Content from the Journal of the American Neurological Surgeons.
In this survey respondents were asked about their routine approach to assessment and management of patients with non-thymomatous myasthenia gravis (MG). The majority of respondents surgically manage myasthenia gravis. Two-thirds of them perform this operation via a full or partial sternotomy. About 20% of surgeons use VATS approaches, and transcervical and robotic approaches each…
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. A minimally…
Pascale Vouhe is Professor Pediatric Heart surgery at the Necker Hospital for sick children in Paris. He is the immediate Past President of the European Association of Cardiothoracic Surgery and has been part of many publications including the ESC guidelines on the management of grown up congenital heart disease, the creation of the Aristotle scoring…
By KiHong Kwon, Robert S. Firpo and Thomas Tzeng Video:
By C. L. Athanasuleas, MD and G. D. Buckberg, MD
Case Presentation 65 year old woman Smoker 15 pack-years Scleroderma Raynaud’s syndome Dyspnea Complementary Studies Respiratory Function Test: FEV1 1.76 L (81%), FVC 2.20 L (85%), pO2 80, pCO2 39 Bronchoscopy: Normal CT FNA: sarcoma
STSA Surgical Motion Picture 2008 Annual Meeting
By Heyman Luckraz, FRCS, Adam Szafranek, MD, Christine NH Tan, MD, and Peter A. O’Keefe, MS, FRCS Surgical strategies Relieve aortic stenosis Myocardial protection Without damaging the patent grafts Allow flow from LV via native and prosthetic valves, hence bigger EOA Avoiding damage to other structures Video:
By Andreas Zierer, MD, Luis A. Sanchez, MD and Marc R. Moon, MD STSA 2007
The authors present a case of a 55 year old male with known mitral valve insufficiency. By transesophageal echo the patient was found to have a ruptured chordae on the P2 segment of the posterior leaflet of the mitral valve. The patient had coronary angiography done which revealed no evidence of coronary artery disease. He…
Patient Selection Transhiatal esophagectomy (THE) may be used to treat patients with either benign or malignant esophageal disease because the reconstructive result cervical esophagogastric anastomosis yields an excellent functional result with a minimum of gastroesophageal reflux. In practice, the majority of patients who require esophagectomy have malignant disease. No single esophagectomy approach is ideally suited…
This video describes a left Video-Assisted Thoracoscopic (VATS) upper lobectomy in an 18-month old child with infected congenital cystic adenamatoid malformation (CCAM). CCAM was diagnosed prenatally and then confirmed at birth by CXR and CT scan of the thorax which showed a large hyperinflated left upper lobe cyst with mediastinal shift to the right and compression…
STSA Surgical Motion Picture 2010 Annual Meeting Newer methods of aortic valve repair are achieving excellent long-term outcomes (Aicher et al. Eur J Cardiothorac Surg 2010;37:127-132) with an 88% freedom from valve-related complications at 10 years (a marked improvement over the 4-5% per year complication rate with biologic or mechanical prostheses). The goal of this…
Video 1a. Mobilizing the superior aspect of the ICM thorough the working incision. Video 1b. Mobilizing the ICM anteriorly using the thoracoscope. Video 2. Mobilizing ICM through the working incision. Video 3. Mobilization of the inferior aspect of the ICM. Video 4. Mobilization of the superior aspect of the ICM. Video 5. Full length of…
