430 Works

Early Use of 4K Surgical System to Perform Minimally Invasive Right Apical Segmentectomy

Moslem Abdelghafar & Felice Granato
This video documents the use of the IMAGE1 S™ 4K RUBINA™ system during a minimally invasive uniportal right upper lobe apical segmentectomy.
The IMAGE1 S™ 4K RUBINA™ system combines 4K imaging technology with NIR/ICG fluorescence imaging. This can be superimposed on the white light image (overlay mode), providing the user with valuable information. The system also allows for the marking of the segmental parenchymal division during surgery without loss of surrounding definition.The patient featured in this...

Robotic Right Lower Lobe Anterobasal (S8) Segmentectomy

Keita Tokuishi, Takayuki Imakiire, Satoshi Yoneda & Toshihiko Sato
Segmentectomy is indicated in selected patients with non-small-cell lung cancer with peripheral nodules measuring ≤ 2 cm and a ≥ 50% ground-glass appearance on computed tomography (CT) (1). We report the case of an 80-year-old asymptomatic man with a history of symptomatic epilepsy, who underwent CT for an unrelated condition and was shown to have a peripheral lung nodule (1.5 cm) in the right S8 segment with a 50% ground-glass appearance. Positron emission tomography-CT revealed...

One Stage Thoracoscopic Segmentectomy and Transphrenic Adrenalectomy for Non-Small Cell Lung Cancer With Unique Metastasis

Patrick Bagan, JC Das Neves Pereira, B Dakhil & R Zaimi
Objective; Metastasis from non-small cell lung cancer (NSCLC) is traditionally considered as a contraindication to surgery. Favourable long-term survival following staged lung resection and resection of synchronous isolated adrenal metastasis has been reported in N0 patients. Considering the retroperitoneal location of the adrenal gland, the transdiaphragmatic approach offers an attractive alternative to standard approaches to adrenal tumors. We describe a technique of simultaneously completing a lung resection and adrenalectomy safely through the thoracic approach. Case...

Surgical Treatment of a Huge Left Atrial Myxoma

Koray Ak, Yasin Guctekin, Yakup Tire, Fatih Ozturk, Altug Cincin & Sinan Arsan
Primary cardiac tumors are rarely seen and myxomas are the most common primary cardiac tumors. Over 75% of the cases, myxomas originate from the left atrium. Although the diagnosis might be done incidentally in some, almost 67% of patients have cardiac signs and symptoms related to the classic triad of obstruction, embolism and constitutional symptoms. Constitutional symptoms including malaise, anorexia, fever, arthralgia and weight loss are reported to be common in patients with atrial myxomas...

Surgical Treatment of a Huge Left Atrial Myxoma

Koray Ak, Yasin Guctekin, Yakup Tire, Fatih Ozturk, Altug Cincin & Sinan Arsan
Primary cardiac tumors are rarely seen and myxomas are the most common primary cardiac tumors. Over 75% of the cases, myxomas originate from the left atrium. Although the diagnosis might be done incidentally in some, almost 67% of patients have cardiac signs and symptoms related to the classic triad of obstruction, embolism and constitutional symptoms. Constitutional symptoms including malaise, anorexia, fever, arthralgia and weight loss are reported to be common in patients with atrial myxomas...

Excision of a Complicated Posterior Mediastinal Goiter Using CPB

Vijit K Cherian, Sandip Duarah, Gopal Murugesan, Ravi Shivdasani, Gokulakrishnan M & Bagyaraj PS
Cervico-mediastinal tumors are commonly situated in the anterior mediastinum. However, 10 to 15 percent of them may be located in the posterior mediastinum. This video presents an unusual case of a complicated cervico-mediastinal extension of a goiter to the posterior mediastinum causing severe lower tracheal compression.

