1,721,386 research outputs found
Bronchovascular reconstructions for lung cancer. improvements over time
No full textBronchovascular reconstructions for lung cance
The Intercostal Space
No full textThis article provides a comprehensive account of the anatomy and physiology of the intercostal space, the knowledge of which is important for thoracic surgeons. A wide variety of clinical applications involve the intercostal space, ranging from simple inspection of a widened space in the emphysematous patient, to thoracentesis, to the surgical preparation of an intercostal musculopleural flap. Each of these procedures can be easier and safer if the intercostal anatomy is thoroughly understood. The precise knowledge of the relationships between the neuromuscular and osseous components within the intercostal space may help reduce pain and improve chest wall motility. © 2007 Elsevier Inc. All rights reserved
Editorial comment Interventional endoscopy in the management of benign tracheal stenoses: definitive treatment at long-term follow-up
No full textThe endoscopically harvested omental flap for deep sternal wound infection: the Leeuwarden experience
No full textTreatment of recurrent thymic tumors
No full textSurgery is the cornerstone of therapy for recurrent thymic tumors. The pattern of recurrence is, however, less defined. Between 1966 and 1988, we operated on 83 patients with thymoma, 11 of whom underwent surgery for recurrence (group I). In 1989, we initiated a prospective multimodality protocol and have enrolled 128 patients with 9 (7%) recurrences since (group II). In group I, 1 patient was originally at stage I, 2 were at stage II, 5 at stage III, and 3 at stage IV. The patients underwent 1 (#10) or 2 (#1) reoperations and 5 showed histological progression of malignancy. One patient died postoperatively, 6 died of disease, and 3 are alive and disease free 18 to 22 years after the first operation. In group 2, no patient was originally at stage I, 1 was at stage II, 4 were at stage III, and 4 at stage IV. Reoperation (5 patients) was followed by chemotherapy and 2 showed histological progression of disease. One patient died after 2 years, and 4 patients are alive after 6 to 11 years. All recurrent tumors were thymomas with cortical differentiation. Early onset of recurrence was a negative prognostic factor. Thymomas can recur also at early stages. A multimodality approach is indicated also for early stage lesions based on histology. © 2005 Elsevier Inc. All rights reserved
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