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https://www.selleckchem.com/products/mycmi-6.html The traditional segmentectomy involves each segment as the least surgical unit to preserve more pulmonary parenchyma than lobectomy, which is also excessive for small ground glass opacity-dominated lung cancer. We report a novel technique of sublobar resection based on subsegment. Under the guidance of three-dimensional computed tomography bronchography and angiography, the nodules were classified according to their subsegmental location and removed by individual sublobar resection. That assists in removing malignant nodules with safe margins and preserves more pulmonary parenchyma. However, the oncologic efficacy and pulmonary function protection warrant follow-up. The objective of this study was to determine how thoracic surgeons manage intraoperative esophagectomy positive margins and how these decisions may relate to overall (OS) and progression-free survival (PFS) in esophageal cancer. A survey was sent to thoracic surgeons to understand the management of intraoperative positive esophagectomy margins. Primary data at two high volume esophageal cancer institutions from 1994-2017 were retrospectively reviewed to identify patients who had intraoperative positive frozen section margins during esophagectomy. Patient characteristics and survival were collected and analyzed. OS and PFS were assessed using a Cox model. 85% of thoracic surgeons responding to a survey reported the utilization of frozen pathologic evaluation during esophagectomy with attempts at re-resection to achieve negative margin. Our esophagectomy database identified 94 patients with intraoperative positive margins. Of those re-resected (n=67, 63%), 44 patients (46.8%) were converted to R0 resectioars to be related to PFS. Cardiac surgery-associated acute kidney injury (CS-AKI) is common in infants and is associated with negative outcomes. Nadir indexed oxygen delivery (DO i) during cardiopulmonary bypass (CPB) is associated with the occurrence of po
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