Transhiatal Esophagectomy In this procedure, the mediastinal dissection of the esophagus is done from below (through the esophageal hiatus during the laparotomy phase) and from above (through a left neck…

Thoracoscopic Surgery of the Esophagus This chapter describes two procedures: thoracoscopic esophagomyotomy and esophageal mobilization for resection. These are used to illustrate the thoracoscopic appearance of the mediastinum. As with…

Esophageal Resection: Esophagogastrectomy and the Ivor Lewis Approach Lesions of the lower to middle third of the esophagus are approached through a thora-cotomy in conjunction with laparotomy. The lower esophagus…

First Rib Resection for Thoracic Outlet Syndrome M. Victoria Gerken Phillip C. Camp First rib resection is a controversial solution to a complex problem. The term thoracic outlet syndrome refers…

Lobectomy Phillip C. Camp 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 amount…

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 25). Where we…

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

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…