Derek P. Nathan, MD, Nyali E. Taylor, MD, MPH, David W

Slides:

Advertisements

Similar presentations

Mauer Biscotti, MD, Matthew Bacchetta, MD

Advertisements

Robot-Assisted Thoracoscopic Lobectomy for Early-Stage Lung Cancer

Pulmonary Lobectomy in a Patient With a Left Ventricular Assist Device

The STS National Database

Chest Wall Angiolipoma Complicating Von Recklinghausen Disease

Bilateral Double Free-Flaps for Reconstruction of Extensive Chest Wall Defect Emre Gazyakan, MD, Holger Engel, MD, Marcus Lehnhardt, MD, PhD, Michael.

Bektas Battaloglu, MD, Serkan Secici, MD, Cengiz Colak, MD, Olcay M

Lisa M. Brown, MD, MAS, David T. Cooke, MD, Elizabeth A. David, MD

Andranik Petrosyan, MD, Patrice Bergeron, MD

Follow-Up of Patients Operated on With Arterial Patch Angioplasty of the Left Main Coronary Artery Anders Jönsson, MD, Jens Jensen, MD, PhD, Arne Olsson,

Risk of Intraatrial Thrombi After Thoracoscopic Ablation in Absence of Heparin and Appendage Closure Petr Budera, MD, PhD, Pavel Osmancik, MD, PhD, Dalibor.

Thoracoscopic resection of an ectopic intrathoracic goiter

Robot-Assisted Lobectomy for Early-Stage Lung Cancer: Report of 100 Consecutive Cases Farid Gharagozloo, MD, Marc Margolis, MD, Barbara Tempesta, MS,

Total Arch Replacement Under Normothermic Beating Heart Surgery

Benson Bertheau Roe, MD, July 7, 1918–August 6, 2012

Lindsay C.H. John, MD, FRCS The Annals of Thoracic Surgery

How I Teach a Thoracoscopic Lobectomy

Christopher W. Seder, MD, Bassem T. Elhassan, MD, Dennis A

Occurrence of a Simultaneous Bilateral Spontaneous Pneumothorax Due to a Pleuro- Pleural Communication Takashi Eguchi, MD, Kazutoshi Hamanaka, MD, PhD,

Thoracoscopic Chest Wall Resection: What Is Its Role?

Videothoracoscopic Parietal Pleurectomy With Argon Pneumodissection

Easier Uniportal VATS Lobectomy Using a Clamp With a String and a U-shaped Direction Converter for Lung Traction Xiaogang Zhao, MD, PhD, Gening Jiang,

A New Option for Autologous Anterior Chest Wall Reconstruction: The Composite Thoracodorsal Artery Perforator Flap Sandy Dast, MD, Pascal Berna, MD,

James D. St. Louis, MD The Annals of Thoracic Surgery

A Standardized Loop Technique for Mitral Valve Repair

Who Do You Say You Are? The Annals of Thoracic Surgery

The “Double-Valve” Sign in Acute Type A Aortic Dissection

Preoperative Embolization of Castleman's Disease Using Microspheres

Anomalous Origin of Left Pulmonary Artery From Left Subclavian Artery

An Unusual Case of Needle Embolus Presenting With Delayed Spontaneous Pneumothorax May Al-Sahaf, MB BCh, Leanne Harling, MRCS, PhD, Karen Harrison-Phipps,

Single-Incision Thoracoscopic Lobectomy and Segmentectomy With Radical Lymph Node Dissection Bing-Yen Wang, MD, Cheng-Che Tu, MD, Chao-Yu Liu, MD, Chih-Shiun.

Sequential Extended Thoracoscopic Sympathicotomy for Palmo-Axillo-Plantar Hyperhidrosis Khaled Elalfy, MD, Sameh Emile, MD, Hossam Elfeki, MS, Ahmed.

Embolized Methyl Methacrylate to the Right Atrium After Kyphoplasty

Surgical Anatomy of the Accessory Phrenic Nerve

Foreign Bodies in Pleura and Chest Wall

Hisashi Ishikura, MD, PhD, Suguru Kimura, MD, PhD

Left ventricular hamartoma associated with ventricular tachycardia

Editorial Board, January 2010

Frank C. Detterbeck, MD The Annals of Thoracic Surgery

Completely Thrombosed Tricuspid Pouch Mimicking a Cardiac Tumor

Thoracoscopic Bleb Resection Using Two-Lung Ventilation Anesthesia With Low Tidal Volume for Primary Spontaneous Pneumothorax Heezoo Kim, MD, PhD, Hyun.

