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Advances in Thoracic Oncology Multidisciplinary Care

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Pulmonology".

Deadline for manuscript submissions: closed (20 September 2024) | Viewed by 3497

Special Issue Editor


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Guest Editor
Division of Cardiothoracic Surgery, The DeWitt Daughtry Department of Surgery, University of Miami, Miami, FL, USA
Interests: thoracic surgery; foregut surgery; pleural mesothelioma; lung cancer; esophageal and mediastinal resection; minimally invasive robotic surgery; thoracic outlet syndrome
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Special Issue Information

Dear Colleagues,

Cancer care is complex. A multidisciplinary approach results in a more efficient and effective patient-centered care.  Advances in systemic therapy (immunotherapy and target therapy) for lung cancer have improved survival in advanced stages. Recent clinical trials are also demonstrating improved survival in patients with locoregional advanced lung cancer with the combination of chemotherapy, immunotherapy, and surgery. In addition, robotic technology is increasingly being used in the diagnosis and treatment of lung cancer. This Special Issue aims to add to the body of literature reporting the results of current multimodality therapy for locoregional advanced lung cancer in combination with robotic technology. The scope of this Special Issue would include the evaluation of safety and accuracy of robotic navigational bronchoscopy, cost-effectiveness of 3D software to plan complex robotic operations including complex segmentectomy and Pancoast tumors, experience with adoption of virtual platforms for multidisciplinary clinics, safety and oncologic outcomes associated with induction chemo-immunotherapy, and target therapy followed by robotic anatomic resections.

Dr. Nestor Villamizar
Guest Editor

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Keywords

  • thoracic oncology
  • lung cancer
  • cancer care
  • immunotherapy and target therapy
  • robotic technology

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Published Papers (2 papers)

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Research

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11 pages, 2958 KiB  
Article
Preventive Aortic Stent Graft Implantation Prior to Thoracic Surgery: Early and Midterm Results
by Olivia Lauk, Bianca Battilana, Didier Schneiter, Isabelle Schmitt-Opitz, Alexander Zimmermann and Benedikt Reutersberg
J. Clin. Med. 2024, 13(19), 5694; https://doi.org/10.3390/jcm13195694 - 25 Sep 2024
Viewed by 1578
Abstract
Background: There is a paucity of data concerning the feasibility and value of thoracic aortic stent graft implantation (TEVAR) applications for removing tumors infiltrating the aortic wall. This analysis aimed to demonstrate the feasibility of TEVAR and monitor the perioperative risks of [...] Read more.
Background: There is a paucity of data concerning the feasibility and value of thoracic aortic stent graft implantation (TEVAR) applications for removing tumors infiltrating the aortic wall. This analysis aimed to demonstrate the feasibility of TEVAR and monitor the perioperative risks of morbidity and mortality. Additionally, a literature review was performed. Methods: A retrospective data analysis was performed on patients who received TEVAR prior to thoracic malignancy resection between January 2010 and April 2024. The primary endpoint was technical success. Results: A total of 15 patients (median age: 67 years; range: 23–75; 66.7% female) received TEVAR prior to thoracic surgery of different tumor entities. In 80% of cases (n = 12), the proximal landing zone was in aortic zone 3. In three cases, the supra-aortic debranching of LSA and/or LCCA via bypass implantation or in situ laser fenestration was necessary. No postoperative endograft-related complications were observed. In eight patients, aortic wall infiltration was confirmed intraoperatively. In total, R0 resection was achieved in seven patients (46.7%). The 30-day mortality rate was 6.7% (n = 1). Technical success was achieved in all patients (100%), while procedural success was achieved in 80% due to incomplete tumor resection in three patients. Conclusions: To the best of our knowledge, this is the largest analysis to date that confirms the results of previous smaller studies. Aortic stent grafting prior to thoracic tumor resection allows for extensive resection while maintaining low morbidity and a low 30-day mortality risk. Full article
(This article belongs to the Special Issue Advances in Thoracic Oncology Multidisciplinary Care)
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Review

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17 pages, 297 KiB  
Review
Integrative Approaches in Non-Small Cell Lung Cancer Management: The Role of Radiotherapy
by Maxime A. Visa, Mohamed E. Abazeed and Diego Avella Patino
J. Clin. Med. 2024, 13(15), 4296; https://doi.org/10.3390/jcm13154296 - 23 Jul 2024
Cited by 1 | Viewed by 1238
Abstract
Treatment guidelines for non-small cell lung cancer (NSCLC) vary by several factors including pathological stage, patient candidacy, and goal of treatment. With many therapeutics and even more combinations available in the NSCLC clinician’s toolkit, a multitude of questions remain unanswered vis-a-vis treatment optimization. [...] Read more.
Treatment guidelines for non-small cell lung cancer (NSCLC) vary by several factors including pathological stage, patient candidacy, and goal of treatment. With many therapeutics and even more combinations available in the NSCLC clinician’s toolkit, a multitude of questions remain unanswered vis-a-vis treatment optimization. While some studies have begun exploring the interplay among the many pillars of NSCLC treatment—surgical resection, radiotherapy, chemotherapy, and immunotherapy—the vast number of combinations and permutations of different therapy modalities in addition to the modulation of each constituent therapy leaves much to be desired in a field that is otherwise rapidly evolving. Given NSCLC’s high incidence and lethality, the experimentation of synergistic benefits that combinatorial treatment may confer presents a ripe target for advancement and increased understanding without the cost and burden of novel drug development. This review introduces, synthesizes, and compares prominent NSCLC therapies, placing emphasis on the interplay among types of therapies and the synergistic benefits some combinatorial therapies have demonstrated over the past several years. Full article
(This article belongs to the Special Issue Advances in Thoracic Oncology Multidisciplinary Care)
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