AME Surgical Journal最新文献

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Surgical options for mesothelioma: a narrative review of radical pleurectomy and decortication 间皮瘤的手术选择:根治性胸膜切除术和去皮术的叙述回顾
AME Surgical Journal Pub Date : 2021-01-01 DOI: 10.21037/asj-21-43
Kimberly J. Song, A. Wolf
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引用次数: 0
A history of lung metastasectomy may be told in narratives but we need randomized controlled trials to know what treatments should be used in the future 肺转移切除术的历史可以在叙述中讲述,但我们需要随机对照试验来了解未来应该使用什么治疗方法
AME Surgical Journal Pub Date : 2021-01-01 DOI: 10.21037/asj-21-91
Yan Zheng, T. Treasure, N. Williams
{"title":"A history of lung metastasectomy may be told in narratives but we need randomized controlled trials to know what treatments should be used in the future","authors":"Yan Zheng, T. Treasure, N. Williams","doi":"10.21037/asj-21-91","DOIUrl":"https://doi.org/10.21037/asj-21-91","url":null,"abstract":"© AME Surgical Journal. All rights reserved. AME Surg J 2021 | https://dx.doi.org/10.21037/asj-21-91 “Large randomized controlled trials are needed to guide our future management of colorectal lung metastases.” This is the final sentence of the narrative review by Ka Lun Mak and Michael Kuan Yew Hsin (1). We fully agree with them and we use that as our starting point, encouraging them and our many colleagues around the world to rise to that challenge. We are grateful to them for acknowledging the Pulmonary Metastasectomy in Colorectal Cancer (PulMiCC) study which we believe to be the largest prospective cohort of the practice, with 512 patients recruited. It provides baseline data to randomized controlled trial (RCT) standards (2). Nested within it is the only RCT that has ever addressed the question (3). While we appreciated PulMiCC being mentioned, we do not think it is adequately represented in their narrative. But we will return to that in due course. First we would like to parse their concluding sentence to tease out some points. They specify that a trial must be “large”. The size of the trial required to produce trustworthy evidence is inversely proportional to the effect size. The smaller the effect size the larger is the trial required to detect the difference. Conversely if there is a large effect relatively few patients are required to show it. For the question of lung metastasectomy the US Society of Thoracic Surgeons (STS)—which might be expected to be one of the betterinformed bodies of opinion on the matter—concluded that without operation, five-year survival can be assumed be zero among patients with lung metastases (4). An editorial in the European Journal of Cardio-Thoracic Surgery (EJCTS) claimed that survival with metastasectomy is as high as 60% (5). Neither statement was supported by a systematic review of numerical evidence. Both teams of authors knew that the question was being tested in the PulMiCC trial, and they mention the trial. But in their narratives, they chose to dismiss it before it had even been published. If both estimates had been correct, it would indicate a really large effect size of 60%. That means that for two groups of 10 patients expected survival might be, 6/10 versus 0/10 which by Fisher’s exact test would be highly significant (P=0.018). A difference of anywhere close to that magnitude would have signalled in the PulMiCC RCT of 93 patients but it was nowhere to be seen (lower panel of the figure). By specifying that the trial must be “large” Mak and Hsin inadvertently accept that the benefit attributable to localise treatment of lung metastases from colorectal cancer must be small, and much less than is widely claimed. Our re sea rch in p l ann ing the RCT inc luded mathematical modelling (6). We were convinced then by the data that if there was any benefit it would be much Editorial","PeriodicalId":388955,"journal":{"name":"AME Surgical Journal","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128672163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Primary angiosarcoma of the breast: a case report 乳腺原发性血管肉瘤1例报告
AME Surgical Journal Pub Date : 2021-01-01 DOI: 10.21037/asj-21-111
Monika K Masanam, Clint M. Merritt, C. Ilagan, I. Greenwalt, E. Tousimis
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引用次数: 0
Bilateral video-assisted thoracic surgery as an approach for descending necrotizing mediastinitis: a case report 双侧胸腔镜手术治疗下行坏死性纵隔炎1例
AME Surgical Journal Pub Date : 2021-01-01 DOI: 10.21037/asj-21-102
