Carolyn Chang

All Publications

• Anastomotic Leaks After Esophagectomy Continue to Be a Problem, So What Can We Do? ANNALS OF THORACIC SURGERY Chang, C. C., Worrell, S. G. 2025; 120 (5): 1007-1008

  View details for Web of Science ID 001609088900001

  View details for PubMedID 40216347

• Is Lung Cancer Changing?: Impact of Epidemiologic Data in Thoracic Surgical Practice. Surgical oncology clinics of North America Lin, N., Chang, C., Backhus, L. 2025; 34 (4): 653-668

  Abstract

  Epidemiologic data have significantly influenced lung cancer surgery, guiding clinical decisions from screening to multimodality treatment options to perioperative care. This article highlights the role of epidemiologic studies in lung cancer treatment with a specific focus on thoracic surgery. We explore thoracic surgical practices, the impact of epidemiology on public health and policy, disparities and inequities faced by the community, and future directions and emerging trends. By providing a population health perspective, epidemiology enables thoracic surgeons to make objective, evidence-based decisions in their clinical practice.

  View details for DOI 10.1016/j.soc.2025.04.003

  View details for PubMedID 41110879

• Recommendations for Emergency Robotic Thoracic Conversions and Intraoperative Resuscitation: A Modified Delphi Consensus Study. The Annals of thoracic surgery Reddington, H., Schumacher, L., Watkins, A. A., Mitzman, B., Wachter, B., Lui, N., Furlong, M., Shehata, D., Chang, C. C., Quadri, S., Lazar, J. F., Hasson, R., Maxfield, M. W., Uy, K., Lou, F. 2025

  Abstract

  The purpose of this consensus is to determine essential principles and acceptable variations in emergency conversion events in robotic thoracic operations.A modified Delphi study was performed with 21 expert robotic thoracic surgeons. A pilot round was conducted with 5 experts to test feasibility. Two rounds were conducted between July 2024 - September 2024 with 33 statements rated on 5-point Likert scales. Statements included content across 3 domains: 1. Preoperative preparation, 2. Emergency undocking and resuscitation in the lateral position, and 3. Debriefing. A consensus report was provided to panelists after round 1 and a focus group was held. Content was adjusted between rounds based on feedback from round 1 and the focus group. Consensus was defined as agreement ≥70%.The response rate was 100%. Consensus was achieved for all preoperative preparation and debriefing statements. 16/19 statements regarding undocking and resuscitation achieved consensus, 3 statements (9.1%) in this domain were found to have insufficient agreement at 66.7%. Essential principles that achieved consensus included: conversion indications, calling for help, initial tamponade with robotic instruments, conversion via a partial undocking protocol, uninterrupted visualization, and team communication, amongst others.The consensus achieved can inform protocols for emergency robotic conversion events in thoracic surgery. The points of disagreement highlight acceptable surgeon- and institution-specific variations.

  View details for DOI 10.1016/j.athoracsur.2025.06.012

  View details for PubMedID 40633604

• Anastomotic leaks following esophagectomy continue to be a problem, so what can we do? The Annals of thoracic surgery Chang, C. C., Worrell, S. G. 2025

  View details for DOI 10.1016/j.athoracsur.2025.03.036

  View details for PubMedID 40216347

• Gastroesophageal Reflux Disease: Do We Have More Durable Long-term Options? The Annals of thoracic surgery Chang, C., Worrell, S. G. 2024

  View details for DOI 10.1016/j.athoracsur.2024.09.039

  View details for PubMedID 39424116