RATS Upper Right Lobectomy for Big N1 Lung Cancer

Jean Marc Baste
This video demonstrates the use of the robotic tool for right upper lobectomy requiring the dissection a big lymph node.
References
Li C, Hu Y, Huang J, Li J, Jiang L, Lin H, Lu P, Luo Q. Comparison of robotic-assisted lobectomy with video-assisted thoracic surgery for stage IIB- IIIA non-small cell lung cancer. Transl Lung Cancer Res. 2019 Dec;8(6):820-828. doi: 10.21037/tlcr.2019.10.15. PMID: 32010560; PMCID: PMC6976359. Park BJ, Yang HX, Woo KM, Sima CS. Minimally invasive...

RATS Upper Right Lobectomy for Big N1 Lung Cancer

Jean Marc Baste
This video demonstrates the use of the robotic tool for right upper lobectomy requiring the dissection a big lymph node.
References
Li C, Hu Y, Huang J, Li J, Jiang L, Lin H, Lu P, Luo Q. Comparison of robotic-assisted lobectomy with video-assisted thoracic surgery for stage IIB- IIIA non-small cell lung cancer. Transl Lung Cancer Res. 2019 Dec;8(6):820-828. doi: 10.21037/tlcr.2019.10.15. PMID: 32010560; PMCID: PMC6976359. Park BJ, Yang HX, Woo KM, Sima CS. Minimally invasive...

Reinforced Ross Procedure in an Adult \"Beating Heart Autograft Harvest\"

Sameh M. Said
This is a 28-year-old man with history of bicuspid aortic valve and previous repair of aortic coarctation via left thoracotomy as a child using a left subclavian flap technique. He presents with moderate aortic valve stenosis and dilated ascending aorta. Follow up cardiac MRI showed continued increase in his ascending aorta diameter which now measured 4.9 cm. Decision was made to proceed with surgery. Discussion regarding aortic valve replacement options was done and it was...

Fast-Track Arterial Switch Operation

Sameh M. Said & Sandeep Sainathan
This is a 3. 3 kg, male neonate who was born with a prenatal diagnosis of dextro-transposition of the great arteries (d-TGA) and intact ventricular septum. At birth, he was deeply cyanotic and was intubated and prostaglandin infusion was initiated to maintain ductal patency. Transthoracic echocardiogram confirmed the prenatal diagnosis and normal coronary pattern for d-TGA (1 LCx, 2RCA). Due to restricted atrial communication, a bedside echo-guided balloon atrial septostomy was performed. He was subsequently...

Social Determinants of the Lung Cancer Care Continuum

Cherie P Erkmen
Lung cancer is the leading cause of cancer death.1 Unfortunately, lung cancer affects certain populations disproportionately in terms of risk, screening, detection, and treatment. For example, smoking increases the risk of getting lung cancer by 10x, and those in lower income brackets and of lower education level are 2 to 3 times more likely to be smokers.2,3 Though annual lung cancer screening can decrease mortality4, minority and underserved populations are less likely to participate in...

Healthcare Disparities in the Treatment of Advanced Lung Cancer

Brittney Williams, Patricia Rivera, Marjory Charlot & Gita Mody
This CTSNet virtual Roundtable invites experts from the Multidisciplinary Thoracic Oncology Program of the University of North Carolina at Chapel Hill to discuss health care disparities in the treatment of advanced lung cancer. Participants are Dr. Brittney Williams, fourth-year general surgery resident; Dr. M. Patricia Rivera, pulmonologist and Director of the UNC Lung Cancer Screening Program; Dr. Marjory Charlot, medical oncologist and Assistant Director of the Lineberger Comprehensive Cancer Center’s Community Outreach and Engagement program;...

