This issue of Thoracic Surgery Clinics, guest edited by Drs. Virginia R. Litle and Robert J. Canelli, is devoted to Peri-operative Management of the Thoracic Patient. Drs. Litle and Canelli have assembled expert authors to review the following topics: Preoperative Evaluation of Patients Undergoing Thoracic Surgery; Prehab of the Thoracic Patient; Enhanced Recovery after Thoracic Surgery; Surgical Approaches for Esophagectomy: Open, Minimally Invasive, Robotic. What is the Approach Algorithm?; Intraoperative Anesthetic Management of the Thoracic Surgery Patient; Intraoperative Surgical and Anesthetic Concerns for Robotic Approach to the Thoracic Surgery Patient; Prevention of Postoperative Prolonged Air-leak after Pulmonary Resection; Intraoperative Pre-emptive Prevention of Esophagectomy Complications: Role of Feeding Tubes, Pyloric Drainage Procedures, Anastomotic Buttressing; Interventional Pulmonology: A Brave New World; Pain Management in Thoracic Surgery; Management of Complications after Lung Resections; Management of complications after esophagectomy; and more!

This issue of Thoracic Surgery Clinics, guest edited by Drs. Virginia R. Litle and Robert J. Canelli, is devoted to Peri-operative Management of the Thoracic Patient. Drs. Litle and Canelli have assembled expert authors to review the following topics: Preoperative Evaluation of Patients Undergoing Thoracic Surgery; Prehab of the Thoracic Patient; Enhanced Recovery after Thoracic Surgery; Surgical Approaches for Esophagectomy: Open, Minimally Invasive, Robotic. What is the Approach Algorithm?; Intraoperative Anesthetic Management of the Thoracic Surgery Patient; Intraoperative Surgical and Anesthetic Concerns for Robotic Approach to the Thoracic Surgery Patient; Prevention of Postoperative Prolonged Air-leak after Pulmonary Resection; Intraoperative Pre-emptive Prevention of Esophagectomy Complications: Role of Feeding Tubes, Pyloric Drainage Procedures, Anastomotic Buttressing; Interventional Pulmonology: A Brave New World; Pain Management in Thoracic Surgery; Management of Complications after Lung Resections; Management of complications after esophagectomy; and more!

Management of Intra-operative Crises is reviewed extensively in this important Thoracic Surgery Clinics of North America issue. Articles include: Massive Airway Hemorrhage; Great Vessel Injury; Endotracheal Tube Management and Obstructed Airway; Perioperative or Operative Pulmonary Embolus; Acute Intraoperative Aspiration; Patent Mammary Disruption During Thoracic Surgery; Immediate Post-lobectomy Crisis Management; Cardiopulmonary Bypass, Rapid Pacing, and ECMO for Emergent Intraoperative Thoracic Situations; Unexplained Intraoperative Hypotension; Coagulopathy & Anticoagulation during Thoracic Surgery; Perioperative Pneumonectomy Management; Pulmonary Artery Bleeding during VATS; Tracheal Repair and Airway Management; and more!

This issue highlights management issues surrounding specific subjects within the clinical practice of thoracic surgery. The articles represent areas of thoracic surgery where there may be controversy, lack of consensus, or evolution. Each author summarizes the available literature with the addition of his or her own personal expertise.

Prevention and Management of Post-Operative Complications is reviewed extensively in this important Thoracic Surgery Clinics of North America issue. Articles include: Cardiovascular complications following thoracic surgery; Pain management following thoracic surgery; Persistent air leak and pleural space management following pulmonary resection; Bronchopleural fistula and empyema after anatomic lung resection; Postoperative respiratory failure; Complications following carinal surgery and bronchial sleeve resection; Anastomotic leak following esophagectomy; Management of conduit necrosis following esophagectomy; Functional conduit disorders complicating esophagectomy; Complications following surgery for achalasia and anti-reflux disease; Complications following tracheal and laryngotracheal resection; Management of thoracic nerve injury; Chest wall resection and reconstruction: management of complications; Management of chylothorax; and more!

The articles in this issue address psychosocial and quality of life concerns for patients who have undergone thoracic surgery. Topics include changes in quality of life after pulmonary resection; impact of minimally invasive thoracic surgery on quality of life; psychosocial aspects of lung transplantation; and physical, cognitive and emotional dysfunctions resulting from intensive care.

This issue of Thoracic Surgery Clinics of North America, guest edited by Dr. Sharon Ben-Or, is devoted to Thoracic Surgery in the Special Care Patient. Dr. Ben-Or has assembled expert authors to review the following topics: Thoracic surgery in the pregnant patient; Thoracic surgery in early stage small cell lung cancer; Lung cancer in the post transplant / immunosuppressed patient; The postpneumonectomy patient; Thoracic surgery considerations in the obese patient; Thoracic surgery considerations in the pediatric patient; Esophagectomy after weight reduction surgery; Thoracic surgery considerations in the mentally ill or handicapped patient; Lung cancer with concomitant cardiac disease; Malignant pleural effusion and the trapped lung; Empyema from an obstructing lung cancer; Synchronous esophageal and lung cancer; Thoracic surgery considerations in the AIDS patient; and more!

This issue of Thoracic Surgery Clinics, guest edited by Dr. Felix Fernandez, is devoted to Quality in Thoracic Surgery. Dr. Fernandez has assembled expert authors to review the following topics: Risk adjustment and performance measurement for lung cancer resection; Risk adjustment and performance measurement for esophageal cancer resection; Oncologic quality indicators in thoracic surgery; National Quality Forum metrics for thoracic surgery; Volume outcome relationships in thoracic surgery; Failure to rescue in thoracic surgery; Quality and cost in thoracic surgery; Patient reported outcomes in thoracic surgery; Database audit in thoracic surgery; European Society of Thoracic Surgeons risk score; International database collaboration in thoracic surgery; Hospital readmissions following thoracic surgery; and more!

This issue of the Thoracic Surgery Clinics will cover the following topics: physiology of pleural space, risk factors for prolonged air leak after pulmonary resection, surgical techniques to avoid parenchymal injury during lung resection, intraoperative measures for preventing air leaks, sealants and buttressing materials in pulmonary surgery, postoperative strategies to treat persistent air leaks, the management of chest tubes after pulmonary resection, digital and smart chest drainage systems to monitor air leaks, portable chest drainage systems and outpatient chest tube management, and prolonged air leak after LVRS and in the ventilated patients.

In this issue of Thoracic Surgery Clinics, guest editor Dr. Gita Mody brings her considerable expertise to the topic of Global Thoracic Surgery. An all-new topic to Thoracic Surgery Clinics, global thoracic surgery is an essential component of public and global health. In this issue, top experts provide timely insights on training, anesthesia, pathology, radiology, techniques, and surgical management of common thoracic surgeries throughout low-middle income countries (LMICs). - Contains 14 relevant, practice-oriented topics including esophageal cancer treatment globally; lung cancer management in LMICs; endoscopy and bronchoscopy in low-resource settings; surgical capacity building for low-resource settings; training general thoracic surgeons in LMICs; and more. - Provides in-depth clinical reviews on global thoracic surgery, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.