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The 8th Edition Lung Cancer Stage Classification
F. Dettterbeck, D.Boffa, A. Kim, L.Tanoue
CHEST 2017; 151(1):193-203
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
Primary Tumor (T) Staging and Predicting Resectability
with CT Imaging
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
Primary Tumor (T) Staging and Predicting Resectability
with CT Imaging
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
Primary Tumor (T) Staging and Predicting Resectability
with CT Imaging
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
Primary Tumor (T) Staging and Predicting Resectability
with CT Imaging
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
Primary Tumor (T) Staging and Predicting Resectability
with CT Imaging
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
Primary Tumor (T) Staging and Predicting Resectability
with CT Imaging
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
Primary Tumor (T) Staging and Predicting Resectability
with CT Imaging
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
Primary Tumor (T) Staging and Predicting Resectability
with CT Imaging
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
Primary Tumor (T) Staging and Predicting Resectability
with CT Imaging
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
Primary Tumor (T) Staging and Predicting Resectability
with CT Imaging
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
Primary Tumor (T) Staging and Predicting Resectability
with CT Imaging
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
Primary Tumor (T) Staging and Predicting Resectability
with CT Imaging
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
Primary Tumor (T) Staging and Predicting Resectability
with CT Imaging
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
Primary Tumor (T) Staging and Predicting Resectability
with CT Imaging
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
The 8th Edition Lung Cancer Stage Classification
F. Dettterbeck, D.Boffa, A. Kim, L.Tanoue
CHEST 2017; 151(1):193-203
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
The 8th Edition Lung Cancer Stage Classification
F. Dettterbeck, D.Boffa, A. Kim, L.Tanoue
CHEST 2017; 151(1):193-203
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
The Criteria for Operability and Resectability in Lung Cancer
Eugene E. Clifton, MD
JAMA. 1966;195(12):1031-1032
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Achievement of R0 resection
Indicates
a microscopically margin-negative resection,
in which no gross or microscopic tumor
remains in the primary tumor bed.
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Risk Stratification in Lung Resection
Michele Salati, Alessandro Brunelli
Curr Surg Rep (2016) 4:37
Normal VE/VCO2 values should be about 25-35
An alternate mechanism to ascertain VT is achieved
through assessment of ventilator equivalent for
oxygen (VE/VO2) and ventilatory equivalent for
carbon dioxide (VE/VCO2); VT is the point at
which VE/VO2 increases without an increase
in VE/VCO2.
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
Risk Stratification in Lung Resection
Michele Salati, Alessandro Brunelli
Curr Surg Rep (2016) 4:37
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
Lung cancer: diagnosis and management
Clinical guideline [CG121]
April 2011
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
… must be
<4%
for Lobectomy
<8%
for pneumonectomy
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
The Criteria for Operability and Resectability in Lung Cancer
Eugene E. Clifton, MD
JAMA. 1966;195(12):1031-1032
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
Guidelines on the radical management of patients with lung cancer
British Thoracic Society (BTS)
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
Lung cancer: diagnosis and management
Clinical guideline [CG121]
April 2011
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
Early and locally advanced non-small-cell lung cancer (NSCLC):
ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up
ESMO Guidelines Committee - Annals of Oncology 28 (Supplement 4): iv1–iv21, 2017
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Resectable in this situation usually
refers to the following situations:
• single station N2 disease where other nodal
stations have been biopsied and proved to be
benign. Postoperative ChT should then be advised.
• T4N0 tumors where nodal disease had been
excluded by invasive methods when a R0 resection is
considered to be feasible.
• after induction therapy, when there has been
nodal downstaging and a pneumonectomy can be
avoided.
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
Early and locally advanced non-small-cell lung cancer (NSCLC):
ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up
ESMO Guidelines Committee - Annals of Oncology 28 (Supplement 4): iv1–iv21, 2017
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
In potentially resectable superior sulcus
tumors, concurrent CRT induction followed
by definitive surgery is the treatment of
choice [III, A].
The same strategy may be applied for
potentially resectable T3 or T4 central tumors
in highly selected cases and experienced
centers [III, B].
In both situations, surgery should be carried
out within 4 weeks after the end of RT [III, B].
