Top 10 medscapestatic.com Wettbewerber

medicalexamprep.co.uk

The Premier Resource for Online Medical Training - Prepare to Pass Using Our High-Quality Online Revision Courses.

surgeryjournal.co.uk

elsevier’s surgery is a unique, continually updated learning resource for uk trainees.

assh.org

learn more about the american society for surgery of the hand, which has served as the premier upper extremity surgery society for thousands of professionals since 1946.

derangedphysiology.com

This topic has come up multiple times in the CICM second part exam, and will appear again and again. The most important reference for this is the new ERC/ESICM guidelines from 2021, and (to a slightly lesser extent) the AHA post-cardiac arrest care guidelines from 2015.

teachmeanatomy.info

The veins of the head and neck collect deoxygenated blood and return it to the heart. Anatomically, the venous drainage can be divided into three parts:

cureus.com

Video-assisted thoracoscopic surgery (VATS) is considered the standard procedure for surgical resection in non-small-cell lung cancer (NSCLC). However, there is still lingering speculation on its adequacy of lymph node (LN) dissection or sampling and the long-term survival benefits when compared to open thoracotomy. Given the above, we conducted a systematic review comparing VATS and thoracotomy in terms of their oncological effectiveness in resection. We explored major research literature databases and search engines such as MEDLINE, PubMed, PubMed Central, Google Scholar, and ResearchGate to find pertinent articles. After the meticulous screening, quality check, and applying relevant filters according to our eligibility criteria, we identified 16 studies relevant to our research question, out of which one was a randomized controlled trial, one meta-analysis, and 14 were observational studies. The study comprised 44,673 patients with NSCLC, out of whom 15,093 patients were operated by VATS and the remaining 29,580 patients by thoracotomy. The results indicate that VATS is equivalent to thoracotomy in total LNs (N1 + N2) and LN stations dissected. However, a thoracotomy may achieve slightly better mediastinal lymph node dissection (N2) in terms of assessing a greater number of mediastinal lymph nodes and nodal stations. This may be attributed to a better visual field during mediastinal nodal clearance by an open approach. Also, nodal upstaging was consistently more common with an open approach. In terms of long-term outcomes, both overall survival and disease-free survival rates were similar between the two groups, with VATS offering a slightly better survival benefit. Irrespective of the increased rates of nodal upstaging by an open approach, we conclude that VATS should be considered a highly efficient alternative to thoracotomy in both early and locally advanced NSCLC.