Á. Fuentes-Martín, Ángel Cilleruelo Ramos, J. Soro-García, José María Matilla González
{"title":"Bilateral video-assisted thoracic surgery as an approach for descending necrotizing mediastinitis: a case report","authors":"Á. Fuentes-Martín, Ángel Cilleruelo Ramos, J. Soro-García, José María Matilla González","doi":"10.21037/asj-21-102","DOIUrl":"https://doi.org/10.21037/asj-21-102","url":null,"abstract":"","PeriodicalId":388955,"journal":{"name":"AME Surgical Journal","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123136315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The advantages of European accreditation in thoracic surgery 欧洲胸外科认证的优势
AME Surgical Journal Pub Date : 2021-01-01 DOI: 10.21037/asj-22-4
D. Van raemdonck, T. Lerut, G. Massard
{"title":"The advantages of European accreditation in thoracic surgery","authors":"D. Van raemdonck, T. Lerut, G. Massard","doi":"10.21037/asj-22-4","DOIUrl":"https://doi.org/10.21037/asj-22-4","url":null,"abstract":"","PeriodicalId":388955,"journal":{"name":"AME Surgical Journal","volume":"184 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124912856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Tips on lymph node dissection using energy devices: a narrative review 使用能量装置清扫淋巴结的技巧:叙述性回顾
AME Surgical Journal Pub Date : 2021-01-01 DOI: 10.21037/asj-21-73
S. Nakazawa, T. Yajima, Y. Ohtaki, Tomokazu Ito, T. Kosaka, K. Shirabe
{"title":"Tips on lymph node dissection using energy devices: a narrative review","authors":"S. Nakazawa, T. Yajima, Y. Ohtaki, Tomokazu Ito, T. Kosaka, K. Shirabe","doi":"10.21037/asj-21-73","DOIUrl":"https://doi.org/10.21037/asj-21-73","url":null,"abstract":"","PeriodicalId":388955,"journal":{"name":"AME Surgical Journal","volume":"95 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131826577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Ethics of resource allocation to congenital heart surgery in variable-resource contexts 可变资源环境下先天性心脏手术资源分配的伦理问题
AME Surgical Journal Pub Date : 2021-01-01 DOI: 10.21037/asj-21-51
K. Fenton
{"title":"Ethics of resource allocation to congenital heart surgery in variable-resource contexts","authors":"K. Fenton","doi":"10.21037/asj-21-51","DOIUrl":"https://doi.org/10.21037/asj-21-51","url":null,"abstract":"","PeriodicalId":388955,"journal":{"name":"AME Surgical Journal","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131790053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Management of pulmonary metastases: a narrative review on the oncologist’s perspective 肺转移的管理:肿瘤学家观点的叙述回顾
AME Surgical Journal Pub Date : 2021-01-01 DOI: 10.21037/asj-21-81
Annarita Bottini, F. Parisi, E. Cella, G. Sacco, C. Genova
{"title":"Management of pulmonary metastases: a narrative review on the oncologist’s perspective","authors":"Annarita Bottini, F. Parisi, E. Cella, G. Sacco, C. Genova","doi":"10.21037/asj-21-81","DOIUrl":"https://doi.org/10.21037/asj-21-81","url":null,"abstract":"","PeriodicalId":388955,"journal":{"name":"AME Surgical Journal","volume":"102 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124148890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Spontaneous ventilation thoracic surgery—to follow the Hippocratic Oath 自发通气胸外科手术——遵循希波克拉底誓言
AME Surgical Journal Pub Date : 2021-01-01 DOI: 10.21037/asj-21-113
J. Furák
{"title":"Spontaneous ventilation thoracic surgery—to follow the Hippocratic Oath","authors":"J. Furák","doi":"10.21037/asj-21-113","DOIUrl":"https://doi.org/10.21037/asj-21-113","url":null,"abstract":"","PeriodicalId":388955,"journal":{"name":"AME Surgical Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131091024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Successful right lower bilobectomy for endobronchial carcinosarcoma rapidly occluding the trachea: a case report 快速阻塞气管的支气管内癌肉瘤行右下胆管切除术1例
AME Surgical Journal Pub Date : 2021-01-01 DOI: 10.21037/asj-21-109
Y. Yutaka, S. Nagata, Akihiko Sugimoto, H. Date
{"title":"Successful right lower bilobectomy for endobronchial carcinosarcoma rapidly occluding the trachea: a case report","authors":"Y. Yutaka, S. Nagata, Akihiko Sugimoto, H. Date","doi":"10.21037/asj-21-109","DOIUrl":"https://doi.org/10.21037/asj-21-109","url":null,"abstract":"","PeriodicalId":388955,"journal":{"name":"AME Surgical Journal","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114253222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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