Thoracic surgery in octogenarians: CVTSA/Inova Fairfax hospital experience, 1990 to 2009Paul D Kiernan
Department of Surgery, Inova Fairfax Hospital, Falls Church, Virginia, USA
Am Surg 77:675-80. 2011
..4%) within 3 days of their procedure. Excellent, short- and longer-term results can be achieved in elderly patients if risks, exposures, and resections are appropriately matched to patient performance...
- Thoracic esophageal perforations
Paul D Kiernan
Section of Thoracic Surgery, Department of Surgery, Inova Fairfax Hospital, Inova Health System, Falls Church, Virginia 22042, USA
Am Surg 76:1355-62. 2010
..Comfort measures alone were appropriate when clinical circumstances merited no effort at resuscitation. Finally, survivors were asked to self-categorize their ability to swallow; 95 per cent responded good to excellent...
- Thoracic esophageal perforation: one surgeon's experience
P D Kiernan
Section of Thoracic Surgery, Department of Surgery, Inova Fairfax Hospital, Inova Health System, Falls Church, Virginia 22042, USA
Dis Esophagus 19:24-30. 2006
..Conservative, medical therapy may be appropriate in patients with 'microperforations' with no continuing leak. Finally, comfort measures alone may be appropriate where circumstances merit no effort at resuscitation...
- Late stage (III and IV) non-small cell cancer of the lung: results of surgical resection at Inova Fairfax Hospital
Paul D Kiernan
Section of Thoracic Surgery, Inova Fairfax Hospital, c o Suite 301, 3301 Woodbum Road, Annandale, VA 22003, USA
South Med J 98:1088-94. 2005
..14). Third, adjuvant therapy was associated with improved 5-year survival (P = 0.03), particularly for combination chemotherapy and radiotherapy (P = 0.02)...
- Descending cervical mediastinitis
P D Kiernan
Section of Thoracic Surgery, Inova Health Systems, Annandale, Virginia, USA
Ann Thorac Surg 65:1483-8. 1998
..Tracheostomy serves a dual role of further opening cervical fascial planes and securing an often compromised airway...
- A pragmatic and successful approach to treating nonsmall-cell lung carcinoma
Paul D Kiernan
Cardiovascular and Thoracic Surgical Associates, Annandale, VA, USA
AORN J 80:840-57; quiz 859-62. 2004
..Outcomes from this data collection period match or exceed the best results for treatment of late-stage (ie, III and IV) disease reported anywhere to date...
- Multimodality treatment for esophageal cancer: the role of surgery and neoadjuvant therapy
Martin A Makary
Department of Surgery, Georgetown University Hospital, Washington, DC, USA
Am Surg 69:693-700; discussion 700-2. 2003
..Further studies are needed to evaluate the role of preoperative chemoradiation and to better identify the pretreatment characteristics of patients with a complete pathological response...
- Multimodality treatment for esophageal malignancy: the roles of surgery and neoadjuvant therapy
Edward Malin
Department of Surgery, Inova Fairfax Hospital, Inova Health System, Falls Church, Virginia, USA
Am Surg 75:489-97. 2009
..8 per cent. We prefer NARCS for malignancy of the esophagus, except in those patients with high-grade dysplasia (carcinoma in situ), suspected Stage I disease, poor performance status, or urgent/emergent circumstances...
- Thoracic esophageal perforations
Paul D Kiernan
Section of Thoracic and Cardiovascular Surgery, Department of Medicine, Inova Fairfax Hospital, Inova Health System, Annandale, VA, USA
South Med J 96:158-63. 2003
..CONCLUSION: We recommend aggressive, definitive surgery for thoracic esophageal perforations, whether diagnosed early or late. A variety of options are discussed with regard to complicated presentations...
- Mediastinal staging of non-small cell lung carcinoma using computed and positron-emission tomography
Paul D Kiernan
Department of Medicine, Inova Fairfax Hospital, VA, USA
South Med J 95:1168-72. 2002
....
- Complete esophageal diversion: a simplified, easily reversible technique
Paul D Kiernan
J Am Coll Surg 200:812; author reply 812-3. 2005