A Trip to the Moon: Neonatal ABO Non-Compatible Heart Transplant in Donor Circulatory Death

Juan-Miguel Gil-Jaruena, Ramón Pérez-Caballero, Carlos Andres Pardo Pardo, Uxue Murgoitio, Ana Pita & Corazón Calle
Donation after Circulatory Death (DCD) is gaining worldwide acceptance as an adjunct to brain death (BD) in transplant surgery. Initially performed for abdominal organs procurement, DCD was then carried out for heart and lung transplants (HT). Most DCD-HT protocols regard their first cases to be performed with both donor and recipient located in the same institution. The first three cases were performed in Denver (Colorado, USA) in 2008 (ultra-fast procurement, without in situ graft evaluation),...

A Trip to the Moon: Neonatal ABO Non-Compatible Heart Transplant in Donor Circulatory Death

Juan-Miguel Gil-Jaruena, Ramón Pérez-Caballero, Carlos Andres Pardo Pardo, Uxue Murgoitio, Ana Pita & Corazón Calle
Donation after Circulatory Death (DCD) is gaining worldwide acceptance as an adjunct to brain death (BD) in transplant surgery. Initially performed for abdominal organs procurement, DCD was then carried out for heart and lung transplants (HT). Most DCD-HT protocols regard their first cases to be performed with both donor and recipient located in the same institution. The first three cases were performed in Denver (Colorado, USA) in 2008 (ultra-fast procurement, without in situ graft evaluation),...

Left Uniportal VATS Completion Pneumonectomy for Bronchiectasis

Sara Hafidi, Souheil Boubia, Abdellah Fatene, Najat Id El Haj & Mohammed Ridai
Bronchiectasis is a chronic respiratory disease characterized clinically as a syndrome consisting of cough, sputum production, and bronchial infection and radiologically by abnormal and permanent dilatation of the bronchi. (1) The objectives of bronchiectasis treatment are to prevent exacerbations, reduce symptoms, improve quality of life, and halt disease progression. Surgical treatment is usually considered an appropriate therapy for bronchiectasis among patients with recurrent exacerbations or refractory disease. (2) Uniportal video-assisted thoracic surgery (VATS) has a...

Bronchogenic Cysts: A Diagnostic Dilemma in Adults

Taylor Garza, Melissa Taylor & Gal Levy
These foregut-derived congenital malformations are usually discovered prenatally on ultrasound and can be seen at any point along the tracheobronchial tree. So you might be thinking to yourself, what’s the dilemma? Well, when it comes to adults, bronchogenic cysts can be seen throughout the chest and abdomen, but, in general, they rarely occur and even more rarely occur in the abdomen. Adding to this, very few cases have been recorded in literature and most cysts...

Endoscopic Transnasal Drainage for Management of Iatrogenic Esophageal Perforation and Mediastinal Abscess

Andrew E. Giles, &
Perforation of Zenker’s diverticulum is a known risk of endoscopic procedures, and surgical transcervical repair or drainage is the standard management (1). Unresolved leak may require alternate means of drainage.An 82-year-old woman suffered esophageal perforation during attempted endoscopic retrograde cholangiopancreatography (ERCP). Following left transcervical exploration and drainage, the patient remained septic with free perforation into the mediastinum and resulting mediastinitis. This video illustrates endoscopic discovery of perforated Zenker’s diverticulum and endoscopic transnasal drainage of mediastinal...

Rastelli Procedure for Double Outlet Right Ventricle With Pulmonary Atresia

Sameh M. Said & Gamal Marey
We present to you a complete repair of double outlet right ventricle (DORV) with pulmonary atresia (precisely a single outlet) in an 8-year-old girl. This is a demonstration of the Rastelli procedure. The patient was palliated with a central shunt followed by stent placement in a right sided major aortopulmonary collateral artery (MAPCA) which was further dilated and restented but the patient never underwent complete repair.She presented with cyanosis, polycythemia, and recurrent respiratory tract infection....

Routine Minimally Invasive Multivessel Coronary Revascularization in Obese Patients

Dmytro Babliak, Oleksandr Babliak, Volodymyr Demianenko & Anton Marchenko
Background
Obesity is often considered as a contraindication to minimally invasive coronary artery bypass grafting.
Our concept has been that all incoming patients for isolated surgical coronary revascularization are eligible for a coronary artery bypass grafting through the left anterior minithoracotomy. For this purpose TCRAT procedure (Total Coronary Revascularization via Left Anterior Thoracotomy) was developed.

