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Commentary: Reasons to Bother

  • Todd L. Demmy
    Correspondence
    Address reprint requests to: Dr. Todd L Demmy, Roswell Park Comprehensive Cancer Center, Elm & Carlton Strs, Buffalo, NY 14263. Phone: 716-845-8675, Fax: 716-845-7692.
    Affiliations
    Department of Thoracic Surgery, Roswell Park Comprehensive Cancer Center, Buffalo, NY.
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  • Mark W. Hennon
    Affiliations
    University of Pittsburgh, Department of Cardiothoracic Surgery, UPMC Esophageal and Lung Surgery Institute at UPMC Passavant
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      Chest wall resection with lobectomy has high morbidity and mortality. While counterintuitive,minimally invasive approaches may benefit patients, particularly those that are high-risk or frail.
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      Linked Article

      • Video-Assisted Thoracic Surgery Technique for Chest Wall Resection
        Operative Techniques in Thoracic and Cardiovascular SurgeryVol. 27Issue 3
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          Chest wall resection is indicated in the management of operable primary chest wall tumors and lung cancers with chest wall invasion in carefully selected patients. Traditionally, chest wall resection has been performed via open thoracotomy, which is associated with significant postoperative pain and other associated morbidities. Furthermore, depending on the size and location of the resulting chest wall defect, chest wall reconstruction is warranted to maintain overall chest wall integrity, preserve inherent respiratory mechanics, and protect underlying intrathoracic structures.
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