Abstract

The speaker began his training in Cardiothoracic surgery in 1973 and was appointed as a Consultant in 1979. He will introduce this topic by describing a typical case undergoing surgical treatment for lung cancer in the 1970s, the patient journey and outcomes at that time. From that basis he will detail the changes in the surgical treatment of lung cancer in the last 40 years. This will include: Changes in the epidemiology of lung cancer. Improvements in pre-operative selection. Improvements in the staging process prior to surgery, during surgery and post-surgery. Differences in surgical approach and the anatomical extent of resection. Changes in the stage classification over that period. The establishment of effective adjuvant therapy. Improved outcomes in morbidity, mortality and survivorship. None of these improvements has been of itself a game changer but collectively they amount to a fundamental change in the surgical management of this disease. A brief mention will be made of advances in the surgical treatment of other thoracic malignancies. lung cancer, surgery, staging, results

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