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Lung
January 5, 2010
This video describes a new technique for removing or sampling lymph nodes from the superior mediastinum through a left thoracotomy, without the arch mobilisation and the ductus division, on patients with left sided hilar primary lung cancer. This novel technique helps to detect the occult mediastinal disease.
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.
September 13, 2009
The patient is a 16-year-old male who was a restrained passenger in a car that collided with a guardrail at high speed. He was initially admitted to the referring hospital with no respiratory symptoms and with oxygen saturations over 90%.
July 21, 2009
This video shows a left lower lobe sleeve resection (reimplantation of the left upper lobe bronchus into the left mainstem bronchus) for a carcinoid tumor in the left lower lobe bronchus.
May 26, 2009
Pulmonary endoarterectomy is the treatment of choice in patients with chronic thromboembolic pulmonary hypertension. Traditionally, PEA is achieved by adopting periods of deep hypothermia at 18° Celsius and circulatory arrest. We present an alternative strategy, based on the application of a negative pressure in the left chambers and also in the superior vena cava.
March 18, 2009
Patients with recurrent or persistent spontaneous pneumothorax are treated thoracoscopically. Those with blebs or small bullae are generally managed by stapler resection of the lesions. We have recently experimented with a new device (Endo-Floating Ball) for the coagulation of blebs as an alternative to endostapler resection.