Further examination of the parameters of oxidative stress, perioperative changes in the vasoregulatory mechanisms of the pulmonary circulation, and characterisation of the endothelial insult that probably occurs in all patients undergoing lung resection is necessary if the operative conditions under which lung surgery is carried out are to be optimised. Perhaps, then, more insight might be gain...

Thoracic surgery implies a considerable imbalance of fluid dynamics in the pleural space and in the lung interstitium, and this is of relevance when considering that the volume of water in these compartments is physiologically very low thanks to very powerful mechanisms of control able to offset potential causes leading to an increase in this volume. There are reasons to believe that severe com...

Extracorporeal assistances are exponentially used for patients, with acute severe but reversible heart or lung failure, to provide more prolonged support to bridge patients to heart and/or lung transplantation. However, experience of use of extracorporeal assistance for pulmonary resection is limited outside lung transplantation. Airways management with standard mechanical ventilation system ma...

Synchronous lung cancer is considered one of the most difficult resection presentations. Bilateral staged thoractomy still exists as the gold standard, as few cases are reported by using median strenotmy. Video-assisted thoracic surgery (VATS) has gained an important role in routine thoracic surgical practice, and staged VATS resection of bilateral lung cancer has been reported with satisfactor...

Interest in lung resection for metastatic malignant disease has steadily increased since it became apparent that in carefully selected patients the results in terms of prolongation of life could be surprisingly good. Indeed the outcome after such resection for metastases of all kinds compares favourably with those to be expected following resection of primary tumours of the lung (Smith 1963, Cl...

To achieve complete resection of metastatic colonic carcinoma in the liver and lung, thoracolaparotomy-assisted simultaneous resection was attempted in a 60-year-old male patient who had previously undergone sigmoidectomy for primary sigmoid colon carcinoma. A solitary liver metastasis was observed in segment 7 and a solitary lung metastasis was located in segment 6 of the right lower lung. Sim...

Surgical resection by lobectomy is the gold standard of therapy for early stage non-small cell lung cancer. However, not all patients are medically fit to undergo surgery. In considered high-risk lobectomy, alternative strategies have been developed including radiofrequency ablation, cryoablation, microwave stereotactic radiation therapy, wedge resection, and segmentectomy. This work reviews de...

This study aimed to compare the short and long-term survival outcomes between video-assisted thoracoscopic surgery (VATS) and open resection of lung metastases from colorectal cancer. Between January 2006 and January 2013, 57 patients underwent VATS of lung metastases from colorectal cancer. These patients were compared with a consecutive matched group of 57 patients who underwent open resectio...