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Techniques

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The authors describe their technique for an S1+2 segmentectomy, discussing the anatomical landmarks and variations that are key in this procedure.
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.
January 4, 2012
This article describes how a HeartMate XVE left ventricular assist device may be exchanged for a HeartMate II axial-flow pump with low morbidity and mortality and without a full sternotomy.
December 15, 2011
Breast implant complications after thoracic surgery are relatively rare. We present an unusual case of an intact implant migration into the pleural space after thoracoscopic surgery that was initially read as hemothorax on computed tomography of the chest.
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.
October 19, 2011
Patient Selection
October 10, 2011
Acute Type A aortic dissections can be challenging entities for cardiac surgeons and require close follow-up secondary to their propensity for aneurismal degeneration. A combined open and endovascular technique is described for treating the inital dissection and resultant complications.
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.
July 28, 2011
The intercostal muscle is a reliable buttress for the bronchial stump following pneumonectomy and lobectomy in high risk patients. We describe a technique for flap harvest to buttress the bronchial stump after lobectomy using video assisted thoracoscopic surgery.

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