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Medicina
Special Issues
History of Thoracic Surgery
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History of Thoracic Surgery

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Surgery".

Deadline for manuscript submissions: closed (31 January 2024) | Viewed by 1565

Special Issue Editors

Prof. Dr. Tamás F Molnár

E-Mail Website
Guest Editor
1. Medical Skill and Innovation Center, Operational Medicine Department, Medical School, University of Pécs, Pécs, Hungary
2. Thoracic Surgical Unit, University Teaching Hospital Győr (Affiliated to UoP), Győr, Hungary
Interests: surgery of thoracic empyaema; thoracic trauma; chest wall; lung cancer; surgical education; philosophy of surgery; history of surgery; medical humanities; damage control chest surgery
Dr. Jean Lemaitre

E-Mail Website
Guest Editor
Department of Surgery, Centre Hospitalier Universitaire Ambroise Paré, Mons, Belgium
Interests: thoracic surgery; thyroid surgery; ERAS; education; simulation in surgery

Special Issue Information

Dear Colleagues,

The history of general thoracic surgery is always present and influences our way of thinking, decision-making, and innovation. Video-assisted and robotic chest surgery, which rely on artificial intelligence-supported imaging, are based on a 150-year evolution in thoracic surgery. Progressive ideas, heated debates over new concepts, the construction and deconstruction of dogmas, obstacles, controversies, and even misconceptions are paving the way to where we are now. This rich heritage commands our attention and is in constant need of care. The 2023 Mons meeting of the Royal Belgian Society of Surgeons offered a unique opportunity to reflect on the history of thoracic surgery in various parts of the globe, as well as our art. The picture is admittedly incomplete, but it strives to be as honest as possible while avoiding selection bias.

Prof. Dr. Tamás F Molnár
Dr. Jean Lemaitre
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Medicina is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 1800 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • regional and topical history of thoracic surgery
  • development of ideas
  • paradigm shifts
  • turning points
  • figures and schools
  • dogmas and their dethroning
  • technical aspects
  • pneumonology
  • anesthesia
  • imaging
  • thoracic surgery and society

Published Papers (1 paper)

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Review

11 pages, 326 KiB  
Review
Milestones in the History of Esophagectomy: From Torek to Minimally Invasive Approaches
by Pascal Alexandre Thomas
Medicina 2023, 59(10), 1786; https://doi.org/10.3390/medicina59101786 - 07 Oct 2023
Cited by 1 | Viewed by 1341
Abstract
The history of esophagectomy reflects a journey of dedication, collaboration, and technical innovation, with ongoing endeavors aimed at optimizing outcomes and reducing complications. From its early attempts to modern minimally invasive approaches, the journey has been marked by perseverance and innovation. Franz J. [...] Read more.
The history of esophagectomy reflects a journey of dedication, collaboration, and technical innovation, with ongoing endeavors aimed at optimizing outcomes and reducing complications. From its early attempts to modern minimally invasive approaches, the journey has been marked by perseverance and innovation. Franz J. A. Torek’s 1913 successful esophageal resection marked a milestone, demonstrating the feasibility of transthoracic esophagectomy and the potential for esophageal cancer cure. However, its high mortality rate posed challenges, and it took almost two decades for similar successes to emerge. Surgical techniques evolved with the left thoracotomy, right thoracotomy, and transhiatal approaches, expanding the indications for resection. Mechanical staplers introduced in the early 20th century transformed anastomosis, reducing complications. The advent of minimally invasive techniques in the 1990s aimed to minimize complications while maintaining oncological efficacy. Robot-assisted esophagectomy further pushed the boundaries of minimally invasive surgery. Collaborative efforts, particularly from the Worldwide Esophageal Cancer Collaboration and the Esophageal Complications Consensus Group, standardized reporting and advanced the understanding of outcomes. The introduction of risk prediction models aids in making informed decisions. Despite significant improvements in survival rates and postoperative mortality, anastomotic leaks remain a concern, with recent rates showing an increase. Prevention strategies include microvascular anastomosis and ischemic preconditioning, yet challenges persist. Full article
(This article belongs to the Special Issue History of Thoracic Surgery)
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