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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%.
The Anterior Trans-cervical Approach to Remove a Desmoid Tumor of the Thoracic Inlet Followed by Chest Reconstruction Using the Stratos™ System and PTFE Patch
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.
February 24, 2013
This survey was completed by over 300 participants, which is the largest participation level we have seen for such surveys. This may indicate the general interest level in assessment of the high risk patient for lung resection.
January 7, 2013
Dr. Joel Dunning leads a discussion on VATS and robotic lobectomy, sleeve lobectomy and pneumonectomy, new devices, as well as many other related issues.
November 14, 2012
For purposes of this survey, readers were asked to assume that they consulted on an otherwise healthy middle aged patient with a distal esophageal adenocarcinoma, T1bN0 by EUS. There were no contraindications to esophagectomy.
November 11, 2012
At the recent EACTS meeting Dr. Doug Wood led a discussion on the treatment of limited stage mesothelioma. Topics included MARS Trial, chemotherapy, radiotherapy, EPP, and P/D.
October 14, 2012
Tumors invading the tracheobronchial angle or the carina represent a challenge due to the complexity of airway reconstruction and management. Carinal resection, a complex and aggressive procedure for the treatment of these tumors, may be a safe approach for highly selected patients, in experienced centers with acceptable morbidity and mortality and good long-term survival.
October 7, 2012
A right robotic thymectomy is described for the treatment of myasthenia gravis and thymoma. Early results are comparable to sternotomy and VATS approaches. A novel technique using ICG for contralateral phrenic nerve identification is also described.