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Tracheal Surgery - a 10-year Center Experience

M. Castro, Patricia; Silva, Cátia; Lima, António; Miranda, José; Guerra, Miguel

Background: Tracheal surgery is a specialized field in which many disciplines work jointly due to the variety of indications and the extended topography. The main indications for surgery include inflammatory (generally post-intubation), congenital or post-traumatic stenoses, benign or malignant neoplasms and tracheal lacerations, whether iatrogenic or traumatic. The purpose of this study is to review the manage...


Outcomes Of Surgically Treated N2-Positive Non-Small Cell Lung Cancer

Rei, Joana; Castro, Patrícia; Guerra, Miguel; Miranda, José

Introduction: The role of surgery in the treatment of stage IIB/IIIA lung cancer is still a matter of debate. To assess the outcomes of N2-positive patients, we performed a retrospective 10-year study including all patients with histologically proven N2 disease submitted to lung resection surgery by the same surgical team in three different hospitals. Materials and Methods: Demographic, clinical, surgical and s...


Third-Degree Atrioventricular Block And Asystole After Lung Resection: A Rare C...

M. Castro, Patricia; Rei, Joana; Silva, Cátia; Miranda, José; Guerra, Miguel

Surgical resection remains the optimal therapeutic option for early-stage operable NSCLC. Despite significant advances in recent years related to anesthetic and surgical techniques, cardiopulmonary complications remain major causes for postoperative morbimortality.  In this paper we present a case of a patient who developed complete AV block followed by asystole after lung resection surgery. The patient un...



Spreading Through Air Spaces And Thinking About Lung Metastases

M. Castro, Patricia; Rei, Joana; Silva, Cátia; Miranda, José; Guerra, Miguel

Introduction: Spread through air spaces (STAS) is a novel pattern of invasion in primary lung cancers, which was introduced in the 2015 World Health Organization classification. Several studies have validated STAS to be a predictor of clinical outcome in lung adenocarcinoma. However, little is known about STAS as a mode of intraparenchymal diffusion of pulmonary metastases (PMs). Objectives: The aim of this stu...





VIDEO-ASSISTED THORACOSCOPIC SURGERY WITHOUT CHEST DRAIN PLACEMENT

M. Castro, Patrícia; Lareiro, Susana; Rei, Joana; Miranda, José; Neves, Fátima; Guerra, Miguel

Background: Placement of chest drain following thoracoscopic procedures has been the gold standard. Nevertheless, a drainless approach may be safe and feasible in selected patients and procedures. In this study we aim to report our clinical experience after drainless video-assisted thoracoscopic surgery. Methods: We retrospectively analyzed data of all subjects submitted to drainless video-assisted thoracoscopi...



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