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Preoperative evaluation and risk factors in patients undergoing lung resection for cancer. 肺癌肺切除术患者的术前评价及危险因素分析。
Rays Pub Date : 2004-10-01
Maria Gorgoglione, Emanuele Iacobone, Alexander Cardone, Elisabetta Congedo, Paola Aceto, Germano de Cosmo
{"title":"Preoperative evaluation and risk factors in patients undergoing lung resection for cancer.","authors":"Maria Gorgoglione,&nbsp;Emanuele Iacobone,&nbsp;Alexander Cardone,&nbsp;Elisabetta Congedo,&nbsp;Paola Aceto,&nbsp;Germano de Cosmo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Surgical resection remains the mainstay of treatment in lung cancer patients. Stratification of preoperative risk should be based on the functional status of pulmonary and cardiac systems usually damaged by cigarette smoking. Preoperative pulmonary evaluation should be performed taking into consideration the specific characteristics of the single patient and the type of surgery planned. Spirometry only may be required or oxygen consumption determination is necessary. Cardiac assessment should be based on clinical and instrumental examinations while invasive tests should be limited to high-risk patients. The potential difficulties in endotracheal intubation and lung isolation, the risk for desaturation during one-lung ventilation, and postoperative pain control should be analyzed.</p>","PeriodicalId":77342,"journal":{"name":"Rays","volume":"29 4","pages":"401-5"},"PeriodicalIF":0.0,"publicationDate":"2004-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25076356","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
Preoperative assessment and risk factors in the surgical treatment of lung cancer: the role of age. 术前评估及危险因素在肺癌手术治疗中的作用:年龄的影响。
Rays Pub Date : 2004-10-01
Graziano Onder, Carola D'Arco, Domenico Fusco, Roberto Bernabei
{"title":"Preoperative assessment and risk factors in the surgical treatment of lung cancer: the role of age.","authors":"Graziano Onder,&nbsp;Carola D'Arco,&nbsp;Domenico Fusco,&nbsp;Roberto Bernabei","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The incidence of lung cancer in the elderly is increasing in Western countries. This disease represents the second leading cause of cancer death in this age group and it is also responsible for a substantial increment in morbidity and health care costs. Several studies suggested that age per se should not be considered a risk factor for surgical mortality and morbidity in lung cancer patients and access to surgical treatment should not be denied only on the basis of age. Indeed, advanced age may represent an indicator of several factors such as comorbidity or poor physical performance which in turn can increase surgical risk and dramatically reduce life expectancy. Therefore, a careful preoperative assessment of these factors, with particular regard to comorbid conditions (such as cardiovascular and pulmonary diseases or secondary malignancy) is necessary in older adults. In consideration of the need of a multidisciplinary assessment to identify comorbidities and operative risk a close collaboration between pneumologists, radiologists, oncologists, thoracic surgeons, anesthesiologists, cardiologists, geriatric specialists, physical therapists is highly recommended.</p>","PeriodicalId":77342,"journal":{"name":"Rays","volume":"29 4","pages":"407-11"},"PeriodicalIF":0.0,"publicationDate":"2004-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25076357","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
Cancer-related fatigue: evaluation and treatment. 癌症相关疲劳:评估和治疗。
Rays Pub Date : 2004-10-01
Angela Romanelli, Anna Bozzone, Giovanni Magrone, Marco Pascoli, Silvia Sterzi
{"title":"Cancer-related fatigue: evaluation and treatment.","authors":"Angela Romanelli,&nbsp;Anna Bozzone,&nbsp;Giovanni Magrone,&nbsp;Marco Pascoli,&nbsp;Silvia Sterzi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Cancer-related fatigue is one of the most common and disabling conditions referred by patients with neoplastic diseases. However, it is one of the symptoms related to cancer and its treatment, oncologists largely underestimate. The guidelines of the National Comprehensive Cancer Network on the diagnosis and treatment of this multifactorial pathology are illustrated. Attention is focused on the most recent evidences present in the literature about the therapeutic benefit of physical exercise and its effects on muscular function, cardiorespiratory performance and life quality of oncologic patients.</p>","PeriodicalId":77342,"journal":{"name":"Rays","volume":"29 4","pages":"453-5"},"PeriodicalIF":0.0,"publicationDate":"2004-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25077409","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