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
Early and locally advanced non-small-cell lung cancer (NSCLC):
ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up
ESMO Guidelines Committee - Annals of Oncology 28 (Supplement 4): iv1–iv21, 2017
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
NCCN Clinical Practice Guidelines for NSCLC
Version 6.2018
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
NCCN Clinical Practice Guidelines for NSCLC
Version 6.2018
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
NCCN Clinical Practice Guidelines for NSCLC
Version 6.2018
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
NCCN Clinical Practice Guidelines for NSCLC
Version 6.2018
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
NCCN Clinical Practice Guidelines for NSCLC
Version 6.2018
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Lung-sparing anatomic resection
(sleeve lobectomy) is preferred over pneumonectomy
if anatomically appropriate
and margin negative resection is achieved.
T3 (invasion) and T4 extension tumors
require en-bloc resection of the involved structure
with negative margins.
If a surgeon or center is uncertain
about potential complete resection,
consider an additional surgical opinion
from a high volume specialized center.
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
The Criteria for Operability and Resectability in Lung Cancer
Eugene E. Clifton, MD
JAMA. 1966;195(12):1031-1032
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
Superior sulcus (Pancoast) tumors:
current evidence on diagnosis and radical treatment
C. Foroulis et al - Thorac Dis 2013 Apr 09
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
Superior sulcus (Pancoast) tumors:
current evidence on diagnosis and radical treatment
C. Foroulis et al - Thorac Dis 2013 Apr 09
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
Superior sulcus (Pancoast) tumors:
current evidence on diagnosis and radical treatment
C. Foroulis et al - Thorac Dis 2013 Apr 09
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
Superior sulcus (Pancoast) tumors:
current evidence on diagnosis and radical treatment
C. Foroulis et al - Thorac Dis 2013 Apr 09
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
Superior sulcus (Pancoast) tumors:
current evidence on diagnosis and radical treatment
C. Foroulis et al - Thorac Dis 2013 Apr 09
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
Superior sulcus (Pancoast) tumors:
current evidence on diagnosis and radical treatment
C. Foroulis et al - Thorac Dis 2013 Apr 09
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
Adult Chest Surgery, 2e
David J. Sugarbaker et al
2015 by McGraw-Hill
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
Shields’ General Thoracic Surgery
J. Locicero, R. Feins, Y. Colson, G. Rocco
2019 8th edition Wolters Kluwer
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
Chest Surgery
H. Dienemann, H. Hoffmann, F. Detterbeck
2015 Springer
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
http://www.ctsnet.org/sites/default/files/graphics/experts/Thoracic
/reaF2012/fig1A.jpg
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
http://www.ctsnet.org/sites/default/files/graphics/expert
s/Thoracic/miller/miller-figure-07_400px.jpg
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
http://www.ctsnet.org/sites/default/files/graphics/expert
s/Thoracic/reaF2012/fig1C.jpg
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
http://www.ctsnet.org/sites/default/files/graphics/expert
s/Thoracic/miller/miller-figure-07_400px.jpg
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
http://www.ctsnet.org/sites/default/files/graphics/expert
s/Thoracic/miller/miller-figure-07_400px.jpg
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
http://www.ctsnet.org/sites/default/files/graphics/expert
s/Thoracic/miller/miller-figure-07_400px.jpg
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
http://www.ctsnet.org/sites/default/files/graphics/expert
s/Thoracic/miller/miller-figure-07_400px.jpg
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
http://www.ctsnet.org/sites/default/files/graphics/expert
s/Thoracic/miller/miller-figure-07_400px.jpg
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
http://www.ctsnet.org/sites/default/files/graphics/expert
s/Thoracic/miller/miller-figure-07_400px.jpg
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
Chest Surgery
H. Dienemann, H. Hoffmann, F. Detterbeck
2015 Springer
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
Shields’ General Thoracic Surgery
J. Locicero, R. Feins, Y. Colson, G. Rocco
2019 8th edition Wolters Kluwer
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
Shields’ General Thoracic Surgery
J. Locicero, R. Feins, Y. Colson, G. Rocco
2019 8th edition Wolters Kluwer
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
http://www.ctsnet.org/sites/default/files/graphics/expert
s/Thoracic/miller/miller-figure-07_400px.jpg
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
Shields’ General Thoracic Surgery
J. Locicero, R. Feins, Y. Colson, G. Rocco
2019 8th edition Wolters Kluwer
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
http://staginglungcancer.org/stages/IIIA-T3InvN1
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
Materials and techniques in chest wall reconstruction: a review
Stefano Sanna et alJ
Vis Surg. 2017; 3: 95.
