Publications by authors named "J T Bousema"
Article Synopsis
- This study investigates whether immediate lung tumor resection is as effective as confirmatory mediastinoscopy for patients with suspected resectable non-small-cell lung cancer (NSCLC) who have negative endosonography results.
- A total of 360 patients were randomly assigned to either immediate resection or undergo mediastinoscopy first; results showed an unforeseen N2 disease rate of 8.8% for immediate resection and 7.7% for mediastinoscopy, indicating noninferiority.
- The findings suggest that patients can safely skip confirmatory mediastinoscopy without compromising outcomes, potentially streamlining treatment for those with resectable NSCLC.
Acute pain management after thoracoscopic lung resection: a systematic review and explorative meta-analysis.
Interdiscip Cardiovasc Thorac Surg
January 2023
Objectives: Pain after thoracoscopic surgery may increase the incidence of postoperative complications and impair recovery. Guidelines lack consensus regarding postoperative analgesia. We performed a systematic review and meta-analysis to determine the mean pain scores of different analgesic techniques (thoracic epidural analgesia, continuous or single-shot unilateral regional analgesia and only systemic analgesia) after thoracoscopic anatomical lung resection.
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- The study conducted a systematic review to determine how lymphadenectomy affects survival in patients with pulmonary metastases from colorectal cancer.
- It analyzed data from 27 studies, including 3,619 patients, and found that those with simultaneous lymph node metastases had significantly lower five-year overall survival rates (18.2% vs. 51.3%).
- The results suggest that lymph node metastases negatively impact patient survival, highlighting the potential benefit of performing lymphadenectomy during surgery for these patients.
Article Synopsis
- A study focused on the preferences of patients with resectable non-small cell lung cancer (NSCLC) regarding invasive mediastinal staging showed that patient opinions are often overlooked in existing debates about best practices.
- Researchers distributed an online questionnaire to participants in a clinical trial, assessing key factors like the duration of the staging process, risk of unnecessary surgery, and complications related to staging procedures.
- Results revealed that the duration of staging was the most significant concern for patients, with a notable division in attitudes toward confirmatory mediastinoscopy, as some patients were willing while others were not.