Content from the Journal of the American Neurological Surgeons.
Should off-pump CABG be abandoned? Joseph Sabik of the Cleveland Clinic, Cleveland, Ohio, suggests that while off-pump CABG should not be completely abandoned, it should no longer be the default option. Dr. Sabik argues in favor of on-pump CABG becoming the first choice of cardiac surgeons, citing procedural outcomes, quality of revascularization, and long-term effectiveness.…
VATS is a safe approach for the treatment of a Pancoast tumor. When combined with other accesses, a VATS approach allows for radical resection, with the advantages of improved wound healing, better postoperative pain control, and decreased respiratory complications. This video presents the case of a 57-year-old patient with an adenocarcinoma of the superior sulcus…
The enlargement of the aortic annulus has demonstrated excellent results for avoiding patient-prosthesis mismatch (PPM). Aortic root enlargement (ARE) has been shown to be a safe and reproducible procedure. Several techniques are described in the literature, however, Nicks was a pioneer in describing the incision into the noncoronary sinus that allows aortic annulus enlargement (1).…
Click below to view the full PDF. This protocol is provided by the James Cook University Hospital, Middlesbrough, United Kingdom.
David Waller of Glenfield Hospital, Leicester, United Kingdom, discusses the current options available for the surgical treatment of emphysema. Dr. Waller evaluates the risks and benefits of endobronchial valves, endobronchial coils, and lung volume reduction surgery (LVRS). Using data from the NETT trial, Dr. Waller argues that LVRS is the best surgical option available for…
Is open repair or TEVAR the best approach for a patient with chronic type B dissection? An expert panel of cardiothoracic surgeons and an interventional cardiologist met at the 2016 SCTS Annual Meeting in Birmingham, United Kingdom, to discuss this complex issue. Mohamad Bashir of the Liverpool Heart and Chest Hospital, Liverpool, United Kingdom, was joined…
Originally presented as a Surgical Motion Picture at the 2015 STSA Annual Meeting Objectives: Achalasia is an end stage motor disorder of the esophagus characterized by absent peristalsis and defective LES sphincter relaxation that results in patients experiencing progressive solid and liquid food dysphagia. Although there are many treatment options, surgical myotomy has produced effective…
Minimally invasive cardiac surgery has been associated with faster recovery and less post-operative pain, bleeding, and respiratory compromise. Despite these factors, a minimally invasive approach is not routinely adopted during aortic root surgery (1, 2). This video demonstrates a mini-Bentall technique through a J-shaped ministernotomy at the 4th intercostal space. A 74-year-old female patient had…
Joseph Sabik of the Cleveland Clinic, Cleveland, Ohio, considers the importance of internal mammary artery (IMA) grafts in long-term CABG outcomes. Drawing upon information in the Cleveland Clinic’s 50,000 CABG patient database, Dr. Sabik argues that IMA grafts are the gold standard for all patient populations, including those comprised of diabetics. This presentation was originally…
Despite its introduction in the 1990s, the adoption rate for VATS lobectomy remains relatively low. A group of experts met at the 2016 SCTS Annual Meeting in Birmingham, United Kingdom, to discuss the adoption, efficacy, and future of VATS lobectomy. Shanda Blackmon of the Mayo Clinic, Rochester, Minnesota, was joined by Rene Petersen of the…
The right axillary thoracotomy allows repair of a wide range of congenital heart defects. From 2008 to 2016, 48 patients* underwent surgical repair through the right chest. There were no mortalities, residual defects, or peri-operative complications. In the authors’ experience, the cosmetic results are highly appreciated, as the approach is far from breast tissue with…
This video demonstrates a uniportal VATS surgery for the excision of a 5 x 12 cm posterior mediastinal ganglioneuroma mass.
Surgical training in developing countries has traditionally required months and years of clinical and operative teaching by local and visiting first world faculty. This video describes an online simulation surgery course that teaches ten general and thoracic surgical procedures commonly encountered in developing countries. The teaching models are made from readily available and inexpensive supplies,…
Franca Melfi of the University of Pisa, Pisa, Italy, discusses her 13 years of experience performing robotic thoracic surgery. Dr. Melfi compares robotic lung resection to VATS and open techniques, and identifies the need for additional, long-term studies to fully evaluate the risks and benefits of each technique. Dr. Melfi also shares her own experience…
“Success comes from paying attention to all the little details,” Doug Mathisen says in a recent CTSNet interview with Leanne Harling that was filmed at the 2016 SCTS Annual Meeting in Birmingham, United Kingdom. Dr. Mathisen is the Head of Thoracic Surgery and Program Director for Cardiothoracic Surgery at the Massachusetts General Hospital and Hermes…
This video demonstrates an esophageal replacement with a long segment super-charged jejunal interposition.
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