European Respiratory Society Monograph, Vol. 29. 2004
Diseases of the chest are numerous and a multidisciplinary approach by the chest physician and thoracic surgeon is often required, not only in the management of chest malignancies, but also in the treatment of non-neoplastic disorders of the chest. Furthermore, many advances and improvements are put forward in the overall management of patients with advanced lung disease; besides lung transplantation, volume reduction surgery is reported as an alternative surgical option for emphysema patients which may delay, or even preclude the need for transplant. Management of suppurative lung and pleural infections is a challenging problem in clinical practice; classical surgery stands besides thoracoscopic treatment. The frequency of thoracic injuries in trauma victims forms another challenge for the chest physician and thoracic surgeon considering that trauma ranks, at present, only behind cardiovascular disease and cancer.