Thoracic Surgery

1. Today: our @TheLancetInfDis meta-analysis based on @FalconRct – triclosan sutures and alcoholic skin prep to reduce surgical site infection.

Link to open access PDF:https://t.co/cj7yFdbNpB pic.twitter.com/VkKRaxCAtm

— Aneel Bhangu (@aneelbhangu) May 27, 2022

Guidelines for clothing in the operating theatre.

30 May, 2022 | 11:52h | UTC

Guidelines for clothing in the operating theatre, 2021 – Anaesthesia Critical Care & Pain Medicine

Cross-sectional study: assessment of perioperative outcomes among surgeons who operated the night before.

24 May, 2022 | 08:17h | UTC

Assessment of Perioperative Outcomes Among Surgeons Who Operated the Night Before – JAMA Internal Medicine (free for a limited period)

Invited Commentary: Are Surgeons Really More Resilient Than Athletes? The Trade-off Between Surgeon Outcomes and Surgeon Well-being – JAMA Internal Medicine (free for a limited period)

Author Interview: Assessment of Perioperative Outcomes Among Surgeons Who Operated the Night Before

Commentary on Twitter

This cross-sectional study found that operating overnight does not appear to be associated with worse outcomes when the attending surgeon continues to operate the next day. https://t.co/ahLoKav6HT

— JAMA Internal Medicine (@JAMAInternalMed) May 23, 2022

International consensus recommendations for anesthetic and intensive care management of lung transplantation.

11 May, 2022 | 11:09h | UTC

International consensus recommendations for anesthetic and intensive care management of lung transplantation. An EACTAIC, SCA, ISHLT, ESOT, ESTS, and AST approved document – The Journal of Heart and Lung Transplantation

Update on image-guided thermal lung ablation: Society guidelines, therapeutic alternatives, and postablation imaging findings.

4 May, 2022 | 08:14h | UTC

Update on Image-Guided Thermal Lung Ablation: Society Guidelines, Therapeutic Alternatives, and Postablation Imaging Findings – American Journal of Roentgenology

RCT: Segmentectomy resulted in better outcomes than lobectomy in small-sized peripheral non-small-cell lung cancer.

25 Apr, 2022 | 01:03h | UTC

Segmentectomy versus lobectomy in small-sized peripheral non-small-cell lung cancer (JCOG0802/WJOG4607L): a multicentre, open-label, phase 3, randomised, controlled, non-inferiority trial – The Lancet (link to abstract – $ for full-text)

M-A: The clinical effect and safety of new preoperative fasting time guidelines for elective surgery.

12 Apr, 2022 | 09:51h | UTC

The clinical effect and safety of new preoperative fasting time guidelines for elective surgery: a systematic review and meta-analysis – Gland Surgery

An international multidisciplinary consensus statement on fasting before procedural sedation in adults and children – Anaesthesia

Does my hospitalized patient need an NPO-after-midnight order preoperatively?

ESPEN practical guideline: Clinical nutrition in surgery – “Preoperative fasting from midnight is unnecessary in most patients. Patients undergoing surgery, who are considered to have no specific risk of aspiration, shall drink clear fluids until 2 h before anesthesia. Solids shall be allowed until 6 h before anesthesia.”

Pro-Con Debate: 1- vs 2-Hour Fast for Clear Liquids Before Anesthesia in Children.

Editorial: The rationale for the recommendations of the European Pediatric Fasting Guideline – “the authors of the 2021 ESAIC pediatric guideline have found reasons to recommend reductions to the minimum fasting times for infant formula to 4 h, for breast milk to 3 h and for clear fluids to 1 h”.

Practice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration: Application to Healthy Patients Undergoing Elective Procedures: An Updated Report by the American Society of Anesthesiologists Task Force on Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration

Perioperative fasting in adults and children: guidelines from the European Society of Anaesthesiology

Clear fluids fasting for elective paediatric anaesthesia: The European Society of Anaesthesiology consensus statement – European Journal of Anaesthesiology

Canadian Pediatric Anesthesia Society statement on clear fluid fasting for elective pediatric anesthesia – Canadian Journal of Anesthesia (free)

RCT: Neoadjuvant nivolumab plus chemotherapy in resectable lung cancer.