Daniel Pop, MD, Nicolas Venissac, MD, Ahmad S

Pediatric Poststernotomy Mediastinitis

An Unusual Cause of Hemoptysis in a Young Woman

Intrathoracic Multiple Schwannomas of a Single Intercostal Nerve

Long-Term Results of Thoracoscopic Sympathectomy for Hyperhidrosis

Thoracoscopic and Anatomic Landmarks of Kuntz's Nerve: Implications for Sympathetic Surgery Franz Marhold, MD, Barbara Izay, MS, Johannes Zacherl, MD,

Patrick O. Myers, MD The Annals of Thoracic Surgery

Bronchial anastomotic stricture caused by ossification of an intercostal muscle flap Maher E Deeb, MD, Daniel H Sterman, MD, Joseph B Shrager, MD, Larry.

The Removal of Chest Tubes Despite an Air Leak or a Pneumothorax

Robot-Assisted Thoracoscopic Lobectomy for Early-Stage Lung Cancer

Video-Assisted Thoracoscopic Cardiac Denervation: A Potential Novel Therapeutic Option for Children With Intractable Ventricular Arrhythmias Joseph Atallah,

Invited Commentary The Annals of Thoracic Surgery

Functional and Physiologic Results of Video-Assisted Thoracoscopic Diaphragm Plication in Adult Patients With Unilateral Diaphragm Paralysis Richard.

Robert Lee Replogle, September 30, 1931–May 9, 2016

Digital Drainage System Reduces Hospitalization After Video-Assisted Thoracoscopic Surgery Lung Resection Daniel L. Miller, MD, Gerald A. Helms, MD,

The American Board of Thoracic Surgery: Update

Thoracoscopic Water Pleurectomy for the Treatment of Recurrent Spontaneous Pneumothorax Claudio Andreetti, MD, PhD, Antonio D'Andrilli, MD, Anna Maria.

A New Technique for Dissection of the Pulmonary Vessels

“Transitions” for Cardiothoracic Surgeons Now Listed on the Web:

Andrew Auerbach, MD, David H. Roberts, MD, Sidhu P

Shawn S. Groth, MD, Rafael S. Andrade, MD

Y. Joseph Woo, MD, Michael A. Acker, MD The Annals of Thoracic Surgery

Intraoperative Pneumothorax Presenting as Abdominal Distention

Mark I. Block, MD The Annals of Thoracic Surgery

The Impact of New Technology on Cardiothoracic Surgical Practice

Huseyin Okutan, MD The Annals of Thoracic Surgery

Harvey Edward Garrett, MD, Bradley A. Wolf, MD

J. Alberto Lopez, MD The Annals of Thoracic Surgery

David S. Mulder, MD The Annals of Thoracic Surgery

Presentation transcript:

Thoracoscopic Total Parietal Pleurectomy for Primary Spontaneous Pneumothorax Derek P. Nathan, MD, Nyali E. Taylor, MD, MPH, David W. Low, MD, Daniel Raymond, MD, Joseph B. Shrager, MD The Annals of Thoracic Surgery Volume 85, Issue 5, Pages 1825-1827 (May 2008) DOI: 10.1016/j.athoracsur.2007.11.043 Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Rubbing in the anterior first interspace causes the pleura to separate from the endothoracic fascia; the arrow indicates the subclavian artery. (B) The free edge of the pleura is grasped and placed under tension to progressively separate it from the chest wall. The Annals of Thoracic Surgery 2008 85, 1825-1827DOI: (10.1016/j.athoracsur.2007.11.043) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 The pleurectomy from anterior chest wall has now progressed as far caudally as fifth interspace; the small arrow indicates the cut edge of the pleura and the large arrow indicates the mammary vessels. Note that mammaries are protected by taking pleurectomy only as far as shown. The Annals of Thoracic Surgery 2008 85, 1825-1827DOI: (10.1016/j.athoracsur.2007.11.043) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Initial stage of pleurectomy from posterior chest wall, showing leading edge of the pleura in this instance grasped through posterior incision while additional traction is exerted with ball-sponge through anterior incision; the small arrow indicates the line to which the pleurectomy will be taken and the large arrow indicates the sympathetic chain. The Annals of Thoracic Surgery 2008 85, 1825-1827DOI: (10.1016/j.athoracsur.2007.11.043) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 The artist's depiction (right-sided operation) of technique and extent of dissection when one has completed posterior and is beginning anterior dissection. Note that pleura is maintained intact over sympathetic chain, mediastinum and far-medial apex adjacent to mediastinum. The Annals of Thoracic Surgery 2008 85, 1825-1827DOI: (10.1016/j.athoracsur.2007.11.043) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 The “spaghetti method” of rolling up pleura as it separates from endothoracic fascia. The Annals of Thoracic Surgery 2008 85, 1825-1827DOI: (10.1016/j.athoracsur.2007.11.043) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 6 The completed pleurectomy; the small arrow indicates the cut edge of the pleura and the large arrow indicates the apex. The Annals of Thoracic Surgery 2008 85, 1825-1827DOI: (10.1016/j.athoracsur.2007.11.043) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions