Esophageal atresia/tracheoesophageal fistula (EA/TEF) repair using an open muscle-sparing thoracotomy has been the standard approach used in our institution. Whereas perioperative mortality is now very uncommon, short- and long-term morbidity is very common in these patients. However, the complexity of the esophageal anatomy and significant comorbidities appear to be important contributors to s...

OBJECTIVES To evaluate the predictive accuracy as well as the rates of false-positive and false-negative results of CT and positron emission tomography (PET)-fluorodeoxyglucose (FDG) imaging in detecting the metastatic intrathoracic lymph nodes in patients with suspected or proven non-small cell lung cancer (NSCLC). Our other objective was to determine the need for routine invasive sampling pro...

Background: We experienced a very rare complication, that is, an unexpected postoperative paraplegia due to the incidental migration of oxidized regenerated cellulose used for hemostasis of intercostal space bleeding. Patients and Methods: The objective is to analyze the cause and to take measures against the very rare complication from an empirical analysis and the literature. For a 78-year-ol...

A thoracic aortic aneurysm (TAA) is a life-threatening condition with a 20% five-year survival in untreated patients. Rupture is invariably fatal. Surgical repair should be considered when the aneurysm is >6cm in diameter, rapidly enlarging, or impinging on adjacent structures. Open repair, via a left thoracotomy carries significant morbidity and mortality rates. More recently, endovascular rep...

a 37 - year- old man came to the hospital with a history of penetrating thoracoabdominal trauma due to gunshot wound in 10 days before. he underwent laparatomy and hepatorrhaphy in that time and right sided chest tube was inserted. chest ct scan revealed metallic foreign body in lung tissue due to bullet burst. right thoracotomy was performed and metallic foreign body extracted from lung tissue

Abstract Background Retained hemothorax is a serious problem that can lead to empyema or fibro-thorax. Evacuation of the retained commonly performed via open thoracotomy. This randomized study was conducted represent our center's expertise with this issue, we compared outcomes video-assisted thoracoscopic surgery (VATS) against thoracotomy in managing post-traumatic clotted hemothorax. Methods ...

Treatment of cardiac disease via the epicardium fell under the domain of cardiac surgery due to the need for an open thoracotomy. Since an open thoracotomy is invasive in nature and has the potential for complications, a minimally invasive and percutaneous approach would be more attractive for suitable patients. The recent success of epicardial ablation of refractory arrhythmia via the percutan...

OBJECTIVE Video-assisted thoracic surgery (VATS) is a less-invasive alternative to open thoracotomy. According to evidence-based medicine methodology, VATS is associated with better outcomes and the same complication rate as open thoracotomy. CASE DESCRIPTION Two women (19 and 21 years old) underwent VATS for treatment of pneumothorax. In an attempt to perform hemostasis, the subclavian arter...

A 77-year old male patient was admitted for the treatment of a thoracic aortic aneurysm (TAA) and primary lung cancer. A saccular aneurysm, 4.8 cm in diameter, located in the proximal segment of the descending thoracic aorta and a pulmonary tumour, 3 cm in diameter, located at the right lower lobe, with lymph node swelling, were detected simultaneously. First, a thoracic endovascular aortic rep...

Post-thoracotomy pain is a symptom of high incidence among patients who have undergone thoracotomy and is a major risk factor in the pathogenesis of several postoperative complications. Chronic pain after thoracotomy reaches a high prevalence. Since the earliest studies, this pain has been seen to be related with intercostal nerve injury, thus the need to avoid these lesions during thoracotomy ...