CTSNet - Thoracic Techniques

Robotic Thymectomy via Right Chest Approach

Mon, 08 Oct 2012 12:55:00 EDT

A right robotic thymectomy is described for the treatment of myasthenia gravis and thymoma. Early results are comparable to sternotomy and VATS approaches. A novel technique using ICG for contralateral phrenic nerve identification is also described.

Technical Options In Carinal Resection And Reconstruction

Thu, 23 Aug 2012 04:35:00 EDT

Tumors invading the tracheobronchial angle or the carina represent a challenge due to the complexity of airway reconstruction and management. Carinal resection, a complex and aggressive procedure for the treatment of these tumors, may be a safe approach for highly selected patients, in experienced centers with acceptable morbidity and mortality and good long-term survival.

Robotic Right Upper Lobectomy

Mon, 12 Sep 2011 12:02:00 EDT

A minimally invasive approach to resection of early stage lung cancers has been described and many favorable results validated. There is increased interest in pursuing a robotic approach as early experience indicates some potential advantages, including less pain in the early postoperative period and possibly more complete hilar and mediastinal lymph node dissection.

Video-Assisted Harvest of an Intercostal Muscle Flap

Thu, 21 Jul 2011 07:04:00 EDT

The intercostal muscle is a reliable buttress for the bronchial stump following pneumonectomy and lobectomy in high risk patients. We describe a technique for flap harvest to buttress the bronchial stump after lobectomy using video assisted thoracoscopic surgery.

Transcervical Extended Mediastinal Lymphadenectomy

Fri, 15 Apr 2011 08:35:00 EDT

In this article the authors describe the steps in performing TEMLA as it is currently practiced in their institution. Videos are included to enhance its utility.

Veritas® and STRATOS™: An Innovative Paradigm for Chest Wall Reconstruction With a Biological Patch and Titanium Bars

Wed, 15 Dec 2010 02:03:00 EST

A number of prosthetic materials, including GORE-TEX® and Marlex Mesh sandwiched with methylmethacrylate cement, have been described to restore the rigid chest wall contour. We discuss the role of a new rigid system for chest-wall reconstruction, consisting in moldable titanium bars and rib clips used in combination with a biological patch.

Pericardial Reconstruction in Thoracic Surgery

Wed, 17 Nov 2010 04:37:00 EST

This article describes the different techniques of pericardial reconstruction after partial pericardiectomy in thoracic surgery. Emphasis is put on reconstruction using synthetic meshes.

Exposure of the cervical esophagus

Wed, 06 Jan 2010 04:50:00 EST

This article describes a safe and effective way to mobilize the cervical esophagus paying special attention to preservation of the recurrent laryngeal nerve.

Endobronchial Ultrasound (EBUS) Biopsy of Mediastinal Lymph Nodes

Tue, 04 Mar 2008 11:21:00 EST

Mediastinoscopy is the ‘gold standard’ method for determining the presence of nodal metastases in the mediastinum. Generally performed as an outpatient surgical procedure, it is associated with a low rate of serious adverse effects (<1%) and the procedure is highly accurate, with false negative rates reported to be between 6% and 9%.

Stent Placement and Catheter-Directed Thrombolysis in SVC Syndrome

Wed, 14 Nov 2007 09:46:00 EST

Stent Placement and Catheter-Directed Thrombolysis in SVC Syndrome

Postero-Lateral (Shaw-Paulson) Approach to Pancoast Tumor

Thu, 18 Oct 2007 02:40:00 EDT

In 1932, the radiologist Henry Pancoast first described a superior pulmonary sulcus tumor (SST) as a carcinoma (of uncertain origin) developing in the apex of the chest.

Thoracotomy for Exposure of the Spine

Wed, 26 Sep 2007 01:52:00 EDT

Thoracotomy for Exposure of the Spine

Surgical Management Of Epiphrenic Diverticula

Mon, 23 Apr 2007 09:26:00 EDT

Epiphrenic diverticuli are acquired mucosal outpouchings protruding through the muscular wall of the distal 10 cm of the esophagus. Most are associated with an underlying esophageal motility disorder.

Video-assisted Extended Transcervical Thymectomy

Thu, 22 Feb 2007 11:11:00 EST

Thymectomy for myasthenia gravis, thymic cysts, thymoma less than two centimeters in size, and mediastinal parathyroid adenoma within the thymus are all indications for a video-assisted extended transcervical thymectomy.

Thoracoscopic Management of Spontaneous Pneumothorax

Fri, 10 Nov 2006 05:44:00 EST

Patients who have had a second episode of spontaneous pneumothorax are those most likely to be considered for thoracoscopic pleurectomy and apical blebectomy.

Thoracoscopic Decortication

Sun, 15 Oct 2006 02:33:00 EDT

The ability to completely drain the thoracic cavity, break up loculations of pleural fluid, completely visualize all aspects of the pleural space, and avoid the morbidity of a thoracotomy has made thoracoscopy attractive in the management of empyema and hemothorax.

Thoracoscopic Pericardial Window

Tue, 18 Jul 2006 03:36:00 EDT

Hemodynamically stable patients with an undiagnosed pericardial effusion are well suited for a thoracoscopic window. When pericardial, pleural, or pulmonary pathology co-exist and require diagnosis or therapy, a thoracoscopic approach is ideal.

Thoracoscopic Ligation of the Thoracic Duct

Thu, 22 Jun 2006 09:18:00 EDT

Ligation of the thoracic duct is indicated in any patient with a traumatic or iatrogenic chylothorax who has not responded to a brief trial of conservative management such as a low-fat diet, medium-chain triglycerides, total parenteral nutrition, and/or octreotide.

Thoracoscopic LVRS

Wed, 29 Mar 2006 02:20:00 EST

This procedure is performed in patients with emphysema to improve their exercise tolerance and quality of life. Specific criteria were established by the National Emphysema Treatment Trial (NETT) published in 2003.

Pericardial Fat Pad Flap Buttress

Wed, 04 Jan 2006 11:05:00 EST

Buttressing suture/staple lines in thoracic surgery has been shown to promote healing and prevent breakdown, especially in situations where the native tissues have been compromised. There are a wide variety of tissue flaps that have been used within the chest ranging from pleura, muscle, to omentum.

VATS Mediastinal Nodal Dissection

Tue, 06 Sep 2005 10:00:00 EDT

The majority of patients selected for VATS mediastinal nodal dissection are patients undergoing VATS lobectomy procedures for malignancy.

How to help your patients stop smoking. A guide for surgeons

Mon, 08 Aug 2005 10:00:00 EDT

Since a substantial number of patients presenting to a Cardiothoracic Surgery Clinic either smoked in the recent past or continue to do so, it is important to make sure that the patient stops smoking as soon as possible to improve their treatment outcome. The emphasis should be on improvement of treatment outcome and future health improvement.

Surgical Stabilization of Severe Flail Chest

Tue, 14 Jun 2005 10:00:00 EDT

Surgical Stabilization of Severe Flail Chest

VATS Lobectomy for Early Stage Lung Cancer

Thu, 21 Apr 2005 10:00:00 EDT

VATS Lobectomy for Early Stage Lung Cancer

Airway Stenting

Mon, 15 Nov 2004 12:00:00 EST

Airway Stenting

Laparoscopic Nissen Fundoplication

Mon, 30 Aug 2004 12:00:00 EDT

Laparoscopic Nissen Fundoplication

Surgical Management of Primary Mediastinal Germ Cell Tumors

Tue, 23 Mar 2004 12:00:00 EST

Surgical Management of Primary Mediastinal Germ Cell Tumors

Laparoscopic Myotomy and Fundoplication for Achalasia

Sat, 07 Feb 2004 12:00:00 EST

Laparoscopic Myotomy and Fundoplication for Achalasia

Resection of Symptomatic, Complex Aspergilloma

Sat, 07 Feb 2004 12:00:00 EST

Resection of Symptomatic, Complex Aspergilloma

Sternal Splitting Approaches to Thymectomy for Myasthenia Gravis and Resection of Thymoma

Mon, 01 Dec 2003 11:55:00 EST

Sternal Splitting Approaches to Thymectomy for Myasthenia Gravis and Resection of Thymoma

Bronchial and Pulmonary Arterial Sleeve Resection

Mon, 01 Dec 2003 11:00:00 EST

Bronchial and Pulmonary Arterial Sleeve Resection

Ligation of the Thoracic Duct for Chylothorax

Mon, 01 Dec 2003 11:00:00 EST

Ligation of the Thoracic Duct for Chylothorax

Thoracoscopic Sympathectomy

Mon, 01 Dec 2003 11:00:00 EST

Thoracoscopic Sympathectomy

Carinal Resection

Mon, 01 Dec 2003 11:00:00 EST

Carinal Resection

Minimally Invasive Endoscopic Repair of Pectus Excavatum

Mon, 01 Dec 2003 11:00:00 EST

Minimally Invasive Endoscopic Repair of Pectus Excavatum

Videomediastinoscopy

Mon, 01 Dec 2003 12:05:00 EST

Videomediastinoscopy

Extrapleural Pneumonectomy

Mon, 01 Dec 2003 12:05:00 EST

Extrapleural Pneumonectomy

Esophagectomy with Three-Field Lymph Node Dissection

Mon, 01 Dec 2003 12:00:00 EST

Esophagectomy with Three-Field Lymph Node Dissection

Extended VATS Thymectomy for Myasthenia Gravis Extrapleural Pneumonectomy

Mon, 01 Dec 2003 12:00:00 EST

Extended VATS Thymectomy for Myasthenia Gravis Extrapleural Pneumonectomy

VATS Major Pulmonary Resection

Mon, 01 Dec 2003 12:00:00 EST

VATS Major Pulmonary Resection

Minimally Invasive Esophagectomy

Mon, 01 Dec 2003 12:00:00 EST

Minimally Invasive Esophagectomy

Giant Bullous Emphysema

Mon, 01 Dec 2003 12:00:00 EST

Giant Bullous Emphysema

Laparoscopic Repair of Giant Paraesophageal Hernias

Mon, 01 Dec 2003 12:00:00 EST

Laparoscopic Repair of Giant Paraesophageal Hernias

Surgery of the Superior Vena Cava: Resection and Reconstruction

Wed, 22 Oct 2003 12:00:00 EDT

Surgery of the Superior Vena Cava: Resection and Reconstruction

Transhiatal Esophagectomy

Tue, 04 Jun 2002 11:50:00 EDT

Transhiatal Esophagectomy

New Technological Approach to Pulmonary Nodulectomy

Tue, 04 Jun 2002 11:00:00 EDT

New Technological Approach to Pulmonary Nodulectomy

Transcervical Thymectomy for Myasthenia Gravis

Tue, 04 Jun 2002 11:00:00 EDT

Transcervical Thymectomy for Myasthenia Gravis