Surgeons began to develop an interest in preserving normal lung in an era when many parenchymal resections were done for tuberculosis (TB) or bronchiectasis and the complications and functional limitations…
Step 1 Surgical Anatomy ♦ Tracheal blood supply is segmental, requiring minimal circumferential dissection to reduce the risk of anastomotic strictures and dehiscence ( Fig. 7-1 ). Figure 7-1 ♦…
The widespread use of high-resolution chest computed tomography (CT) has led to more frequent identification of small malignant pulmonary nodules. As the population ages, small peripheral lung cancers are frequently…
Non–small cell lung cancer is the number one cause of cancer deaths worldwide. Surgical resection, which is offered for early-stage lung cancer, can be curative but is often associated with…
Step 1 Surgical Anatomy ♦ The anatomy for the right upper lobe (RUL) is consistent, thus the approach to a right upper lobectomy generally is consistent. The RUL vein is…
Step 1 Surgical Anatomy ♦ A thorough understanding of the anatomy of the mediastinum, hilum, and lobes and their variations is necessary ( Fig. 5-1 ) Figure 5-1 ♦ Figure…
Mediastinal lymph node assessment is an integral component of a resection for all stages of non–small cell lung cancer (NSCLC). Debate remains as to whether there is a therapeutic benefit…
Definition and Etiology ♦ Solitary pulmonary nodule (SPN) ▴ No standard definition is available for SPN. Size criteria vary, but they are usually considered smaller than 3 cm in diameter. Other…
Abstract Numerous bridging devices have been used in patients undergoing complex endovascular aneurysm repair (EVAR) with involvement of one or more target vessels. In this chapter we highlight the most…
Abstract The off-the-shelf multibranched thoracic endograft (t-branch) was created to overcome the limitations of the custom-made multibranched endograft. Consequently, symptomatic and ruptured thoracoabdominal aortic aneurysms can be treated with this…
