Right Upper Lobectomy
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…
Robotic Lobectomy
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…
Video-Assisted Thoracoscopic Surgery for Mediastinal Lymph Node Dissection
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…
Resection of Solitary Pulmonary Nodule: Open and Video-Assisted Thoracoscopic Surgery
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…
Bridging Devices in Complex Endovascular Aneurysm Repair
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…
Off-the-Shelf Multibranched Endograft
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…
Chimney Thoracic Endovascular Technique
Abstract Lesions in the aortic arch or descending aorta can be treated using open or endovascular methods. However, involvement of the supra-aortic branches makes treatment demanding. Alternatively to branched custom…
Sandwich Endovascular Technique
Abstract The sandwich endovascular technique is a total endovascular treatment of thoracoabdominal aortic aneurysms (TAAAs) with use of off-the-shelf devices. The technique consists of three steps: (1) deployment of a…
Branched Stent-Grafts in the Aortic Arch
Abstract The branched stent-graft is custom-made (Cook Medical, Brisbane, Australia) and is available in diameters between 34 and 46 mm, with a covered length of 250 mm. The device is…
Custom-Made Thoracic Endograft
Abstract Thoracic aortic aneurysms, which affect the unbranched descending aortic segment between the subclavian and celiac arteries with accompanying sufficient landing zones, can be repaired by standard devices. The Cook…
