Cameron D Wright

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..The treatment of locally advanced Masaoka stage IVA thymoma is not standardized and is problematic...

..Our center adopted an alternative strategy and treated locally advanced thymic tumors with induction chemoradiotherapy in an effort to maximize the intensity of the induction therapy...

..The experience regarding their treatment and long-term outcome is limited, and alternatives to segmental tracheal resection, including endoscopic treatment or radiation, continue to be explored...

..We analyzed our recent experience with treatment of this syndrome and report on the short and long-term outcomes and quality of life assessment of the largest series ever reported of patients treated by mediastinal repositioning...

..Prior data indicate increased perioperative morbidity and mortality in patients receiving induction chemoradiotherapy before pneumonectomy for lung cancer...

..This study seeks to evaluate the use of postoperative pyloric balloon dilatation for delayed gastric emptying after esophageal substitution with gastric conduit...

..Primary tumors of the airway with proximity to vocal cords and recurrent laryngeal nerves can be resected with sparing of the larynx. Long-term data on survival and local recurrence after laryngotracheal resection are scarce...

..We sought to identify risk factors for anastomotic complications after tracheal resection and to describe the management of these patients...

..We evaluated the effects of neoadjuvant therapy on the bronchial anastomotic complication rate and determined whether sleeve lobectomy performed in patients with N1 disease resulted in decreased overall survival...

..Complications following colon interposition may be acute or chronic and often devastating. Creative strategies are needed to preserve the conduit or develop alternatives when the conduit cannot be salvaged...

..The goal of this report was to determine whether or not this group benefits from radiation therapy in disease-specific survival and disease-free survival...

..This study examines an incompletely characterized treatment for the management of PAL, chemical pleurodesis...

..Laryngotracheal invasion worsens prognosis in patients with thyroid carcinoma. The extent of resection is controversial...

..We analyzed the operative results, graft patency, and survival in patients undergoing SVC resection and reconstruction for benign disease and pulmonary or mediastinal malignancy...

..This study sought to define predictors of recurrence after resection of thymic tumors...

..Tracheal resection for primary carcinoma may extend survival. We evaluated survival after surgical resection or palliative therapy to identify prognostic factors...

..Protective tracheostomy is now rarely required (1/30). Long-term follow-up shows a stable airway and improvement in voice quality...

..There are few data to predict the benefit of pulmonary metastasectomy in patients with extrathoracic sarcoma. This study analyzes prognostic factors associated with improved outcomes...

..Gastric outlet obstruction is common after esophagectomy. Our goal was to determine the incidence of gastric outlet obstruction after esophagectomy with or without pyloromyotomy and analyze its management by endoscopic pyloric dilatation...

..A significant percentage with an initial diagnosis of HGD will have invasive disease at resection. Surgery is the optimal treatment for HGD unless contraindicated by severe comorbidities...

..Surgeons should carefully modify the core principles of epithelial cancer surgery techniques, adjusting to the different biological behavior of laryngeal chondrosarcomas...

..To create a model for perioperative risk of esophagectomy for cancer using the Society of Thoracic Surgeons General Thoracic Database...

..We investigate the influence of tumour and resection characteristics on survival in adenoid cystic carcinoma (ACC) of the trachea...

..All symptomatic patients had relief of symptoms, with no perioperative morbidity or mortality. There was no observed tendency for malignant transformation or recurrence...

..There was one recurrence in the nonradiated group at 180 months, which was outside the usual radiation portal. CONCLUSIONS: Most stage II patients do not require adjuvant radiation therapy and can be observed after complete resection...

..Sleeve lobectomy can be safely performed after induction therapy. Quality of life is better with sleeve lobectomy compared with pneumonectomy...

..Use and operative results of neoadjuvant therapy before major elective resection for primary lung cancer were examined in the Society of Thoracic Surgeons General Thoracic Surgical Database...

..Swallowing deteriorates over time in some patients after transthoracic esophagomyotomy for achalasia. The causes of decline are poorly understood...

..The pathologist can provide additional important prognostic information, including tumor differentiation and extent, invasion of surgical margins, and extension into the thyroid...

