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[New techniques in thoracic surgery. I]

B Andreassian1

  • 1Service de Chirurgie thoracique et vasculaire, Hôpital Beaujon, Clichy.

Presse Medicale (Paris, France : 1983)
|June 24, 1995
PubMed
Summary

Thoracic surgery advancements offer improved outcomes for lung cancer and chronic obstructive pulmonary disease (COPD). While lung cancer surgery shows promise, small cell lung cancer remains unresectable, and lung transplantation is a viable option for advanced lung diseases.

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Pulmonary retransplantation: does the indication for operation influence postoperative lung function?

The Journal of thoracic and cardiovascular surgery·1996

Area of Science:

  • Thoracic surgery
  • Pulmonary medicine
  • Surgical oncology

Context:

  • Significant progress in thoracic surgery over 40 years has reduced morbidity and mortality.
  • Current review focuses on lung surgery indications, limitations, and established techniques like pneumonectomy and lobectomy.
  • Patient age and comorbidities like COPD are less restrictive for surgical intervention.

Purpose:

  • To review current indications and limitations in lung surgery.
  • To highlight advancements in surgical treatment for lung cancer, metastases, mesotheliomas, and COPD.
  • To discuss the role of lung transplantation for end-stage pulmonary diseases.

Summary:

  • Lung cancer surgery, particularly for non-small cell lung cancer (NSCLC) stages I and II, demonstrates high survival rates (60-80%).
  • Preoperative chemotherapy and radiotherapy are effective for resectable stage III NSCLC.
  • Surgical interventions for lung metastases, mesotheliomas, and COPD, including lung volume reduction and transplantation, have shown success.

Impact:

  • Surgical interventions are increasingly feasible for elderly patients and those with advanced lung disease.
  • Lung cancer treatment strategies are evolving with combined-modality approaches.
  • Lung transplantation offers a survival benefit for patients with pulmonary fibrosis, vascular disease, and COPD.

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