Thoracic Outlet Decompression M. Victoria Gerken Phillip C. Camp Jr. First rib resection for thoracic outlet decompression remains a controversial solution to a complex problem. The term thoracic outlet syndrome…

Thoracoscopic Lobectomy or Segmentectomy Kemp H. Kernstine Sr. Thoracoscopic lobectomy or other anatomic thoracoscopic lung resections are performed as described for the other thoracoscopic procedures (see Chapter 27). Where we…

Lobectomy Phillip C. Camp Jr. M. Victoria Gerken Pulmonary lobectomies are most commonly performed for carcinoma. Resection of a more limited amount of pulmonary tissue allows preservation of the maximum…

Right and Left Pneumonectomy M. Victoria Gerken Phillip C. Camp Jr. Pneumonectomy is most commonly performed for carcinoma of the lung or for removal of trapped and necrotic lung after…

Thoracoscopy, Thoracoscopic Wedge Resection Kemp H. Kernstine Sr. Athoracotomy incision is traumatic and painful and frequently leaves the patient with a cosmetically unappealing scar. Two percent of thoracotomy patients have…

Tube Thoracostomy, Thoracotomy, Partial Pulmonary (Wedge) Resection, and Pleural Abrasion M. Victoria Gerken Phillip C. Camp Jr. In this chapter, the basic procedure of tube thoracostomy (chest tube placement) is…

Bronchoscopy M. Victoria Gerken Phillip C. Camp Jr. Fiberoptic bronchoscopy is frequently performed for diagnosis and for management of secretions. This chapter describes how to access various segments of the…

Pericardial Window This procedure is performed for the treatment of pericardial effusions. The most common indication is malignancy. Two approaches are described here—the open subxiphoid approach and the thoracoscopic approach….

Median Sternotomy and Thymectomy M. Victoria Gerken Phillip C. Camp Jr. SCORE™, the Surgical Council on Resident Education, classified “Excision of mediastinal tumor” as a “COMPLEX” procedure. STEPS IN PROCEDURE…