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Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
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Thoracic surgery in France.

Dominique Gossot1, Gabriel Saiydoun2,3, Jean-Baptiste Leclerc4

  • 1Thoracic Surgery Department, Thorax Institute-Curie-Montsouris, Paris, France.

Journal of Thoracic Disease
|August 5, 2022
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Summary

Thoracic surgery in France is now a distinct specialty with 343 certified surgeons in 147 centers. National data collection via Epithor ensures quality and will be mandatory for surgeon certification.

Keywords:
Thoracic surgerydatabaseeducation

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Area of Science:

  • Medical Specialties
  • Surgical Procedures
  • Healthcare Systems

Background:

  • Thoracic surgery in France historically integrated with vascular/cardiac surgery.
  • It is now recognized as a distinct surgical specialty.
  • A standardized 6-year training curriculum exists for thoracic surgeons.

Purpose of the Study:

  • To outline the current structure and requirements for thoracic surgery practice in France.
  • To highlight the role of national databases and multidisciplinary tumor boards.
  • To project future trends and necessary reorganizations in the field.

Main Methods:

  • Analysis of the current training and certification process for thoracic surgeons.
  • Description of the authorization criteria for thoracic surgery centers.
  • Overview of the national thoracic surgery database (Epithor) and its data collection.
  • Emphasis on the mandatory multidisciplinary tumor board (MDTB) process for cancer cases.

Main Results:

  • France has 343 board-certified thoracic surgeons operating in 147 authorized centers.
  • Centers require at least 2 surgeons and a minimum of 40 thoracic cancer procedures annually.
  • MDTB review is mandatory for all cancer surgeries.
  • The Epithor database records procedure data, morbidity, mortality, and follow-up.

Conclusions:

  • Thoracic surgery is evolving into a specialized field in France.
  • National data collection and MDTBs are crucial for quality assurance.
  • Future advancements necessitate specialized boards and consolidation in high-volume centers.