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 VATS middle lobectomy in a 63 years old ex-smoker who had a previous VATS right lower lobectomy and pulmonary tuberculosis of the right upper lobe.
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Cancer
August 7, 2011
Case Presentation
August 2, 2011
Transhiatal esophagectomy (THE) may be used to treat patients with either benign or malignant esophageal disease because the reconstructive result cervical esophagogastric anastomosis yields an excellent functional result with a minimum of gastroesophageal reflux. In practice, the majority of patients who require esophagectomy have malignant disease.
March 10, 2011
Systematic nodal dissection is increasingly becoming an integral part of VATS lobectomy for early lung cancer. This video gives details demonstrating the author's technique of en-bloc mediastinal nodal dissection, which is a modification of the original Naruke technique.
February 15, 2011
James Luketich, MD, interviews Mark Orringer, MD, who discusses the procedure that he helped pioneer: thetranshiatal esophagectomy. He reviews the key steps in the procedure to make this a successful operation.
January 17, 2011
In 1932, the radiologist Henry Pancoast first described a superior pulmonary sulcus tumor (SST) as a carcinoma (of uncertain origin) developing in the apex of the chest.
September 19, 2010
Ivor Lewis esophagectomy is occasionally required in patients who have previously undergone gastric surgery. A technique is described to salvage a gastric conduit by preserving the left gastric pedicle during esophagectomy.
August 30, 2010
Pericardial cysts are an uncommon benign congenital anomaly in the middle mediastinum. They represent 6% of mediastinal masses, and 33% of mediastinal cysts. Other cysts in the mediastinum are bronchogenic – 34%, enteric – 12%, thymic and others – 21%.
August 30, 2010
A 42-year-old man with chronic obstructive pulmonary disease (COPD) presented to the emergency department (ED) complaining of worsening shortness of breath and respiratory distress. His home oxygen requirement was 2 liters by nasal canula, and he has had multiple prior hospital admissions for respiratory failure.