To VATS or to SBRT that is the question

The April issue of The Annals of Thoracic Surgery features an interesting retrospective comparison of long-term outcomes of clinical stage I NSCLC matched patients treated by VATS lobectomy or SBRT. Cases treated by VATS achieved significantly better overall survival and disease control compared to SBRT patients. Interestingly enough, the authors underline that all cases were…

FIFTY YEARS FIGHTING THE TOBACCO EPIDEMIC

In 1964 the first government report linking smoking and health was published in the US. Fifty years after the publication, the prevalence of current cigarette smoking among adults has declined dramatically but more than 42 million Americans still smoke. In 2014, the current Acting U.S. Surgeon General released his report on 50 years of progress…

Valor diagnóstico del PET en el nódulo pulmonar

El paciente discutido en el último seminario de cáncer presentaba un enfisema pulmonar y un nódulo en el lóbulo superior derecho. A este paciente se le realizó una PET y se encontró un SUV (standardised uptake value) de 4.5, considerado “positivo”, por lo que se indicó la cirugía. El resultado final fue de nódulo inflamatorio.…

3D Printer custom-made sternum successfully implanted

Our first patient treated with a custom-made titanium sternum was successfully discharged home. The patient had a huge sternal sarcoma completely resected and the sternum and anterior costal edges were replaced with a custom-made implant. The prosthesis was designed by Salamanca University Hospital thoracic surgeons in cooperaton with Anatomics, a Melbourne-based company. The implant was…

The story of Thoracic Surgery

This book has recently been published by the Canadian Association for Thoracic Surgery. The authrs pioneered the development of Thoracic Surgery in the World. Many advanced techniques used today in daily practice were designed and developed by the authors. The book is highly recommended for all of us since we are indebted to these masters in…

ESTE VERANO, TRONCALIDAD

Para finales de julio se espera la publicación del decreto que regula la troncalidad en la formación MIR. En una publicación reciente se resume la difícil trayectoria que ha tenido la reorganización de la formación MIR a lo largo de los últimos años. La introducción del concepto de troncalidad -algo que en otros países lleva décadas…