Pleural Empyema
Figure 37.1 After localization of the empyema via needle puncture, a 4 cm skin incision is made, followed by a rib resection of 2–3 cm (Fig. 37.1b). After the chest…
Benign and Malignant Pleural Effusions
Figure 36.1 (a) The patient undergoes general anesthesia and double-lumen intubation and is placed in a stretched lateral decubitus position, secured by a side-positioned cushion and elevated arm support. Bronchoscopy…
Diaphragm Plication and Repair
Figure 47.1 Open transthoracic approach. Open transthoracic plication is the traditional approach to treating patients with symptomatic diaphragm eventration or paralysis. Most authors recommend a posterolateral thoracotomy through the sixth…
Superior Vena Cava Resection
Figure 34.1 There are several approaches to surgery of the SVC, the choice of which may depend on the surgeon’s preferences. However, in deciding which one to use, the surgeon…
Superior Pulmonary Sulcus (Pancoast) Tumors
Figure 46.1 The patient is intubated with a double-lumen tube and placed in a lateral decubitus position. The sterile field is prepared to include the upper arm and scapula, with…
Chest Wall Resection and Repair
Figure 42.1 Excision and margins. In most cases, general anesthesia is accomplished with a single-lumen endotracheal tube. If associated pulmonary resection is anticipated, single-lung anesthesia is best provided by double-lumen…
Resection of Malignant Mediastinal Germ Cell Tumors
Figure 35.1 The basic premise of our surgical approach involves complete en bloc removal of the RM, thymus, and surrounding involved structures. Surgery for PMNSGCT is technically demanding because preoperative…
Pulmonary Malformation
Figure 22.1 Congenital pulmonary adenomatous malformation Figure 22.2 Bronchopulmonary sequestration Figure 22.3 Thoracoscopy in infants History The first description in the English language literature of CPAM—also called CCAM (congenital cystic…
Lymph Node Dissection
Figure 20.1 Dissection of paratracheal lymph nodes from right thoracotomy. All fatty areolar tissue is dissected from the superior vena cava (SVC), aorta, and trachea. Gentle traction and dissection with…
Lung Transplantation
Figure 48.1 Lungs are harvested via a standard midline sternotomy. After the pericardium and both pleurae are opened, the lungs are palpated and examined visually. The superior and inferior venae…
