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Ann Thorac Surg 2003;76:S11-S13
© 2003 The Society of Thoracic Surgeons


Supplement

History of general thoracic surgery and the Southern Thoracic Surgical Association: the first 25 years

Harold C. Urschel, Jr., MDa*

a Cardiovascular and Thoracic Surgical Research, Education and Clinical Excellence, Baylor University Medical Center, Dallas, Texas, USA

* Address reprint requests to Dr Urschel, Baylor University Medical Center, 3600 Gaston Ave, Suite 1201, Dallas, TX, USA 75246
e-mail: drurschel@earthlink.net

Presented at the 50th Anniversary of the Southern Thoracic Surgical Association, Bonita Springs, FL, Nov 14, 2003.

The first 300 words of the full text of this article appear below.

The primary purpose of the newly formed Southern Thoracic Surgical Association (STSA) in 1953 was to disseminate knowledge and information and stimulate progress of thoracic surgery in the South. The secondary objective was to promote fellowship among thoracic surgeons. These remain our major goals. The excellent scientific program combined with a strong bond of fellowship have been responsible for the marked success and growth of the Southern Thoracic Surgical Association.

The first meeting of the STSA was in 1954 in Hollywood Beach, Florida, and the program was predominantly general thoracic surgery. Of the 18 scientific presentations only two were cardiovascular. Tuberculosis, fungus disease, and pulmonary infection were a large part of the venue. Several new concepts were introduced. A landmark paper was presented by Donald L. Paulson on the preservation of peripheral lung tissue by brochoplastic procedures for carcinoma. Doctor Robert R. Shaw had pioneered this work in the late 1940s and early 1950s and this was one of the initial presentations of results [1]. They had discussed it at the American Association of Thoracic Surgeons (AATS) meeting in Dallas in 1952 where Sir Clement Price Thomas was in attendance. He returned to England, performed a successful case, and published it ahead of Shaw and Paulson who had performed the initial procedure. There had been previous brochoplastic procedures but only for benign disease.

Lung cancer remained a common topic at subsequent programs and included subjects such as early staging attempts (supraclavicular lymph node biopsy, cervicomediastinal lymph node biopsy), unusual cancers (mesothelioma, alveolar cell carcinoma, giant cell carcinoma), unusual presentations (dual primaries, scar carcinomas), and resection techniques.

Esophageal disease was "futuristic" at the first STSA meeting with papers for high esophageal resection and management of obstructive lesions of the esophagus. The military experience presented the Third Army Surgical Thoracic Traumas . . . [Full Text of this Article]







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