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Thoracic

March 13, 2014
This video demonstrates the technical details of a redo cervical tracheal resection and laryngotracheal reconstruction for recurrent subglottic cicatricial stenosis that is not amenable to endoscopic treatment.
March 8, 2014
In an effort to provide diagnostic information complementary to radiographic screening for lung cancer, the authors evaluated the diagnostic performance of plasma mRNA.  The mRNA signature classifier demonstrated 87% sensitivity and 81% specificity, with a negative predictive value of 99%.  In contrast, low dose CT had a sensitivity of 79% and a spec
March 7, 2014
LVI is thought to be an adverse prognostic indicator of survival in patients with NSCLC.  This review quantified the relationship of LVI and survival.  The unadjusted effect of LVI for recurrence-free survival was HR=3.63 and for overall survival was HR=2.38.  After adjustment for covarates, these HRs were 2.52 and 1.81, both highly significant. 
March 3, 2014
This video demonstrates the technical details of performing a totally endoscopic anterior approach, right video-assisted thoracoscopic sleeve lobectomy in a 42-year-old male smoker with a stage I adenocarcinoma of the right upper lobe of lung.
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.
February 6, 2014
This video demonstrates the construction of a mediastinal stoma after laryngotrachiectomy using a pectoralis major myocutaneous flap.
January 27, 2014
This video examines the example of two similar operations performed in a hospital in Spain and a hospital in Brazil, using the same uniportal VATS technique. The purpose of this video is to demonstrate how the approach by uniportal VATS offers a direct view of the hilum, giving a clear and safe view of the fissure from its anterior and most inferior aspect.
January 21, 2014
The resection of locally advanced lung cancer is generally accomplished with thoracotomy. When possible, the authors use a hybrid approach. This video illustrates two cases of invasive right upper lobe tumors. VATS exploration through a standard anterior, two-incision, approach directs a secondary counter incision.
January 14, 2014
Since video-assisted thoracoscopic surgery (VATS) was described for anatomic lobectomies, many technical variations have been published. The uniportal technique, which enables the entire procedure to be performed through a single port, was recently introduced. This video shows a uniportal VATS lobectomy for lung cancer treatment.
December 26, 2013
Diego Gonzalez Rivas, MD, FETCS, is the creator of the uniportal VATS lobectomy procedure. In this interview, Dr. Gonzalez Rivas talks about the origin of the procedure, shares insights for successful uniportal VATS lobectomies, and discusses of the future of VATS procedures.

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