Thoracoscopy, Thoracoscopic Wedge Resection Kemp H. Kernstine Sr. A thoracotomy incision is traumatic and painful and frequently leaves the patient with a cosmetically unappealing scar. Two percent of thoracotomy patients…
Tube Thoracostomy, Thoracotomy, Wedge Resection, and Pleural Abrasion M. Victoria Gerken Phillip C. Camp In this chapter, the basic procedure of tube thoracostomy is used to introduce chest wall anatomy….
Bronchoscopy M. Victoria Gerken Phillip C. Camp Steps in Procedure Flexible Fiberoptic Bronchoscopy Provide adequate topical anesthesia and sedation, and ensure adequate monitoring Introduce fiberoptic bronchoscope through anesthetized naris Identify…
Introduction Bronchoscopy (Chapter 24) continues the discussion of the anatomy of the tracheobronchial tree begun in Chapters 2 and 3 and introduces the segmental anatomy of the lungs. Following this,…
Pericardial Window This procedure is performed for treatment of pericardial effusions. The most common indication is malignancy. Two approaches are described here—the open subxiphoid approach and the thoracoscopic approach. Rarely,…
Median Sternotomy and Thymectomy M. Victoria Gerken Phillip C. Camp Steps in Procedure Mark the midline of the skin and create incision from sternal notch to 1 to 2 cm…
Mediastinoscopy and Mediastinotomy Phillip C. Camp M. Victoria Gerken The surgeon is frequently called on to evaluate mediastinal lymph nodes. This may be done for diagnosis of an isolated mediastinal…
Introduction The mediastinum is the “thoracic space” between the two pleural sacs, the root word originally meaning septum. The mediastinum extends from the thoracic inlet cephalad to the superior surface…
Axillary Node Biopsy and Axillary Node Dissection Laura A. Adam Neal W. Wilkinson Axillary lymph node dissection typically refers to the more limited resection of topographic group I and group…
Palpable and Sentinel Lymph Node Biopsies Laura A. Adam Simple node excisions are utilized for excision of palpable nodes and in conjunction with a sentinel lymph node biopsy procedure. Although…
