung ventilation with
yet-unclear clinical outcomes.
Measure what matters in one lung ventilation
Mariya Geube, MD, FASE, Eduardo
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
Elena Ashikhmina, MD, PhD
application of positive end-expiratory pressure and
recruitment maneuvers during one-lung ventilation
is associated with greater PaO2, pulmonary
compliance, and reduced dead space.