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
Materials and techniques in chest wall reconstruction: a review
Stefano Sanna et alJ
Vis Surg. 2017; 3: 95.
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
Materials and techniques in chest wall reconstruction: a review
Stefano Sanna et alJ
Vis Surg. 2017; 3: 95.
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
Materials and techniques in chest wall reconstruction: a review
Stefano Sanna et alJ
Vis Surg. 2017; 3: 95.
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
https://www.google.gr/search?q=PTFE+(GORE-
TEX)+chest+wall&source=lnms&tbm=isch&sa=X&ved=0ahUKEwivn8HQq-
rdAhWjtIsKHcQwAXYQ_AUIDigB&biw=1689&bih=845#imgrc=_
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
Materials and techniques in chest wall reconstruction: a review
Stefano Sanna et alJ
Vis Surg. 2017; 3: 95.
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
Materials and techniques in chest wall reconstruction: a review
Stefano Sanna et alJ
Vis Surg. 2017; 3: 95.
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
https://www.physio-pedia.com/Pancoast_Tumor
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
http://www.raynersmale.com/blog/2016/6/16/pancoast
-tumour-red-flags-for-the-upper-limb
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
https://www.physio-
pedia.com/images/7/7c/PT_stage_algorithm.jpg
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
https://www.physio-
pedia.com/images/7/7c/PT_stage_algorithm.jpg
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
https://www.physio-pedia.com/images/7/7c/PT_stage_algorithm.jpg
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Έσωσφαγίτιδα
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Έσωσφαγίτιδα
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Έσωσφαγίτιδα
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Υποκλείδιος φλέβα
Έσωσφαγίτιδα
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Sublobar resection LUL with tumor
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Veritas
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Superior sulcus (Pancoast) tumors:
current evidence on diagnosis and radical treatment
C. Foroulis et al - Thorac Dis 2013 Apr 09
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Superior sulcus (Pancoast) tumors:
current evidence on diagnosis and radical treatment
C. Foroulis et al - Thorac Dis 2013 Apr 09
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Image finding from pulmonary carcinosarcoma
Aditi Vohra, Harneet Narula
Lung India 2014 Vol.31 Issue.2 p.164-167
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Modern surgical results of lung cancer involving neighboring structures:
A retrospective analysis of 531 pT3 cases in a Japanese Lung Cancer Registry Study
Koji Kawaguchi et al - JTCVS 2012 Volume 144, Issue 2, p. 431–437
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
http://www.ctsnet.org/article/
surgery-superior-vena-cava-resection-and-reconstruction
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
http://www.ctsnet.org/article/
surgery-superior-vena-cava-resection-and-reconstruction
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
http://www.ctsnet.org/article/
surgery-superior-vena-cava-resection-and-reconstruction
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
http://www.ctsnet.org/article/
surgery-superior-vena-cava-resection-and-reconstruction
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
http://www.ctsnet.org/article/
surgery-superior-vena-cava-resection-and-reconstruction
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
http://www.ctsnet.org/article/
surgery-superior-vena-cava-resection-and-reconstruction
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
http://www.ctsnet.org/article/
surgery-superior-vena-cava-resection-and-reconstruction
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Azygos flap as a novel method for superior vena cava reconstruction
Norihisa Ohata et al
Interactive CardioVascular and Thoracic Surgery 11 (2010) 519–521
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Ann Thorac Surg 2007;83:223-230
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Ann Thorac Surg 2005;79:234-240
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Ann Thorac Surg 2005;79:234-240
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Ann Thorac Surg 2005;79:234-240
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Ann Thorac Surg 2005;79:234-240
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Extended resection of non-small cell lung cancer
invading the left atrium, is it worth the risk?
