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Thoracic Portal

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This video illustrates a procedure for a patient who was initially diagnosed with a duplication cyst, but was found to have a posterior mediastinal tumor in the superior sulcus during a VATS... More
January 5, 2010
This article describes a safe and effective way to mobilize the cervical esophagus paying special attention to preservation of the recurrent laryngeal nerve.
January 5, 2010
This video describes a new technique for removing or sampling lymph nodes from the superior mediastinum through a left thoracotomy, without the arch mobilisation and the ductus division, on patients with left sided hilar primary lung cancer.  This novel technique helps to detect the occult mediastinal disease.
October 6, 2009
Patient Selection
October 6, 2009
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 low-fat diet, medium-chain triglycerides, total parenteral nutrition, and/or octreotide.
September 13, 2009
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 with no respiratory symptoms and with oxygen saturations over 90%.
September 13, 2009
A 62-year-old Ukrainian man presented with facial swelling, chest wall varices, and a large mediastinal mass. He underwent core biopsy that demonstrated a mixed thymoma. Nine years previously, the patient had undergone an anterior thoracotomy and excisional biopsy of a mediastinal mass demonstrating necrotic tissue and no definitive diagnosis was made.
September 3, 2009
Patient Selection
August 10, 2009
A 44 year old female presented with a complaint of increasing swelling in her head and upper chest over the last year. She reported increasing shortness of breath and a drowning sensation when in the supine position. Her face becomes red and tight with minimal exertion. The past medical history is significant for hypogammaglobulinemia related to...

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