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Google Scholar OpenURL Placeholder Text WorldCat 119 Tao G, Jingying Y, Tan G, Xiaotao D, Min C. A novel CT-guided technique using medical adhesive for localization of small pulmonary ground-glass nodules and mixed ground-glass nodules (<=20 mm) before video-assisted thoracoscopic surgery. ABBREVIATIONS AND ACRONYMS 2 ABSTRACT 3 PREAMBLE 3 1 INTRODUCTION 4 1.1 Definition of GGO and nodule classification 4 1.2 Characteristics of subsolid nodules 4 2 METHODOLOGY 4 3 BACKGROUND 5 3.1 Definition of a ground-glass opacity 6 3.2 Assessment of the malignant risk of a subsolid nodule 8 4 MANAGEMENT OF SINGLE PURE GROUND-GLASS OPACITIES (NON-SOLID NODULES) 12 4.1 The role of a non-surgical biopsy 12 4.2 Surgery in pure GGO 12 4.3 Lymph node strategy 12 5 MANAGEMENT OF THE PART-SOLID NODULE 13 5.1 The role of a non-surgical biopsy 13 5.2 Mutational status 14 5.3 Lymph node strategy 14 6 MANAGEMENT OF MULTIPLE GROUND-GLASS NODULES 15 7 HOW TO IDENTIFY A NON-PALPABLE GROUND-GLASS OPACITY 15 7.1 Preoperative techniques for localization and marking 15 7.2 Injectable agents 16 7.3 Intraoperative techniques for localization and marking 17 8 MINIMALLY INVASIVE SURGERY APPROACH 17 9 SUBLOBAR VERSUS LOBAR RESECTION 17 9.1 Pulmonary function 18 9.2 Oncological outcomes 18 10 FUTURE DIRECTIONS AND GAPS IN KNOWLEDGE 19 11 KEY MESSAGES 19 SUPPLEMENTARY MATERIAL 19 CONFLICTS OF INTEREST 19 ACKNOWLEDGEMENTS 20 FUNDING 20 AUTHOR CONTRIBUTIONS 20 Reviewer information 20 REFERENCES 20 Graph: Central illustration. 1): Pure ground-glass opacity (non-solid nodules): CTR = 0; Part-solid nodule: 0 < CTR < 1; Solid nodule: CTR = 1. 1.2 Characteristics of subsolid nodules Previous articles have stated that lung adenocarcinomas with a CTR <= 0.5 could be non-invasive [[5], [7]]. Subsolid nodules are staged pure GGOs (non-solid nodules) and part-solid nodules [[2]]. [Extracted from the article]

Keywords: Wedge resection; Segmentectomy EN Wedge resection Segmentectomy 1 1 1 11/02/23 20231001 NES 231001 The recently published recommendations on technical standards of segmentectomy from Brunelli I et al. i are welcomed [[1]]. Lobectomy, segmentectomy, or wedge resection for peripheral clinical T1aN0 non-small cell lung cancer: a post hoc analysis of CALGB 140503 (Alliance). We therefore suggest that for those patients who would typically be considered for diagnostic wedge resection, consideration is made at the MDT to avoid this if segmentectomy would be the recommended and definitive operation - if necessary sophisticated navigation techniques should be used to obtain a diagnosis. [Extracted from the article]

Pleural infection is a common condition encountered by respiratory physicians and thoracic surgeons alike. The European Respiratory Society (ERS) and European Society of Thoracic Surgeons (ESTS) established a multidisciplinary collaboration of clinicians with expertise in managing pleural infection with the aim of producing a comprehensive review of the scientific literature. Six areas of interest were identified: 1) epidemiology of pleural infection, 2) optimal antibiotic strategy, 3) diagnostic parameters for chest tube drainage, 4) status of intrapleural therapies, 5) role of surgery and 6) current place of outcome prediction in management. The literature revealed that recently updated epidemiological data continue to show an overall upwards trend in incidence, but there is an urgent need for a more comprehensive characterisation of the burden of pleural infection in specific populations such as immunocompromised hosts. There is a sparsity of regular analyses and documentation of microbiological patterns at a local level to inform geographical variation, and ongoing research efforts are needed to improve antibiotic stewardship. The evidence remains in favour of a small-bore chest tube optimally placed under image guidance as an appropriate initial intervention for most cases of pleural infection. With a growing body of data suggesting delays to treatment are key contributors to poor outcomes, this suggests that earlier consideration of combination intrapleural enzyme therapy (IET) with concurrent surgical consultation should remain a priority. Since publication of the MIST-2 study, there has been considerable data supporting safety and efficacy of IET, but further studies are needed to optimise dosing using individualised biomarkers of treatment failure. Pending further prospective evaluation, the MIST-2 regimen remains the most evidence based. Several studies have externally validated the RAPID score, but it requires incorporating into prospective intervention studies prior to adopting into clinical practice., Competing Interests: Conflicts of interest: The authors have no conflicts of interest to disclose., (Copyright ©The authors 2023. For reproduction rights and permissions contact permissions@ersnet.org.)