Intro; Preface; Acknowledgments; Contents; 1: Principles of Thoracic Surgery and Enhanced Recovery; 1.1 Introduction; 1.2 Patient Engagement and Expectations; 1.3 Enhanced Recovery; 1.4 Anaesthetic Considerations; 2: Fundamentals of Thoracic Surgical Techniques; 2.1 Open Surgery; 2.2 VATS; 2.3 Technology for Minimally Invasive Surgery; 2.4 Surgical Telescopes; 2.5 Instruments for Dissection; 2.6 Energy Devices; 2.7 Stapling Devices; 2.8 Reinforcement of Staple Lines; 2.9 Steps in VATS Surgery; 2.9.1 Preparation; 2.9.2 Position; 2.9.3 Telescope Holders; 2.9.4 Ports.
13.4.2 Stabilisation with Plate and Screws or Plates and Crimped Bone Clips13.5 Closure; 13.6 Postoperative Management; 14: Nuss Procedure for Pectus Excavatum; 14.1 Technique; 14.2 Variations; 14.3 Technique of Bar Removal; 15: Pectus Carinatum; 15.1 Procedure; 15.2 Removal of Chondrosternal Projection; 15.3 Dissection of Costal Cartilages; 15.4 Correction of Sternal Deformities; 15.5 Correction of Rib Deformity; 15.6 Closure; 15.7 Postoperative Management; 16: Resection of Chest Wall Tumours and Methods of Reconstruction.
2.9.5 Common Steps2.10 Tissue Sealants for VATS Surgery; 2.11 General Approach to VATS Anatomical Lung Resection; 2.12 Lymph Node Dissection; 2.13 Protection of the Phrenic Nerve; 2.14 Awareness of the Anatomy Particularly Variations in Venous Anatomy; 2.15 Ensuring the Target is in the Volume to Be Removed and with a Margin; 2.16 Checking the Patency of Remaining Structures Before Stapling and the Approach to an Incomplete Fissure; 2.17 The Incomplete Fissure; 3: Bronchoscopy; 3.1 The Instruments; 3.1.1 Rigid Bronchoscope; 3.1.2 Fibre-Optic Bronchoscope; 3.1.3 Rigid Bronchoscopy.
3.1.4 Collection of Specimens and Biopsies3.1.5 Removal of Foreign Bodies; 3.1.6 Dilation; 3.1.7 Fibre-Optic Bronchoscopy; 3.1.8 Endoscopic Ultrasound (Endobronchial EBUS and Endooesophageal EUS); 3.1.9 Navigational Bronchoscopy; 3.1.10 Deployment of Large-Airway Stents; 4: Simple Thoracoscopy; 4.1 Common Indications; 4.2 Relative Contraindications; 4.3 Procedure; 4.4 Drainage; 5: Percutaneous Mini-Tracheostomy; 5.1 Procedure; 6: Insertion of a Chest Drain; 6.1 Indications; 6.2 Procedure; 6.3 Removal; 7: Surgical Anatomy of the Chest Wall; 7.1 Intercostal Spaces.
7.2 The Diaphragm7.3 Thoracic Outlet; 8: Posterolateral Thoracotomy; 8.1 Postoperative Pleural Drainage; 8.2 Insertion of Drainage Tubes and Would Closure; 9: Anterolateral Thoracotomy; 9.1 Indications; 9.2 Procedure; 10: Anterior Thoracotomy; 11: Median Sternotomy; 11.1 Procedure; 11.2 Closure; 12: Axillary Thoracotomy; 12.1 Procedure; 13: Modified Ravitch Operation for Pectus Excavatum; 13.1 Procedure; 13.2 Elevation of the Sternum; 13.3 Sternal Osteotomy; 13.4 Stabilisation; 13.4.1 Insertion of Abrams' Bar.
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This heavily revised second edition of this book provides a comprehensive overview of both common and rarely performed thoracic surgical techniques. Techniques covered include thymectomy, left and right lower lobectomy, rib resection for empyema, median sternotomy and lung biopsies. Emphasis is focused on the practical steps necessary to successfully and reliably perform the techniques covered, while acknowledgement is also given to individual variations in how these techniques are performed. Thoracic Surgical Techniques provides a detailed clinical illustrative guide for successfully performing a range of procedures reliably. Its large number of detailed illustrations and concise technical descriptions provides an invaluable resource for all practising and trainee thoracic surgeons.