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Thoracic Portal

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January’s top content includes impactful news items from CTSNet’s JANS newsletter, a step-by-step guide to using cutting edge 3D imaging software, a robotic gunshot injury repair, and more.
September 6, 2013
The cause of pectus deformities is thought to be abnormal elongation and/or distorsion of the rib cartilages. A simplified open repair is described based on the subperichondrial resection of the abnormal cartilages, and in the case of pectus excavatum, the use of an easily removable metallic strut.
August 9, 2013
Totalis Situs inversus (SIT) is an extremely rare condition. There are few reports in literature describing thoracic surgery in patients with this unusual anomaly. This video is the first report of a thoracoscopic lung resection of a pulmonary mass in a patient with SIT.
August 8, 2013
Dr. Todd Demmy, Clinical Chair of the Department of Thoracic Surgery and Professor of Oncology at Roswell Park Cancer Institute in Buffalo, NY, has put together an impressive Video Atlas of Thorascopic Lobectomy.
August 7, 2013
Thoracoscopic segmentectomy may be an excellent, minimally-invasive option for patients with small lung cancers or limited cardiopulmonary reserve.
August 7, 2013
CTSNet hosted a very lively Video Roundtable discussion at the recent 2013 STS Annual Meeting in Los Angeles, CA, on issues surrounding the two major minimally invasive techniques for removing parts of the lung.
May 22, 2013
Professor Robert J. McKenna, Jr., MD is Medical Director of Thoracic Surgery and Trauma at Cedars-Sinai, Los Angeles, CA. He pioneered the anterior approach for VATS lobectomy and has by far the largest experience in this technique. However, he has also served as the principal investigator on several trials, including the Z0030 trial on lymph node staging and also the NETT Trial.
May 8, 2013
Midesophageal diverticula are rare esophageal problems usually associated with granulomatous diseases and esophageal motility disorders. They are typically located at the subcarinal area with the wall of the diverticula adherent to the lymph nodes.
April 8, 2013
Mediastinoscopy is the ‘gold standard’ method for determining the presence of nodal metastases in the mediastinum. Generally performed as an outpatient surgical procedure, it is associated with a low rate of serious adverse effects (<1%) and the procedure is highly accurate, with false negative rates reported to be between 6% and 9%.
March 17, 2013
The anterior cervicothoracic approach was used to remove a desmoid tumor of the thoracic outlet in a 70-year-old male. The chest wall was reconstructed with titanium bars and a polytetrafluoroethylene-patch. The clavicle was fixed using a titanium clip. The postoperative period was uneventful.
March 4, 2013
This video demonstrates the ligation of the thoracic duct by a VATS approach. The patient suffered damage to the duct in the neck resulting in neck swelling and made local repair of the duct impossible. In this video the author demonstrates his technique for ligating the duct via a posterior VATS approach.

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