The purpose of this study was to examine the outcomes of routine use of aforementioned surgical procedure in...

Routine Minimally Invasive Multivessel Coronary Revascularization in Obese Patients

Dmytro Babliak, Oleksandr Babliak & Volodymyr Demianenko
Background
Obesity is often considered as a contraindication to minimally invasive coronary artery bypass grafting.
Our concept has been that all incoming patients for isolated surgical coronary revascularization are eligible for a coronary artery bypass grafting through the left anterior minithoracotomy. For this purpose TCRAT procedure (Total Coronary Revascularization via Left Anterior Thoracotomy) was developed.

The purpose of this study was to examine the outcomes of routine use of aforementioned surgical procedure in...

Aortic Root Remodeling With Modified Sleeve Procedure

Francesco Arlati, , , , , , &
Introduction
Valve sparing operations provide excellent long term results but are technically demanding and time consuming (1,2). An alternative approach is the “sleeve” technique (3).
Since 2006 we have addressed aortic root disease with a modified sleeve procedure, and have performed 180 interventions in such a way (3,4).
Patient selection
The procedure addresses aortic root ectasia or aneurysm with or without aortic regurgitation. The selection criteria are aortic root diameter ≥ 50 mm, or...

Left Ventricular Outflow Tract Aneurysm Compressing the Left Main

Mohamed Ibrahim, , Jacob Aju & Mohammed Idhrees
Left ventricular outflow tract aneurysm compressing the left main. A 44 –year-old male patient presented with shortness of breath and chest pain. ECG showed ST depression in the lateral leads. Echocardiogram showed subaortic aneurysm below the left coronary and non-coronary cusp with impaired LV function. Left coronary angiogram revealed 90% obstruction of Left Main due to dynamic compression by LVOT aneurysm. CT shows the bulge of the aneurysm with compression of Left Main. Cardiopulmonary bypass...

VATS Left Upper Lobe Lobectomy

Tristan D. Yan & Joel Dunning
This series of video tutorials demonstrates how to perform VATS lobectomy in a safe and simple way, using the Edinburgh Posterior Approach, pioneered by Mr William Walker. This approach provides excellent visualization of the tips of the instruments, coming towards the endoscope. Each lobectomy generally takes less than 30 minutes to complete and total ipsilateral lymph node dissection is straightforward with this approach. In this video, the authors share some tips on how to handle...

Minimally Invasive ToF Repair in Adult Patient

Dmytro Babliak, Anton Marchenko, Volodymyr Demianenko & Oleksandr Babliak
This video demonstrates a case report of a 33-year-old man diagnosed with Tetralogy of Fallot (ToF). He had progressive exertional dyspnea with oxygen saturation 91% and NYHA class II-III. The preoperative echocardiogram showed large ventricular septal defect (VSD) with aortic overriding and right ventricular outflow tract (RVOT) obstruction.The operation plan was to perform total repair of ToF through the left anterior minithoracotomy. The patient was positioned with an inflatable pillow under the left chest. The...

Utilization of 3D Printed Heart Model to Tailor Patch During Surgical Ventricular Restoration

Lukas Morkisz, & Marek Deja
A patient with extremely low ejection fraction, pseudoaneurysm of the left ventricle free wall with a volume exceeding volume of the left ventricle, and secondary mitral regurgitation due to postinfarction papillary muscle dislocation was admitted to the hospital. Before the operation, based on CT scans, a 3D model of the left ventricle with an aneurysm was prepared using 3D printing technology. Then the aneurysmal part of the left ventricular wall was removed by cutting the...

Registration Year

  • 2021
    430

Resource Types

  • Audiovisual
    428
  • Image
    2