Geraud Galvaing et al - Chin Clin Oncol 2015;4(4):43
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
http://ar.iiarjournals.org/content/36/5/2391/F1.expansion.html
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
http://ar.iiarjournals.org/content/36/5/2391/F1.expansion.html
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Surgical management of advanced non-small cell lung cancer
Gonzalo Varela, Pascal Alexandre Thomas
J Thorac Dis 2014;6(S2):S217-S223
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Giant Cell Tumor Expanded Into the Thoracic Cavity With Spinal Involvement
Satoru Demura et al
Orthopedics March 2012 - Volume 35 · Issue 3: e453-e456
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
The Journal of Cardiovascular Surgery
Volume 123, Number 2
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
Intraoperative veno-venous extracorporeal lung support in thoracic surgery:
a single-centre experience
B. Redwan et al. - ICVTS 21 (2015) 766–772
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
… just submitted
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
… just submitted
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
… just submitted
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
… just submitted
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
… just submitted
median overall survival was 22.5 months
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
… just submitted
(p: 0.353)
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
… just submitted
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
… just submitted
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018
… just submitted
In conclusion,
we suggest that in patients with stage IIIA NSCLC,
the complete resection of T4 tumor
is really challenging for experienced thoracic surgeons,
while there is a true benefit for the patients
on long term survival.
More specified studies on this area of NSCLC
probably will show the same results
and will lead the guidelines
to the most personalized therapeutic procedures
of these patients.
Staging
Assessment
Guidelines
Approaches
Resections
Chest Wall
Pancoast
Diaphragm
SVC
Left Atrium
Aorta
Spine
CPB
Experience
Σας ευχαριστώ πολύ!
A.Kleontas - D.Filippou
BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD
Thoracic Surgery
2018

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Mediastinoscopy - ebus - pet-ct (kleontas) - Μεσοθωρακοσκόπηση - Ενδοβρογχικό...
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Mediastinoscopy pet-ct (kleontas) - Μεσοθωρακοσκόπηση και ποζιτρονιακή/αξονι...
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Intrathoracic hyperthermic chemoperfusion (kleontas) - Ενδοθωρακική υπερθερμι...
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Thoracic imaging (kleontas) - Απεικόνιση οργάνων θωρακικής κοιλότητας (Αθανάσ...
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Sleeve lobectomy (case report) - Sleeve λοβεκτομή - Κλέωντας
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Extended resections for nsclc (kleontas) - Εκτεταμένες εκτομές για την χειρουργική αντιμετώπιση του μη μικροκυτταρικού καρκίνου του πνεύμονα (Αθανάσιος Κλέωντας)

  • 1.
  • 2. The 8th Edition Lung Cancer Stage Classification F. Dettterbeck, D.Boffa, A. Kim, L.Tanoue CHEST 2017; 151(1):193-203 A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 3. Primary Tumor (T) Staging and Predicting Resectability with CT Imaging A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 4. Primary Tumor (T) Staging and Predicting Resectability with CT Imaging A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 5. Primary Tumor (T) Staging and Predicting Resectability with CT Imaging A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 6. Primary Tumor (T) Staging and Predicting Resectability with CT Imaging A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 7. Primary Tumor (T) Staging and Predicting Resectability with CT Imaging A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 8. Primary Tumor (T) Staging and Predicting Resectability with CT Imaging A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 9. Primary Tumor (T) Staging and Predicting Resectability with CT Imaging A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 10. Primary Tumor (T) Staging and Predicting Resectability with CT Imaging A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 11. Primary Tumor (T) Staging and Predicting Resectability with CT Imaging A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 12. Primary Tumor (T) Staging and Predicting Resectability with CT Imaging A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 13. Primary Tumor (T) Staging and Predicting Resectability with CT Imaging A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 14. Primary Tumor (T) Staging and Predicting Resectability with CT Imaging A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 15. Primary Tumor (T) Staging and Predicting Resectability with CT Imaging A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 16. Primary Tumor (T) Staging and Predicting Resectability with CT Imaging A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 17. The 8th Edition Lung Cancer Stage Classification F. Dettterbeck, D.Boffa, A. Kim, L.Tanoue CHEST 2017; 151(1):193-203 A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 18. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 19. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 20. The 8th Edition Lung Cancer Stage Classification F. Dettterbeck, D.Boffa, A. Kim, L.Tanoue CHEST 2017; 151(1):193-203 A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 21. The Criteria for Operability and Resectability in Lung Cancer Eugene E. Clifton, MD JAMA. 1966;195(12):1031-1032 A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Achievement of R0 resection Indicates a microscopically margin-negative resection, in which no gross or microscopic tumor remains in the primary tumor bed. Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 22. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 23. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 24. