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Esophagus - Cancer

January 17, 2011
In 1932, the radiologist Henry Pancoast first described a superior pulmonary sulcus tumor (SST) as a carcinoma (of uncertain origin) developing in the apex of the chest.
September 19, 2010
Ivor Lewis esophagectomy is occasionally required in patients who have previously undergone gastric surgery.  A technique is described to salvage a gastric conduit by preserving the left gastric pedicle during esophagectomy.
August 30, 2010
Hemodynamically stable patients with an undiagnosed pericardial effusion are well suited for a thoracoscopic window. When pericardial, pleural, or pulmonary pathology co-exist and require diagnosis or therapy, a thoracoscopic approach is ideal.
August 30, 2010
Pericardial cysts are an uncommon benign congenital anomaly in the middle mediastinum.  They represent 6% of mediastinal masses, and 33% of mediastinal cysts.  Other cysts in the mediastinum are bronchogenic – 34%, enteric – 12%, thymic and others – 21%.
October 6, 2009
Ligation of the thoracic duct is indicated in any patient with a traumatic or iatrogenic chylothorax who has not responded to a brief trial of conservative management such as a low-fat diet, medium-chain triglycerides, total parenteral nutrition, and/or octreotide.
September 13, 2009
A 62-year-old Ukrainian man presented with facial swelling, chest wall varices, and a large mediastinal mass. He underwent core biopsy that demonstrated a mixed thymoma. Nine years previously, the patient had undergone an anterior thoracotomy and excisional biopsy of a mediastinal mass demonstrating necrotic tissue and no definitive diagnosis was made.
August 21, 2008
This video shows an unusual approach robotically with the patient in the prone position for the intrathoracic dissection.  The patient is then turned supine for the abdominal part of the procedure.

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