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Thoracic

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 15, 2011
Prof. Hans Pilegaard has developed a novel method for Nuss bar insertion using a short bar technique. Using this technique he has performed almost 1000 Nuss procedures. In this interview he describes his technique.  Intraoperative video is included of Dr. Pilegaard performing the operation at the Edinburgh Royal Infirmary.
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.
July 28, 2011
Dr. David discusses his routine techniques for sternotomy, cannulation, and routine aortic-valve replacement, including choice of valves and when to do a Ross procedure. Then he discusses his signature operation---the aortic valve sparing root replacement, with many valuable hints and tips.
July 27, 2011
Patients who have had a second episode of spontaneous pneumothorax are those most likely to be considered for thoracoscopic pleurectomy and apical blebectomy.
May 22, 2011
Dr. Sergeant is a past president of the European Association of Cardio-thoracic Surgery and is is the clinical director of the K.U.Leuven OPCAB Training and Re-training School. Dr. Sergeant discusses off-pump surgery techniques and provides tips for performing the procedures.

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