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Minimally Invasive Portal
September 9, 2012
Induction chemoradiotherapy is a relative contraindication to VATS lobectomy due to oncological concerns. This video demonstrates a VATS lower lobectomy and radical systematic lymphadenectomy in a 53-year-old male who recurred locally following induction chemoradiotherapy.
September 5, 2012
Transapical aortic valve implantation (TAVI) has become a feasible alternative to open techniques in high risk patients. Surgical technique and some critical tips and pitfalls are described.
July 17, 2012
For purposes of this survey, respondents were asked to assume they had recommended surgical therapy for a 63 year old man who had been diagnosed with a distal esophageal adenocarcinoma, clinically staged as T2N0 via EUS, CT, and PET. His general health was good. He had no prior abdominal or thoracic surgery, and he had no important comorbidities.
April 1, 2012
April 1st 2012 is the 20th Anniversary of VATS lobectomy at the Royal Infirmary of Edinburgh. Twenty years ago, Dr. William Walker performed a left upper lobectomy using a 3-port approach standing in the posterior position. Now approaching his thousandth operation, he discusses his first VATS lobectomy and his current techniques.
March 7, 2012
Demonstrated in the video is a novel concept for facilitating extensive neochordal repair in mitral regurgitation based on the paradigm “respect rather than resect”. Both leaflet tissue and motion are respected. The leaflet is folded and the neochordae is tied, maintaining free margin and annulus edge-to-edge.
February 2, 2012
A robotic technique is described for first rib resection for Paget Schroetter Disease or “effort thrombosis” of the subclavian vein that allows for en bloc resection of the offending portion of the first rib while minimizing the risk of neurovascular injury.
December 15, 2011
Prof. Hans Pilegaard has developed a novel method for Nuss bar insertion using a short bar technique. Using this technique he has performed almost 1000 Nuss procedures. In this interview he describes his technique. Intraoperative video is included of Dr. Pilegaard performing the operation at the Edinburgh Royal Infirmary.
October 23, 2011
The video outlines the salient clinical features of esophageal leioyomyoma and their thoracoscopic management. The pertinent surgical steps are outlined to demonstrate the surgical technique that is involved in this operation and will help surgeons adopt thoracoscopic resection as standard in the management of this benign condition.
September 12, 2011
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.