Joseph LoCicero III et al. - Shields’ General Thoracic Surgery

Volume One & Two

Shields

GENERAL THORACIC
SURGERY

8th Edition

EDITED BY

Joseph LoCicero III, MD

Professor Emeritus of Surgery

SUNY Downstate

Brooklyn, New York

Physician Consultant

Mobile County Health Department

Mobile, Alabama

Richard H. Feins, MD

Professor of Surgery

Division of Cardiothoracic Surgery

University of North Carolina at Chapel Hill

Chapel Hill, North Carolina

Yolonda L. Colson, MD, PhD

Michael A. Bell Distinguished Chair in Healthcare Innovation

Professor of Surgery

Harvard Medical School

Brigham and Womens Hospital

Boston, Massachusetts

Gaetano Rocco, MD, FRCSEd

Professor

Chief, Division of Thoracic Surgery

Instituto Nazionale Tumori, IRCCS, Pascale Foundation

Naples, Italy

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8th edition

Copyright 2019 Wolters Kluwer.

Copyright 2009 by Lippincott Williams & Wilkins, a Wolters Kluwer business. Copyright 2005, 2000 by Lippincott Williams & Wilkins. Copyright 1994 by Williams and Wilkins. Copyright 1989, 1983, 1972 by Lea & Febiger. All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the above-mentioned copyright. To request permission, please contact Wolters Kluwer at Two Commerce Square, 2001 Market Street, Philadelphia, PA 19103, via email at (products and services).

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Library of Congress Cataloging-in-Publication Data

Names: LoCicero, Joseph, III, 1948- editor. | Feins, Richard H., editor. | Colson, Yolonda L., editor. | Rocco, Gaetano, MD, editor.

Title: Shields general thoracic surgery / [edited by] Joseph LoCicero III, Richard H. Feins, Yolonda L. Colson, Gaetano Rocco.

Other titles: General thoracic surgery.

Description: 8th edition. | Philadelphia : Wolters Kluwer, [2019] | Preceded by General thoracic surgery / edited by Thomas W. Shields [et al.]. 7th ed. c2009. | Includes bibliographical references and index.

Identifiers: LCCN 2017051947 | ISBN 9781975102241

Subjects: | MESH: Thoracic Surgical Procedures | Thoracic Neoplasmssurgery

Classification: LCC RD536 | NLM WF 980 | DDC 617.5/4059dc23

LC record available at https://lccn.loc.gov/2017051947

This work is provided as is, and the publisher disclaims any and all warranties, express or implied, including any warranties as to accuracy, comprehensiveness, or currency of the content of this work.

This work is no substitute for individual patient assessment based upon healthcare professionals examination of each patient and consideration of, among other things, age, weight, gender, current or prior medical conditions, medication history, laboratory data and other factors unique to the patient. The publisher does not provide medical advice or guidance and this work is merely a reference tool. Healthcare professionals, and not the publisher, are solely responsible for the use of this work including all medical judgments and for any resulting diagnosis and treatments.

Given continuous, rapid advances in medical science and health information, independent professional verification of medical diagnoses, indications, appropriate pharmaceutical selections and dosages, and treatment options should be made and healthcare professionals should consult a variety of sources. When prescribing medication, healthcare professionals are advised to consult the product information sheet (the manufacturers package insert) accompanying each drug to verify, among other things, conditions of use, warnings and side effects and identify any changes in dosage schedule or contraindications, particularly if the medication to be administered is new, infrequently used or has a narrow therapeutic range. To the maximum extent permitted under applicable law, no responsibility is assumed by the publisher for any injury and/or damage to persons or property, as a matter of products liability, negligence law or otherwise, or from any reference to or use by any person of this work.

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Dedication to Dr. Thomas W. Shields

This 8th edition of General Thoracic Surgery marks the first time Dr. Shields has not been an active member of the editorial directors, yet his influence on the text remains strong. His lifelong interest in lung cancer began in 1951 with a fellowship at the Palmer Memorial Hospital, the cancer building that was part of Deaconess Hospital, now Beth Israel Deaconess Medical Center. His experiences with the thoracic surgeon, dynamic and controversial Richard Overholt inspired him to begin a lifelong study into thoracic lymphatic drainage and lesser pulmonary resections. He traveled the globe gathering data from leading centers making strong bonds with many international colleagues. Using this wealth of knowledge, he compiled the first edition of General Thoracic Surgery published in 1972, updating it every few years.

Dr. Shields was a legend to the surgical students and residents of Northwestern University up to the time of his death in 2010. His devotion to clear communication of thought made him a tough taskmaster. His advocacy of evidence-based practice often made him a lightning rod among his colleagues. We hope that this edition continues the tradition of enhancing our understanding and practice of thoracic surgery through assimilation of knowledge and expertise from around the world.

JLIII

Dedication to Dr. Carolyn E. Reed, MD

This 8th edition of General Thoracic Surgery is dedicated in part to our friend and colleague, Dr. Carolyn E. Reed who was an editor of the 7th edition and was working on this edition until her untimely death.

Dr. Reed was an outstanding clinician, teacher, and researcher. Her impact on the field of thoracic surgery was extraordinary. While maintaining a busy clinical practice at the Medical University of South Carolina, she made a major impact on our knowledge of diseases of the chest and how to treat them. She was an NIH-funded researcher and investigator on numerous important national clinical trials. She served our specialty as the first woman chair of the American Board of Thoracic Surgery and the first woman president of the Southern Thoracic Surgical Association. Also, she served as vice-chair of the Residency Review Committee for Thoracic Surgery, treasurer of the Society of Thoracic Surgeons, treasurer of Women in Thoracic Surgery, council member of the American Association for Thoracic Surgery, board member of the Joint Council for Thoracic Surgical Education and the Thoracic Surgery Foundation for Research and Education. Posthumously, she was unanimously elected the first woman president of the Society of Thoracic Surgeons.