12 Apr, 2022 | 08:54h | UTC

Neoadjuvant Nivolumab plus Chemotherapy in Resectable Lung Cancer – New England Journal of Medicine

News Release: Immunotherapy Plus Chemotherapy Before Surgery Improves Outcomes for Patients with Lung Cancer – Johns Hopkins Medicine

Commentary on Twitter

In patients with resectable NSCLC, neoadjuvant nivolumab plus chemo results in longer event-free survival and a greater likelihood of pathological complete response than chemo alone. #AACR22 https://t.co/ILjdRZQ7dJ pic.twitter.com/1JfiUw18R6

— NEJM (@NEJM) April 11, 2022

Empyema: ED presentation, evaluation, and management.

12 Apr, 2022 | 08:44h | UTC

Empyema: ED Presentation, Evaluation, and Management – emDocs

Association of computed tomography screening with lung cancer stage shift and survival in the United States: quasi-experimental study.

31 Mar, 2022 | 08:23h | UTC

Association of computed tomography screening with lung cancer stage shift and survival in the United States: quasi-experimental study – The BMJ

Editorial: Screening high risk populations for lung cancer

News Release: US lung cancer screening linked to earlier diagnosis and better survival – British Medical Journal

Screening for Lung Cancer: CHEST Guideline and Expert Panel Report.

USPSTF Statement: begin screening for lung cancer at age 50 years instead of 55 years for patients at risk

Meta-analysis: Lung cancer screening using low-dose computed tomography reduces lung cancer–specific mortality, albeit with a tradeoff of likely overdiagnosis

Commentary on Twitter

Increases in the early detection of lung cancer since 2014 in the US have saved an estimated 10,100 lives, but screening rates are still extremely low and disparities in access to lung cancer screening continue to exist, say researchers https://t.co/j58LfcGCKU

— The BMJ (@bmj_latest) March 31, 2022

Management of the secondary spontaneous pneumothorax: current guidance, controversies, and recent advances.

17 Mar, 2022 | 08:51h | UTC

Management of the Secondary Spontaneous Pneumothorax: Current Guidance, Controversies, and Recent Advances – Journal of Clinical Medicine

Multicenter comparative accuracy trial: Dynamic contrast-enhanced CT vs. positron emission tomography CT to characterize solitary pulmonary nodules.

16 Mar, 2022 | 08:51h | UTC

Abstract: Dynamic contrast-enhanced CT compared with positron emission tomography CT to characterise solitary pulmonary nodules: the SPUtNIk diagnostic accuracy study and economic modelling – Health Technology Assessment

Download: Full Report

Patient-centered care in thoracic surgery: a holistic approach—A review of the subjects of enhanced recovery after surgery, rehabilitation, pain management and patient-reported outcome measures in thoracic surgery.

15 Mar, 2022 | 08:16h | UTC

Patient-centred care in thoracic surgery: a holistic approach—A review of the subjects of enhanced recovery after surgery, rehabilitation, pain management and patient-reported outcome measures in thoracic surgery – Journal of Thoracic Disease

Review: Current surgical indications for non-small-cell lung cancer.

11 Mar, 2022 | 08:39h | UTC

Current Surgical Indications for Non-Small-Cell Lung Cancer – Cancers

RCT: Role of thoracic ultrasonography in pleurodesis pathways for malignant pleural effusions.

8 Mar, 2022 | 08:28h | UTC

Role of thoracic ultrasonography in pleurodesis pathways for malignant pleural effusions (SIMPLE): an open-label, randomised controlled trial – The Lancet Respiratory Medicine (link to abstract – $ for full-text)

Commentary on Twitter

Thoracic ultrasonography-guided pleurodesis in patients with malignant pleural effusions results in shorter hospital stay without reducing the success rate of the procedure at 3 monthshttps://t.co/hof4Rd2nUt

— K Pavithran (@drkpavithran) March 2, 2022

RCT: In patients with early-stage lung cancer, video-assisted thoracoscopic lobectomy is associated with better recovery of physical function at 5 weeks.

3 Mar, 2022 | 08:42h | UTC

Video-Assisted Thoracoscopic or Open Lobectomy in Early-Stage Lung Cancer – NEJM Evidence

Commentary on Twitter

For patients with early-stage #LungCancer, resection by video-assisted thoracoscopic surgery was superior to open resection with respect to postoperative recovery of physical function as shown in a randomized trial. @ekslim @RBandH #VATS #OncoAlert https://t.co/j23CgZp5U5 pic.twitter.com/UsIx3D8Zem

— NEJM Evidence (@NEJMEvidence) January 19, 2022

SEOM-GECP-GETTHI Clinical Guidelines for the treatment of patients with thymic epithelial tumors.

