Thirugnanam Agasthian

Video

VATS Hand-Sewn Intrathoracic Esophagogastric Anastomosis

September 27, 2017 | Thirugnanam Agasthian

Introduction Totally endoscopic two-stage (laparoscopic and VATS) esophagectomy for carcinoma of the lower third esophagus is a well-established procedure [1, 2]. There are currently many methods to perform an intrathoracic esophagogastric anastomosis by video-assisted thoracoscopic...

Video

Left Video-Assisted Thoracoscopic Enucleation of a Giant Horseshoe Esophageal Leiomyoma

June 8, 2017 | Esther Chan…

A 27-year-old woman underwent a video-assisted thoracoscopic enucleation of a giant horseshoe esophageal leiomyoma. The patient was asymptomatic and the lesion was discovered incidentally on a routine chest radiograph. Computed...

Video

Right VATS Completion Pneumonectomy

February 5, 2016 | Thirugnanam Agasthian

This video shows a completion pneumonectomy performed totally by video-assisted thoracoscopic surgery (VATS) on a 64-year-old female non-smoker. The patient underwent a right middle and lower lobectomy by thoracotomy in...

Video

VATS Lobectomy with Sleeve Bronchoplasty and Arterioplasty

July 22, 2015 | Pramoj Jindal…

A 36-year-old woman was diagnosed with a left lung mass, which was incidentally detected during a routine x-ray examination. She had undergone right radical mastectomy with axillary clearance for carcinoma...

Video

Left Video-Assisted Thoracoscopic Sleeve Lower Lobectomy

April 21, 2014 | Thirugnanam Agasthian

This video demonstrates a left video-assisted thoracoscopic (VATS) sleeve lower lobectomy in a 68-year-old male smoker with a stage IA endobronchial squamous cell carcinoma, arising from the left lower lobe...

Video

Pediatric VATS Segmentectomy

April 3, 2014 | Thirugnanam Agasthian…

The video describes a VATS segmentectomy for a left upper lobe cavitating nodule in a 22-month-old child. The child was waiting for a bone marrow transplant, following failed chemotherapy for...

Video

Right Video Assisted Thoracoscopic Sleeve Upper Lobectomy

March 3, 2014 | Thirugnanam Agasthian

This video demonstrates the technical details of performing a right video-assisted thoracoscopic sleeve lobectomy in a 42-year-old male smoker with a stage I adenocarcinoma of the right upper lobe of...

Video

Video Assisted Thoracoscopic (VATS) Thymectomy

October 24, 2013 | Thirugnanam Agasthian

Introduction A variety of approaches for surgical management of myasthenia gravis and thymoma have been described. There is a growing experience with VATS approaches to the management of each of...

Video

Video Assisted Thoracoscopic (VATS) Lobectomy following Neoadjuvant Chemoradiotherapy

September 9, 2012 | Thirugnanam Agasthian

Induction chemoradiotherapy is a relative contraindication to VATS lobectomy due to oncological concerns regarding completeness of resection and technical difficulties arising from treatment-related fibrosis. This video demonstrates a VATS lower...

Video

VATS Middle Lobectomy Following a Previous Right VATS Lower Lobectomy

October 24, 2011 | Thirugnanam Agasthian

Prior VATS lobectomy is a relative contraindication to ipsilateral repeat VATS lobectomy due to possible technical difficulties arising from adhesions and scarring, especially at the hilum. This video describes a...

Video

Pediatric Left VATS Upper Lobectomy for Infected Congenital Cystic Malformation

August 1, 2011 | Thirugnanam Agasthian

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...

Video

Precision Cautery Excision of Deep-Seated Lung Hamartoma by Video Assisted Thoracoscopic Surgery (VATS)

February 2, 2011 | Thirugnanam Agasthian

Precision cautery excision, or the Perelman procedure, is ideal for: Resection of multiple lung lesions as in metastasectomy where preservation of lung tissue is important. Deep-seated lesions where placement of...