Prior VATS lobectomy is a relative contraindication to ipsilateral repeat VATS lobectomy due to possible technical difficulties arising from adhesions and scarring, especially at the hilum. This video describes a VATS middle lobectomy in a 63 years old ex-smoker who had a previous VATS right lower lobectomy and pulmonary tuberculosis of the right upper lobe.
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Thoracic
October 23, 2011
The video outlines the salient clinical features of esophageal leioyomyoma and their thoracoscopic management. The pertinent surgical steps are outlined to demonstrate the surgical technique that is involved in this operation and will help surgeons adopt thoracoscopic resection as standard in the management of this benign condition.
September 21, 2011
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 7, 2011
Case Presentation
August 7, 2011
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.
August 1, 2011
The video describes a left Video-Assisted Thoracoscopic (VATS) upper lobectomy in an 18-month old child with infected congenital cystic adenamatoid malformation (CCAM).
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.
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.