Typical histology and N0 status were important prognostic factors in carcinoid tumors. Parenchyma-sparing procedures must be considered the treatment of choice with systematic lymphadenectomy.

From our experience, lobectomy should still be considered as the treatment of choice in the management of second primary lung cancer, but sublobar resection remains a valid option in high-risk patients with limited pulmonary function. Completion pneumonectomy was a negative prognostic factor in long-term survival.

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Background: Electrosurgical devices are largely employed in thoracic surgery but their use is burdened by extensive necrosis and second intention healing. Methods: A rat model of thoracotomy was performed on 46 adult male rats using a standard electrocautery or a new quantum molecular resonance (QMR) instrument called Vesalius®. Skin, muscle and lung specimens were obtained immediately and 2 weeks after surgery to evaluate acute and late effects. Results: Both in the short- and long-term study, Vesalius produced less severe tissue damage than that of standard electrocautery. Conclusions: The use of the QMR device may provide an alternative to gold-standard electrosurgical devices in thoracic surgery.

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