3 Mar, 2022 | 08:08h | UTC

SEOM-GECP-GETTHI Clinical Guidelines for the treatment of patients with thymic epithelial tumours (2021) – Clinical and Translational Oncology

Guideline Update: Timing of elective surgery and risk assessment after SARS-CoV-2 infection – “The guidance remains that patients should avoid elective surgery within 7 weeks of infection, unless the benefits of doing so exceed the risk of waiting”.

1 Mar, 2022 | 08:58h | UTC

Timing of elective surgery and risk assessment after SARS-CoV-2 infection: an update – Anaesthesia

Perioperative cardiovascular considerations prior to elective noncardiac surgery in patients with a history of Covid-19.

Guideline: SARS‐CoV‐2 infection, COVID‐19 and timing of elective surgery

Study from 116 countries suggests surgery should be delayed for at least seven weeks following a COVID-19 diagnosis to reduce mortality risk

BJS commission on surgery and perioperative care post-COVID-19.

The risk of postoperative complications following major elective surgery in active or resolved COVID-19 in the United States – Major, elective surgery 0–4 weeks after Covid-19 is associated with greatly increased risk of postoperative complications; surgery performed 4–8 weeks after infection is still associated with an increased risk of pneumonia.

ASA Guidance: Preoperative testing for COVID-19 is essential, regardless of vaccination.

Position statement: Perioperative management of post-COVID-19 surgical patients.

Cohort study: Postoperative in-hospital mortality of patients with COVID-19 infection was more than double that in patients without COVID-19

Surgery students ‘losing dexterity to stitch patients’.

21 Feb, 2022 | 09:24h | UTC

Surgery students ‘losing dexterity to stitch patients’ – BBC

BSH guideline for the hematological management of major hemorrhage.

Guidance Statement: Surgical triage and timing for patients with COVID undergoing thoracic surgery.

Study Commentary: Traumatic hemothorax: pigtail vs. chest tube.

Review: Dyspnea and cough in a lung transplant recipient.

Summary of best evidence for enhanced recovery after surgery for patients undergoing lung cancer operations.

Alcoholic chlorhexidine skin preparation or triclosan-coated sutures to reduce surgical site infection: a systematic review and meta-analysis of high-quality randomized controlled trials.

Guidelines for clothing in the operating theatre.

Top 100 most-cited articles on enhanced recovery after surgery.

Cross-sectional study: assessment of perioperative outcomes among surgeons who operated the night before.

International consensus recommendations for anesthetic and intensive care management of lung transplantation.

Update on image-guided thermal lung ablation: Society guidelines, therapeutic alternatives, and postablation imaging findings.

RCT: Segmentectomy resulted in better outcomes than lobectomy in small-sized peripheral non-small-cell lung cancer.

M-A: The clinical effect and safety of new preoperative fasting time guidelines for elective surgery.

RCT: Neoadjuvant nivolumab plus chemotherapy in resectable lung cancer.

Empyema: ED presentation, evaluation, and management.

Association of computed tomography screening with lung cancer stage shift and survival in the United States: quasi-experimental study.

Management of the secondary spontaneous pneumothorax: current guidance, controversies, and recent advances.

Multicenter comparative accuracy trial: Dynamic contrast-enhanced CT vs. positron emission tomography CT to characterize solitary pulmonary nodules.

Patient-centered care in thoracic surgery: a holistic approach—A review of the subjects of enhanced recovery after surgery, rehabilitation, pain management and patient-reported outcome measures in thoracic surgery.

Review: Current surgical indications for non-small-cell lung cancer.

RCT: Role of thoracic ultrasonography in pleurodesis pathways for malignant pleural effusions.

RCT: In patients with early-stage lung cancer, video-assisted thoracoscopic lobectomy is associated with better recovery of physical function at 5 weeks.

SEOM-GECP-GETTHI Clinical Guidelines for the treatment of patients with thymic epithelial tumors.

Guideline Update: Timing of elective surgery and risk assessment after SARS-CoV-2 infection – “The guidance remains that patients should avoid elective surgery within 7 weeks of infection, unless the benefits of doing so exceed the risk of waiting”.

Surgery students ‘losing dexterity to stitch patients’.

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