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…
Resection of Sternal Tumors
Figure 43.1 Skin and greater pectoral muscle flaps are raised 5–6 cm lateral to the sternal border Sternal Reconstruction Several prosthetic materials are available to reconstruct sternal defects. Characteristics influencing…
Transcervical Extended Mediastinal Lymphadenectomy (TEMLA)
Figure 28.1 The operation starts with a 5- to 8-cm collar incision in the neck. The subplatysmal flaps are widely dissected, and the muscles and vascular structures are liberated widely…
Benign Neurogenic Tumors and Bronchogenic Cysts
Figures 33.1 and 33.2 If an intraspinal extension of the neurogenic tumor can be safely excluded, it may be assumed that the tumor can be removed completely by thoracoscopy. An…
Transsternal Thymectomy
Figure 31.1 Thymus anatomy. Because there is a debate concerning the role of thymectomy in myasthenia gravis and, if indicated, what operative technique best accomplishes this goal, it is important…
