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Uniportal Video-Assisted Thoracoscopic Lobectomy of a Congenital Cystic Adenomatoid Malformation and Broncho-Vascular Atresia
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 8, 2012
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.
December 12, 2011
The ability to completely drain the thoracic cavity, break up loculations of pleural fluid, completely visualize all aspects of the pleural space, and avoid the morbidity of a thoracotomy has made thoracoscopy attractive in the management of empyema and hemothorax.
September 12, 2011
A minimally invasive approach to resection of early stage lung cancers has been described and many favorable results validated. There is increased interest in pursuing a robotic approach as early experience indicates some potential advantages, including less pain in the early postoperative period and possibly more complete hilar and mediastinal lymph node dissection.
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.