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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]

Aims and Objectives: To gain insight into nursing in an enhanced recovery after surgery program for lung cancer, we explored its meaning for nurses in a thoracic surgery unit. Background: Since nurses play a key role in overcoming implementation barriers in enhanced recovery after surgery programs, successful implementation depends on their care approach during the surgery pathway. Design: Qualitative focus group study. Methods: A hermeneutic approach inspired by Gadamer guided the research. Sixteen thoracic surgery nurses participated in focus group interviews. Benner and Wrubel's primacy of caring theory enhanced understanding of the findings. COREQ guidelines were followed. Results: The thoracic surgery nurses compared the streamlined trajectory in the program to working in a factory. Shifting focus away from a dialogue‐based, situated care practice compromised their professional nursing identity. The program made combining scientific evidence with patients' lifeworld perspectives challenging. Although the nurses recognised that the physiological processes and positive outcomes promoted recovery, they felt each patient's life situation was not sufficiently considered. To meet the program's professional nursing responsibilities and provide comprehensive care, specialised thoracic nursing should continue after discharge to allow professional care while meaningfully engaging with the patient's situatedness and lifeworld. Conclusions: Primacy of caring risks being compromised if accelerated treatment is implemented uncritically. If care is based on the dominant rational justifications underpinning surgical nursing, living conditions and patient values might be overlooked, affecting how disease, illness and health are managed. Relevance to Clinical Practice: Our findings focus on obvious unintended consequences of enhanced recovery after surgery programs. To avoid dehumanising patients, surgical lung cancer programs must adopt a humanistic attitude in a caring practice guided by the moral art and ethics of care and responsibility. Public Contribution: To reminding us of what matters and helping us think differently, we discussed the results of the study with organisational stakeholders. [ABSTRACT FROM AUTHOR]

Open in new tab Download slide Aim The aim of this study is to develop a reliable composite score based on simulator metrics to assess competency in virtual reality video-assisted thoracoscopic surgery lobectomy and explore the benefits of combining it with expert rater assessments. METHODS Standardized objective assessments (time, bleeding, economy of movement) and subjective expert rater assessments from 2 previous studies were combined. A linear mixed model including experience level, lobe and the number of previous simulated procedures was applied for the repeated measurements. Reliability for each of the 4 assessments was calculated using Cronbach's alpha. The Nelder–Mead numerical optimization algorithm was used for optimal weighting of scores. A pass–fail standard for the composite score was determined using the contrasting groups' method. RESULTS In total, 123 virtual reality video-assisted thoracoscopic surgery lobectomies were included. Across the 4 different assessments, there were significant effects (P  < 0.01) of experience, lobe, and simulator experience, but not for simulator attempts on bleeding (P  = 0.98). The left upper lobe was significantly more difficult compared to other lobes (P = 0.02). A maximum reliability of 0.92 could be achieved by combining the standardized simulator metrics with standardized expert rater scores. The pass/fail level for the composite score when including 1 expert rater was 0.33. CONCLUSIONS Combining simulator metrics with 1 or 2 raters increases reliability and can serve as a more objective method for assessing surgical trainees. The composite score may be used to implement a standardized and feasible simulation-based mastery training program in video-assisted thoracoscopic surgery lobectomy. [ABSTRACT FROM AUTHOR]