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Risk Stratification in Lung Resection Michele Salati, Alessandro Brunelli Curr Surg Rep (2016) 4:37 Normal VE/VCO2 values should be about 25-35 An alternate mechanism to ascertain VT is achieved through assessment of ventilator equivalent for oxygen (VE/VO2) and ventilatory equivalent for carbon dioxide (VE/VCO2); VT is the point at which VE/VO2 increases without an increase in VE/VCO2. Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 25. Risk Stratification in Lung Resection Michele Salati, Alessandro Brunelli Curr Surg Rep (2016) 4:37 A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 26. Lung cancer: diagnosis and management Clinical guideline [CG121] April 2011 A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 … must be <4% for Lobectomy <8% for pneumonectomy Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 27. The Criteria for Operability and Resectability in Lung Cancer Eugene E. Clifton, MD JAMA. 1966;195(12):1031-1032 A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 28. Guidelines on the radical management of patients with lung cancer British Thoracic Society (BTS) A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 29. Lung cancer: diagnosis and management Clinical guideline [CG121] April 2011 A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 30. Early and locally advanced non-small-cell lung cancer (NSCLC): ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up ESMO Guidelines Committee - Annals of Oncology 28 (Supplement 4): iv1–iv21, 2017 A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Resectable in this situation usually refers to the following situations: • single station N2 disease where other nodal stations have been biopsied and proved to be benign. Postoperative ChT should then be advised. • T4N0 tumors where nodal disease had been excluded by invasive methods when a R0 resection is considered to be feasible. • after induction therapy, when there has been nodal downstaging and a pneumonectomy can be avoided. Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 31. Early and locally advanced non-small-cell lung cancer (NSCLC): ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up ESMO Guidelines Committee - Annals of Oncology 28 (Supplement 4): iv1–iv21, 2017 A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 In potentially resectable superior sulcus tumors, concurrent CRT induction followed by definitive surgery is the treatment of choice [III, A]. The same strategy may be applied for potentially resectable T3 or T4 central tumors in highly selected cases and experienced centers [III, B]. In both situations, surgery should be carried out within 4 weeks after the end of RT [III, B]. Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 32. Early and locally advanced non-small-cell lung cancer (NSCLC): ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up ESMO Guidelines Committee - Annals of Oncology 28 (Supplement 4): iv1–iv21, 2017 A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 33. NCCN Clinical Practice Guidelines for NSCLC Version 6.2018 A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 34. NCCN Clinical Practice Guidelines for NSCLC Version 6.2018 A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 35. NCCN Clinical Practice Guidelines for NSCLC Version 6.2018 A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 36. NCCN Clinical Practice Guidelines for NSCLC Version 6.2018 A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 37. NCCN Clinical Practice Guidelines for NSCLC Version 6.2018 A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Lung-sparing anatomic resection (sleeve lobectomy) is preferred over pneumonectomy if anatomically appropriate and margin negative resection is achieved. T3 (invasion) and T4 extension tumors require en-bloc resection of the involved structure with negative margins. If a surgeon or center is uncertain about potential complete resection, consider an additional surgical opinion from a high volume specialized center. Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 38. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 39. The Criteria for Operability and Resectability in Lung Cancer Eugene E. Clifton, MD JAMA. 1966;195(12):1031-1032 A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 40. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 41. Superior sulcus (Pancoast) tumors: current evidence on diagnosis and radical treatment C. Foroulis et al - Thorac Dis 2013 Apr 09 A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 42. Superior sulcus (Pancoast) tumors: current evidence on diagnosis and radical treatment C. Foroulis et al - Thorac Dis 2013 Apr 09 A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 43. Superior sulcus (Pancoast) tumors: current evidence on diagnosis and radical treatment C. Foroulis et al - Thorac Dis 2013 Apr 09 A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 44. Superior sulcus (Pancoast) tumors: current evidence on diagnosis and radical treatment C. Foroulis et al - Thorac Dis 2013 Apr 09 A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 45. Superior sulcus (Pancoast) tumors: current evidence on diagnosis and radical treatment C. Foroulis et al - Thorac Dis 2013 Apr 09 A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 46. Superior sulcus (Pancoast) tumors: current evidence on diagnosis and radical treatment C. Foroulis et al - Thorac Dis 2013 Apr 09 A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 47. Adult Chest Surgery, 2e David J. Sugarbaker et al 2015 by McGraw-Hill A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 48. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 49. Shields’ General Thoracic Surgery J. Locicero, R. Feins, Y. Colson, G. Rocco 2019 8th edition Wolters Kluwer A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 50. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 51. Chest Surgery H. Dienemann, H. Hoffmann, F. Detterbeck 2015 Springer A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 52. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 http://www.ctsnet.org/sites/default/files/graphics/experts/Thoracic /reaF2012/fig1A.jpg Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 53. http://www.ctsnet.org/sites/default/files/graphics/expert s/Thoracic/miller/miller-figure-07_400px.jpg A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 54. http://www.ctsnet.org/sites/default/files/graphics/expert s/Thoracic/reaF2012/fig1C.jpg A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 55. http://www.ctsnet.org/sites/default/files/graphics/expert s/Thoracic/miller/miller-figure-07_400px.jpg A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 56. http://www.ctsnet.org/sites/default/files/graphics/expert s/Thoracic/miller/miller-figure-07_400px.jpg A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 57. http://www.ctsnet.org/sites/default/files/graphics/expert s/Thoracic/miller/miller-figure-07_400px.jpg A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 58. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 59. http://www.ctsnet.org/sites/default/files/graphics/expert s/Thoracic/miller/miller-figure-07_400px.jpg A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 60. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 61. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 http://www.ctsnet.org/sites/default/files/graphics/expert s/Thoracic/miller/miller-figure-07_400px.jpg Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 62. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 http://www.ctsnet.org/sites/default/files/graphics/expert s/Thoracic/miller/miller-figure-07_400px.jpg Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 63. Chest Surgery H. Dienemann, H. Hoffmann, F. Detterbeck 2015 Springer A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 64. Shields’ General Thoracic Surgery J. Locicero, R. Feins, Y. Colson, G. Rocco 2019 8th edition Wolters Kluwer A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 65. Shields’ General Thoracic Surgery J. Locicero, R. Feins, Y. Colson, G. Rocco 2019 8th edition Wolters Kluwer A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 66. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 67. http://www.ctsnet.org/sites/default/files/graphics/expert s/Thoracic/miller/miller-figure-07_400px.jpg A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 68. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 69. Shields’ General Thoracic Surgery J. Locicero, R. Feins, Y. Colson, G. Rocco 2019 8th edition Wolters Kluwer A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 70. http://staginglungcancer.org/stages/IIIA-T3InvN1 A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 71. Materials and techniques in chest wall reconstruction: a review Stefano Sanna et alJ Vis Surg. 2017; 3: 95. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 72. Materials and techniques in chest wall reconstruction: a review Stefano Sanna et alJ Vis Surg. 2017; 3: 95. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 73. Materials and techniques in chest wall reconstruction: a review Stefano Sanna et alJ Vis Surg. 2017; 3: 95. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 74. Materials and techniques in chest wall reconstruction: a review Stefano Sanna et alJ Vis Surg. 2017; 3: 95. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 75. https://www.google.gr/search?q=PTFE+(GORE- TEX)+chest+wall&source=lnms&tbm=isch&sa=X&ved=0ahUKEwivn8HQq- rdAhWjtIsKHcQwAXYQ_AUIDigB&biw=1689&bih=845#imgrc=_ A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 76. Materials and techniques in chest wall reconstruction: a review Stefano Sanna et alJ Vis Surg. 2017; 3: 95. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 77. Materials and techniques in chest wall reconstruction: a review Stefano Sanna et alJ Vis Surg. 2017; 3: 95. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 78. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 https://www.physio-pedia.com/Pancoast_Tumor Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 79. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 http://www.raynersmale.com/blog/2016/6/16/pancoast -tumour-red-flags-for-the-upper-limb Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 80. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 https://www.physio- pedia.com/images/7/7c/PT_stage_algorithm.jpg Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 81. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 https://www.physio- pedia.com/images/7/7c/PT_stage_algorithm.jpg Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 82. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 https://www.physio-pedia.com/images/7/7c/PT_stage_algorithm.jpg Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 83. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 84. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 85. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 86. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 87. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 88. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Έσωσφαγίτιδα Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 89. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Έσωσφαγίτιδα Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 90. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Έσωσφαγίτιδα Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 91. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Υποκλείδιος φλέβα Έσωσφαγίτιδα Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 92. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Sublobar resection LUL with tumor Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 93. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Veritas Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 94. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 95. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 96. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 97. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Superior sulcus (Pancoast) tumors: current evidence on diagnosis and radical treatment C. Foroulis et al - Thorac Dis 2013 Apr 09 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 98. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Superior sulcus (Pancoast) tumors: current evidence on diagnosis and radical treatment C. Foroulis et al - Thorac Dis 2013 Apr 09 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 99. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Image finding from pulmonary carcinosarcoma Aditi Vohra, Harneet Narula Lung India 2014 Vol.31 Issue.2 p.164-167 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 100. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Modern surgical results of lung cancer involving neighboring structures: A retrospective analysis of 531 pT3 cases in a Japanese Lung Cancer Registry Study Koji Kawaguchi et al - JTCVS 2012 Volume 144, Issue 2, p. 431–437 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 101. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 http://www.ctsnet.org/article/ surgery-superior-vena-cava-resection-and-reconstruction Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 102. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 http://www.ctsnet.org/article/ surgery-superior-vena-cava-resection-and-reconstruction Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 103. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 http://www.ctsnet.org/article/ surgery-superior-vena-cava-resection-and-reconstruction Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 104. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 http://www.ctsnet.org/article/ surgery-superior-vena-cava-resection-and-reconstruction Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 105. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 http://www.ctsnet.org/article/ surgery-superior-vena-cava-resection-and-reconstruction Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 106. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 http://www.ctsnet.org/article/ surgery-superior-vena-cava-resection-and-reconstruction Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 107. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 http://www.ctsnet.org/article/ surgery-superior-vena-cava-resection-and-reconstruction Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 108. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Azygos flap as a novel method for superior vena cava reconstruction Norihisa Ohata et al Interactive CardioVascular and Thoracic Surgery 11 (2010) 519–521 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 109. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Ann Thorac Surg 2007;83:223-230 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 110. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Ann Thorac Surg 2005;79:234-240 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 111. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Ann Thorac Surg 2005;79:234-240 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 112. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Ann Thorac Surg 2005;79:234-240 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 113. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Ann Thorac Surg 2005;79:234-240 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 114. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Extended resection of non-small cell lung cancer invading the left atrium, is it worth the risk? Geraud Galvaing et al - Chin Clin Oncol 2015;4(4):43 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 115. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 http://ar.iiarjournals.org/content/36/5/2391/F1.expansion.html Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 116. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 http://ar.iiarjournals.org/content/36/5/2391/F1.expansion.html Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 117. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Surgical management of advanced non-small cell lung cancer Gonzalo Varela, Pascal Alexandre Thomas J Thorac Dis 2014;6(S2):S217-S223 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 118. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Giant Cell Tumor Expanded Into the Thoracic Cavity With Spinal Involvement Satoru Demura et al Orthopedics March 2012 - Volume 35 · Issue 3: e453-e456 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 119. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 The Journal of Cardiovascular Surgery Volume 123, Number 2 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 120. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 Intraoperative veno-venous extracorporeal lung support in thoracic surgery: a single-centre experience B. Redwan et al. - ICVTS 21 (2015) 766–772 Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 121. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 … just submitted Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 122. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 … just submitted Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 123. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 … just submitted Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 124. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 … just submitted Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 125. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 … just submitted median overall survival was 22.5 months Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 126. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 … just submitted (p: 0.353) Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 127. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 … just submitted Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 128. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 … just submitted Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 129. A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018 … just submitted In conclusion, we suggest that in patients with stage IIIA NSCLC, the complete resection of T4 tumor is really challenging for experienced thoracic surgeons, while there is a true benefit for the patients on long term survival. More specified studies on this area of NSCLC probably will show the same results and will lead the guidelines to the most personalized therapeutic procedures of these patients. Staging Assessment Guidelines Approaches Resections Chest Wall Pancoast Diaphragm SVC Left Atrium Aorta Spine CPB Experience
  • 130. Σας ευχαριστώ πολύ! A.Kleontas - D.Filippou BSc, MD, MSc, BTS, PhD(c) MD, BTS, PhD Thoracic Surgery 2018