[Penalty standards for professional medical responsibility in lung cancer]. [肺癌职业医疗责任处罚标准]。
Rays Pub Date : 2004-10-01
Francesco Ausania, Mara Masullo, Fidelia Cascini
{"title":"[Penalty standards for professional medical responsibility in lung cancer].","authors":"Francesco Ausania,&nbsp;Mara Masullo,&nbsp;Fidelia Cascini","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77342,"journal":{"name":"Rays","volume":"29 4","pages":"469-71"},"PeriodicalIF":0.0,"publicationDate":"2004-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25076707","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
Lung cancer screening with spiral CT. 肺癌螺旋CT筛查。
Rays Pub Date : 2004-10-01
Fabio Maggi
{"title":"Lung cancer screening with spiral CT.","authors":"Fabio Maggi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Lung cancer is the main cause of death from malignancies due to the high prevalence and adverse prognosis when diagnosis is established in symptomatic patients. With early diagnosis, survival is far better; this led to perform some trials of screening in subjects at high risk with chest X-ray since 1970 but outcomes were contrasting. The technological evolution with the introduction of spiral CT and low dose techniques in the last decade led to a new interest in lung cancer screening. Numerous trials were performed and several diagnostic algorithms based on the dimensional and densitometric analysis of CT-evidenced nodules were designed. In spite of the encouraging outcome achieved so far, the high rate of false positives, the high costs and the use of ionizing radiation advise caution at least until a decreased mortality rate from lung cancer is evidenced.</p>","PeriodicalId":77342,"journal":{"name":"Rays","volume":"29 4","pages":"377-82"},"PeriodicalIF":0.0,"publicationDate":"2004-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25076353","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
Pneumonectomy for lung cancer: technical and general aspects. 肺癌全肺切除术:技术和一般方面。
Rays Pub Date : 2004-10-01
Pierpaolo Camplese, Rocco Sacco
{"title":"Pneumonectomy for lung cancer: technical and general aspects.","authors":"Pierpaolo Camplese,&nbsp;Rocco Sacco","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The current role and technical aspects of pneumonectomy for the treatment of lung cancer are evaluated based on the personal experience and on the review of the international literature. Over a four-year period 669 operations for lung cancer were performed. Fifty-nine were pneumonectomies 11 of which were completion pneumonectomies and 7 tracheal sleeve right pneumonectomies 5 of which performed with the anesthesiological tube always kept in trachea. Overall postoperative mortality was about 10% for pneumonectomy, and about 16,6 % for completion pneumonectomy with a median survival rate of 21 and 26 months respectively. In agreement with reports of the international literature, it is confirmed that pneumonectomy is a high-risk thoracic surgical procedure and an accurate cardiovascular and respiratory evaluation is very important for patient selection.</p>","PeriodicalId":77342,"journal":{"name":"Rays","volume":"29 4","pages":"413-7"},"PeriodicalIF":0.0,"publicationDate":"2004-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25076358","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
Resection of small indeterminate lung nodules by video-assisted thoracoscopic surgery (VTS). Implications for the early diagnosis of lung cancer. 视频胸腔镜手术切除不确定肺小结节。对肺癌早期诊断的启示。
Rays Pub Date : 2004-10-01
Andrea Pericelli, Andrea Imperatori, Fabio Vassallo, Nicola Rotolo, Lorenzo Dominioni
