This video demonstrates the removal of a 10 cm anterior mediastinal teratoma through single incision VATS.
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Mediastinum
June 25, 2014
Predictors of resectability on preoperative CT were evaluated in 133 pts undergoing resection for thymoma over a 13 year period in a single institution. 60% of pts were Masaoka stage I or II. 17% of pts had an incomplete resection. On multivariate analysis, pleural nodularity and the degree of abutment of adjacent vessels predicted incomplete rese
June 25, 2014
This single institution study evaluated prognostic factors in 262 pts undergoing thymectomy for thymic tumors over a 25-year period. The majority of tumors were Masaoka stage II and the most common histology was WHO type B. 15 year survival was 91%. Recurrence was related to Masaoka stage and tumor size.
May 6, 2014
The authors compared outcomes of surgical management of early stage thymoma in 125 patients undergoing unilateral VATS to 137 patients undergoing transsternal resection. OR time, blood loss, chest tube drainage, chest tube duration, and LOS were less in the VATS group. Complication rates and local recurrence rates were similar.
March 26, 2014
This study surveyed outcomes of sympathotomy for hyperhidrosis more than 1 year postoperatively. 77% reported clinically bothersome compensatory sweating, although the incidence decreased over time to 35% at 5 years and thereafter.
February 6, 2014
This video demonstrates the construction of a mediastinal stoma after laryngotrachiectomy using a pectoralis major myocutaneous flap.
October 24, 2013
A variety of approaches for surgical management of myasthenia gravis and thymoma have been described. There is a growing experience with VATS approaches to the management of each of these conditions. One approach to VATS thymectomy is described in this article and the accompanying videos.
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%.
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.
July 19, 2012
The Novalung Interventional Lung Assist (iLA) device is a membrane ventilator that allows for oxygen and carbon dioxide gas exchange to occur by simple diffusion.