..This study identified risk factors associated with prolonged length of hospital stay (PLOS) after lobectomy for lung cancer as a surrogate for perioperative morbid events...

..Surgery has been the standard of care for early stage disease with high cure rates anticipated. Multimodality therapy can result in long-term disease-free survival for patients presenting with locally advanced disease...

..Bronchoscopically observed, it is confirmed by inspiratory-expiratory computerized tomographic chest scans. Prior attempts at surgical stabilization have not given dependable results...

..This study evaluated long-term results of radiofrequency ablation for medically inoperable early-stage lung cancer...

..Here we compare our open and minimally invasive Ivor Lewis oesophagectomy (MIE) experience...

..Our objective is to examine a contemporary series of esophagectomies and identify the feasibility and outcome of an early extubation policy...

..Plication of the membranous wall to polypropylene mesh to recreate the normal airway shape (membranous wall tracheoplasty) is an effective treatment in adults...

..We reviewed our experience with use of the omentum in these situations to provide a yardstick against which results with other vascularized flaps (specifically muscle flaps) could be compared...

..Self-expanding metal stents are used to palliate benign strictures. We examined the complications of this approach...

..The aim of this study was to compare survival of patients who underwent adrenalectomy with those treated nonoperatively, and to analyze clinical characteristics associated with long-term survival...

..Thymomas are sensitive to both chemotherapy and radiation therapy and are utilized with good effects in unresectable patients...

..It is not dilatable and does not respond to laser therapy or bronchoscopic curettage. Stents usually cannot be inserted...

..One needed continued dilation. The median follow-up was 8 years. Surgical treatment gave good or excellent results in 90% of these patients with ILTS. Recurrence or progression of stenosis was not evident...

..The purpose of this article is to focus on the technical aspects of performing an extended transsternal thymectomy and the published results of extended transsternal thymectomy as compared with other techniques available...

..Again, these advanced patients with pleural spread are probably best managed by induction chemotherapy followed by resection...

..Prompt operation with division of the innominate artery and subsequent separation of the trachea from the divided artery by viable tissue is indicated. Neurologic complications are rare...

..The finding of necrotic tumor predicts long-term survival, whereas persistent germ cell cancer has a less favorable prognosis...

..Again these advanced patients are probably best managed by induction chemotherapy followed by resection...

..Pediatric tracheal procedures are uncommon. We reviewed our experience to clarify management and results...

..CT imaging facilitates the diagnostic evaluation of mediastinal masses in children. Airway compression is always a concern with large mediastinal tumors in children given their relative softer and smaller airway...

..There have been no recurrences in follow-up. The astute clinician should be aware of this unusual presentation. The prognosis seems to be good in patients who present with infarction or hemorrhage...

..Additional points of compression may result from the brachiocephalic artery and from anterior vertebral displacement...

..This article recounts the innovative approach taken by the STS during these extended efforts...

..Tracheomalacia is treated most commonly by aortopexy. Postintubation tracheal stenosis is usually treated by tracheal (or laryngotracheal) resection...

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..Induction chemoradiotherapy (CT/RT) has been shown to reduce local and distant recurrences and improve survival in stage III lung cancer. We investigated the role of induction CT/RT in superior sulcus patients...

..Early treatment may include supportive care with a speech pathologist or injection of the vocal-cord with temporary material to improve glottic closure. Definitive treatment can best be performed by medialization thyroplasty...

..It can also be used in a prophylactic fashion after operations in high-risk patients. Insertion requires a trained physician and an assistant. Complications are rare and are usually avoidable...

..Long-term growth after slide tracheoplasty was studied...

..CONCLUSIONS: The majority of benign BEF in adults are acquired, and result from mediastinal inflammation. Accurate recognition and surgical closure prevents persistent uncontrolled aspiration and pulmonary sepsis...

..This chapter outlines the current medical and surgical treatment options for thymoma...

..Our objective was to investigate the surgical management of primary lung cancer by board-certified thoracic surgeons participating in the general thoracic surgery portion of The Society of Thoracic Surgeons database...

..CONCLUSION: Six months after randomization, LVRS produced better palliation than optimal medical therapy in patients with advanced emphysema...