Titlebook: Difficult Decisions in Thoracic Surgery; An Evidence-Based Ap Mark K. Ferguson (Professor and Head) Book 20071st edition Springer-Verlag Lo

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https://doi.org/10.1007/978-3-322-86188-7ternal beam radiotherapy. Newer approaches including stereotactic radiosurgery and radiofrequency ablation are now utilized with increasing frequency. Recently, brachytherapy has been introduced as an adjuvant to wedge resection.

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https://doi.org/10.1007/978-3-658-00137-7 effectively treated by resection of both the primary tumor and the metastasis. Most of these studies have reported patients with cerebral or adrenal metastases, although there are reports describing the surgical management of metastases to the small bowel, spleen, skeletal muscle, and bone.

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Decision Analytic Techniques about the effect of a medical intervention on patients with specific characteristics. Furthermore, an additional critical step involves integrating population level evidence about outcomes with patient-level values for these outcomes in order to produce individualized care.

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Management of Unexpected N2 Disease Discovered at Thoracotomythese results, patients who a re found to have N2 nodal metastasis prior to thoracotomy, using methods such as mediastinoscopy, thoracoscopy, endoscopic ultrasonography, transbronchial needle aspiration, or possibly positron emission tomography (PET) scanning, should receive neoadjuvant treatment prior to resection.

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Sleeve Lobectomy Versus Pneumonectomy for Lung Cancer Patients with Good Pulmonary Functionnadequate cardiopulmonary function stimulated the use of parenchymal-sparing procedures for patients with adequate pulmonary function. Increasing clinical evidence suggests that short-term outcomes for sleeve lobectomy are similar to those for pneumonectomy, regardless of cardiopulmonary reserve.

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Lesser Resection Versus Radiotherapy for Patients with Compromised Lung Function and Stage I Lung Caternal beam radiotherapy. Newer approaches including stereotactic radiosurgery and radiofrequency ablation are now utilized with increasing frequency. Recently, brachytherapy has been introduced as an adjuvant to wedge resection.

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