ckomanapalli
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...
Patients who have had a second episode of spontaneous pneumothorax are those most likely to be considered for thoracoscopic pleurectomy and apical blebectomy. Patient Selection Patients who have had a...
Introduction Chordomas are rare, slow-growing neoplasms derived from notochord remnants which form the early spine in fetal development. Most of the notochord is replaced by spine during the first six...
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...
Introduction Pericardial cysts are an uncommon benign congenital anomaly in the middle mediastinum. They represent 6% of mediastinal masses, and 33% of mediastinal cysts. Other cysts in the mediastinum are...
This article describes a safe and effective way to mobilize the cervical esophagus paying special attention to preservation of the recurrent laryngeal nerve. Patient Selection Exposure of the esophagus in...
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...
The patient is a 16-year-old male who was a restrained passenger in a car that collided with a guardrail at high speed. He was initially admitted to the referring hospital...
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...
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. Patient...
Patient Selection The initial selection is performed by the spine surgeon for typical indications of spine stabilization, resection of tumor, drainage of an abscess, and re-operation for complications of previous...
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...








