Content from the Journal of the American Neurological Surgeons.
Low-dose CT chest screening for patients at high risk for lung cancer has increased the detection of small peripheral nodules (1), but traditional bronchoscopy limits the ability to biopsy these peripheral nodules (2). Shape-sensing robotic-assisted bronchoscopy utilizing the Ion endoluminal system allows airway visualization and navigation to reach and biopsy small peripheral nodules through a…
August’s top content includes several items from our recent Guest Editor Series, “Segmentectomy for Lung Cancer,” from guest editor Alan Sihoe, as well as two uniportal technique videos from thoracic surgeon Diego Gonzalez Rivas. 1. Tricuspid Valve Patch Augmentation with Annular Detachment in Thin Leaflet ValvesAhmad Ali Amirghofran The annular detachment technique can be reliably…
CTSNet presents the recording of “Advances in MVR: Choosing an Optimal Surgical Mitral Valve for Your Patient,” featuring cardiac surgery experts Richard J. Shemin, Denis Bouchard, and Dee Dee Wang. This webinar was live broadcasted on Wednesday, August 24, 2022 by CTSNet in collaboration with Edwards Lifesciences. Topics covered: Mitral valve replacement versus repair The…
As most know, Dr. James Tweddell lost his battle with cancer on July 1, 2022. This has been—without equivocation—a colossal loss for the congenital heart surgery community. In an ongoing effort to properly preserve a few of his innumerable contributions to the field, this video (one of several in a series) demonstrates his surgical techniques…
Robotic resection of the first rib (R-FRR) in patients with thoracic outlet syndrome (TOS) was described in 2012 by Gharagozloo et al. (1). This group has published the results of their experience in the decade since the original description (2–8). Their most recent report included 162 patients—eighty-three for venous thoracic outlet syndrome (VTOS) and seventy-nine…
Professor Nasser Altorki and his colleagues recently released the results of the landmark thoracic surgery trial, CALGB 140503. The randomized trial studied the different methods of thoracic surgery and how they perform in treating patients with stage IA non-small cell lung cancer (NSCLC). Ultimately, the trial results revealed that, with better surgical methods and technologies,…
Internationally acclaimed cardiac surgeon and respected leader of cardiac surgeons in India, Dr. V. Rao Parachuri, passed away on June 30, 2022. He was an accomplished cardiac surgeon who had many innovations to his credit. He had pioneered the surgical ventricular restoration technique using a rectangular intraventricular patch. He had also pioneered valve repair surgery…
Aortic arch surgery is not a trademark. In turn, it practically translates to a collection of different, often surgeon-specific, techniques. This step-by-step video outlines a simplified technical approach to the community. The key-points are as follows: Set unilateral antegrade cerebral perfusion at 28°C using a simplified brachiocephalic trunk cannulation without the need for extra incisions…
Functional Mitral and Tricuspid RegurgitationKok Meng John Chan, EditorSpringer International Publishing, Switzerland, 2017ISBN 978-3-319-82842-8, 222 pages, $109.99 (USD) Functional mitral and tricuspid insufficiency are stout nuts to crack for any cardiothoracic surgeon. Their uniqueness lies in being “functionally” impaired, secondary to a disease affecting the ventricles. Both conditions carry adverse outcomes and the propensity to…
Background Six billion people lack access to safe, timely, and affordable cardiac surgical care (1). More than thirty million people live with rheumatic heart disease (RHD) worldwide (2). Congenital heart defects (CHD) affect more than one million births each year yet remain untreated in more than 90 percent of cases in low- and middle-income countries…
CTSNet Guest Editor Alan Sihoe, MBBChir, FRCSEd, FCSHK, FHKAM, discusses his series, “Segmentectomy for Lung Cancer” alongside four other esteemed thoracic surgery colleagues. Serving as webinar moderator, Dr. Sihoe invited his peers to discuss and address the guest editor videos, specialty insights, and viewer questions. The talk took place live on August 12, 2022. Dr.…
This video displays a uniportal robotic-assisted thoracic surgery (URATS) left upper sleeve lobectomy for a carcinoid tumor (live surgery from Brasilia, Brazil, on July 14, 2022). The tumor was in the left upper lobe with both an extension into the left upper lobe bronchus and also reaching the left main bronchus. An URATS LUL sleeve…
Anatomic lung resection is the gold standard procedure for the treatment of primary non-small cell lung cancer (1). The division of the interlobar fissure may represent a critical step when performing lower lobectomies. The presence of an incomplete or partially incomplete fissure may result in a prolonged dissection of the parenchyma. The identification of the…
Tricuspid valve leaflet augmentation has been introduced and widely used to overcome the malcoaptation of the tricuspid valve leaflets (1). Many centers have substituted this technique with the recently introduced and more physiologic procedure of “papillary muscle cross control” (2) in patients where malcoaptation is caused by pure tethering leaflets. However, the augmentation technique is…
The use of elective segmentectomy for medically fit patients has been a source of controversy for the past forty years. The 1995 Lung Cancer Study Group’s (LCSG) randomized trial solidified lobectomy as the standard of care in early stage non-small cell lung cancer (NSCLC). It was a well-conceived and executed trial, but its results now…
A sixty-year-old woman underwent a chest computerized tomography (CT) scan during the timeframe of a flu frame and a suspected COVID-19 infection. From the CT scan, a pulmonary nodule in the left lower lobe was identified. Following resolution of the infection, the patient repeated a new CT within a three-month time interval. The patient displayed…
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