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Notice from the Southern Thoracic Surgical Association
214 The Annals of Thoracic Surgery Vol 30 No 3 September 1980
tumor. We have been able to successfully resect these patients. I think thoracic surgeons should be on guard and not allow medical men to determine resectability on the basis of indirect studies. I certainly enjoyed this presentation and agree with the authors’ use of mediastinoscopy. I thank the discussants for their comments. One point was raised by Dr. Sloan and Dr. Lewis-that positive mediastinoscopy is not necessarily a contraindication in their practice in patients with squamous cell carcinoma. I quote here a study carried out at London Chest Hospital in 1972 in which 93 patients with bronchial carcinoma had a positive result at mediastinoscopy. The surgeons were not informed of this, and all patients under-
DR. ASHRAF:
went thoracotomy. With a very high inoperability rate, they all died within 21/2 years. Mean survival was only 6 months. That put many surgeons off operating on patients with positive mediastinosCOPY. An important observation we made in our study is that the operative mortality is three times higher when the mediastinal nodes are invaded. It is 9%, while the 5-year survival of those patients is only 3.7%. Therefore, we did not think it justified to operate on patients with bronchial carcinoma with invasion of mediastinal nodes. There may be geographical factors contributing to the severity and distribution of the disease which also determine the management. However, I have given you our results in England as stated for the years 1966 to 1978.
Notice from the Southern Thoracic Surgical Association The Twenty-seventh Annual Meeting of the Southern Thoracic Surgical Association will be held at The Greenbrier, White Sulphur Springs, WV, Nov 13-15, 1980. There will be a $100.00 registration fee for nonmember physicians except for guest speakers, authors and co-authors on the program, and residents. There will be a Postgraduate Program on Selected Operations by Experts. This meeting has been approved for Category I, 14 hours CME credit.
The Scientific Program appears at the end of this issue of The Annals of Thoracic Surgery (pp 304-306). Manuscripts of papers accepted for the program must be submitted to The Annals of Thoracic Surgery by October 15, 1980. Hotel reservations are sent to members. Guests may correspond with The Greenbrier, White Sulphur Springs, WV 24986. (Phone: (304) 536-1110.)
tumor. We have been able to successfully resect these patients. I think thoracic surgeons should be on guard and not allow medical men to determine resectability on the basis of indirect studies. I certainly enjoyed this presentation and agree with the authors’ use of mediastinoscopy. I thank the discussants for their comments. One point was raised by Dr. Sloan and Dr. Lewis-that positive mediastinoscopy is not necessarily a contraindication in their practice in patients with squamous cell carcinoma. I quote here a study carried out at London Chest Hospital in 1972 in which 93 patients with bronchial carcinoma had a positive result at mediastinoscopy. The surgeons were not informed of this, and all patients under-
DR. ASHRAF:
went thoracotomy. With a very high inoperability rate, they all died within 21/2 years. Mean survival was only 6 months. That put many surgeons off operating on patients with positive mediastinosCOPY. An important observation we made in our study is that the operative mortality is three times higher when the mediastinal nodes are invaded. It is 9%, while the 5-year survival of those patients is only 3.7%. Therefore, we did not think it justified to operate on patients with bronchial carcinoma with invasion of mediastinal nodes. There may be geographical factors contributing to the severity and distribution of the disease which also determine the management. However, I have given you our results in England as stated for the years 1966 to 1978.
Notice from the Southern Thoracic Surgical Association The Twenty-seventh Annual Meeting of the Southern Thoracic Surgical Association will be held at The Greenbrier, White Sulphur Springs, WV, Nov 13-15, 1980. There will be a $100.00 registration fee for nonmember physicians except for guest speakers, authors and co-authors on the program, and residents. There will be a Postgraduate Program on Selected Operations by Experts. This meeting has been approved for Category I, 14 hours CME credit.
The Scientific Program appears at the end of this issue of The Annals of Thoracic Surgery (pp 304-306). Manuscripts of papers accepted for the program must be submitted to The Annals of Thoracic Surgery by October 15, 1980. Hotel reservations are sent to members. Guests may correspond with The Greenbrier, White Sulphur Springs, WV 24986. (Phone: (304) 536-1110.)