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Thoracic Techniques

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This essay is a historical review of the development of pulmonary lobectomy.
February 11, 2014
Dual incision thoracoscopic (DIT) decortication for stage 2 fibrinopurulent effusion is a further reduction in the invasiveness of thoracoscopy. DIT decortication is less invasive in a patient who is already morbid with infection, and the limited incisions or ports further reduce nerve injury in a relatively crowded rib space.
November 21, 2013
This video demonstrates the clinical application of the lung lavage technique for the treatment of Pulmonary Alveolar Proteinosis (PAP).
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.
October 18, 2013
Congenital cystic adenomatoid malformation (CCAM) of the lung is a rare congenital malformation.This anomaly has been rarely described in adults when in association with bronchial and vascular atresia. There are few reports in the literature describing thoracoscopic lobectomy in patients with this unusual anomaly. This video is the first report of a lung resection of a CCAM via a single-port thoracoscopy.
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%.
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.
February 2, 2012
A robotic technique is described for first rib resection for Paget Schroetter Disease or “effort thrombosis” of the subclavian vein that allows for en bloc resection of the offending portion of the first rib while minimizing the risk of neurovascular injury.

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