{"title":"Resection of small indeterminate lung nodules by video-assisted thoracoscopic surgery (VTS). Implications for the early diagnosis of lung cancer.","authors":"Andrea Pericelli,&nbsp;Andrea Imperatori,&nbsp;Fabio Vassallo,&nbsp;Nicola Rotolo,&nbsp;Lorenzo Dominioni","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Small indeterminate lung nodules are increasingly detected because of the extensive use of chest x-rays and of computed tomography scans. In evaluating a small solitary pulmonary nodule the main concern is whether the nodule is benign or malignant. Resection by video-assisted thoracic surgery is the standard treatment for solitary pulmonary nodules, especially if they are small and not accessible by bronchoscopy or by percutaneous transthoracic needle aspiration. In this prospective study the personal experience in the diagnosis and treatment of lung nodules by video-assisted thoracic surgery and its implications in early diagnosis of lung cancer, are illustrated In the reported series video-assisted lung wedge resection was carried out successfully in (94%) of lung nodules, with low morbidity and no mortality. A definitive pathologic diagnosis was achieved in all cases. These findings indicate that indeterminate lung nodules > 1 cm in diameter have a high probability (65%) of being malignant and therefore need to be resected to establish a definitive diagnosis.</p>","PeriodicalId":77342,"journal":{"name":"Rays","volume":"29 4","pages":"387-90"},"PeriodicalIF":0.0,"publicationDate":"2004-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25076355","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
Surgical treatment of non-small cell lung cancer: mediastinal lymph node dissection. 非小细胞肺癌的外科治疗:纵隔淋巴结清扫。
Rays Pub Date : 2004-10-01
Elisa Meacci, Stefano Margaritora, Alfredo Cesario, Venanzio Porziella, Kenji Kawamukai, Alessio Piraino, Maria Letizia Vita, Adele Tessitore, Giacomo Cusumano, Pierluigi Granone
{"title":"Surgical treatment of non-small cell lung cancer: mediastinal lymph node dissection.","authors":"Elisa Meacci,&nbsp;Stefano Margaritora,&nbsp;Alfredo Cesario,&nbsp;Venanzio Porziella,&nbsp;Kenji Kawamukai,&nbsp;Alessio Piraino,&nbsp;Maria Letizia Vita,&nbsp;Adele Tessitore,&nbsp;Giacomo Cusumano,&nbsp;Pierluigi Granone","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The effectiveness of lymph node dissection in the treatment of non-small cell lung cancer is evaluated. The extent of lymphadenectomy in the treatment of NSCLC is still controversial. Although some centers perform only mediastinal lymph node sampling with resection of suspicious lymph nodes, others recommend radical, systematic mediastinal lymph node dissection to improve survival and achieve a better staging. Reports of the literature on the subject are reviewed and the results achieved with the various procedures are analyzed. A personal technique to perform mediastinal lymph node dissection is described.</p>","PeriodicalId":77342,"journal":{"name":"Rays","volume":"29 4","pages":"423-9"},"PeriodicalIF":0.0,"publicationDate":"2004-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25076360","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
[Medical responsibility in civil law]. [民法中的医疗责任]。
Rays Pub Date : 2004-10-01
Mara Masullo, Francesco Ausania, Fidelia Cascini
{"title":"[Medical responsibility in civil law].","authors":"Mara Masullo,&nbsp;Francesco Ausania,&nbsp;Fidelia Cascini","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77342,"journal":{"name":"Rays","volume":"29 4","pages":"473-5"},"PeriodicalIF":0.0,"publicationDate":"2004-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25076708","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
Postoperative complications after thoracic surgery for lung cancer. 肺癌胸外科术后并发症。
Rays Pub Date : 2004-10-01
Laura Maugeri, Giuseppe Maria Corbo, Salvatore Valente
{"title":"Postoperative complications after thoracic surgery for lung cancer.","authors":"Laura Maugeri,&nbsp;Giuseppe Maria Corbo,&nbsp;Salvatore Valente","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Postoperative complications and related risk factors after lung reduction surgery are analyzed based on a review of the literature. In particular the pathogenesis of some of postoperative respiratory disorders is carefully assessed. Most commonly cardiac arrhythmias, respiratory failure, bronchopleural fistula are observed. Main risk factors for postoperative complications are old age, chronic obstructive pulmonary disease, coronary disease, poor nutritional state, neoadjuvant therapy. Attention should be paid to all these factors, both in preoperative assessment and postoperative care, to prevent and promptly treat postoperative complications.</p>","PeriodicalId":77342,"journal":{"name":"Rays","volume":"29 4","pages":"465-8"},"PeriodicalIF":0.0,"publicationDate":"2004-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25076710","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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