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This introduces the history, development and current status of uniportal VATS by pioneers and authorities of this technique. The highly illustrated content in the chapters enhances readers to rapidly understand the techniques of uniportal VAT. The use of video clips adds value to the learning experience and applicability of the techniques. The contents will be of great interest to thoracic surgeons who are already practicing video-assisted thoracic surgery, as well as those who are starting training. It will also serve as authoritative reference text for doctors, students and allied health professionals who would like to learn more about the new technique of uniportal VATS.
Our immune system is equipped with a series of defence mechanisms to recognise and respond to non-self molecules. Although essential for fighting off infections and preventing cancers, destructive immune responses pose a considerable challenge in autoinflammation and transplantation. Currently available immunosuppressants help to control destructive immune responses. However, management of side-effects of lifelong immunosuppression, including cancer development and reduced survival, remain major problems. For this reason, an increasing amount of interest is directed towards the natural specific regulatory mechanism of the immune system. A better understanding of these mechanisms holds the key. This book presents a comprehensive overview of immune suppression in transplantation, cancer and viral infections. Chapters cover modulation of Treg as well as the new era of immunotherapy.
This book provides health professionals and scientists with a comprehensive overview of the mesothelioma - an asbestos induced malignancy. It includes chapters on epidemology, diagnosis, histopathology, radiology, surgery, chemotherapy, immune therapy, and radiotherapy as well as the molecular biology and future therapies.
This book provides a comprehensive, practical and timely review of all aspects of video-assisted, minimally invasive thoracic surgery, used to treat conditions of the lung, pleura, mediastinum, chest wall and diaphragm. Advances in technologies and instrumentation mean almost all thoracic surgeries may be performed by minimally invasive techniques rather than the traditional open surgeries. This book describes the thoracoscopic procedures in current specialist practice with discussion on indications, patient selection, surgical approaches, complications and clinical outcomes. The book opens with a summary of the rationale for minimally invasive surgery and when to convert to open surgery, as well as anaesthetic and peri-operative considerations, before covering the range of procedures organised by anatomical site. Numerous figures and diagrams describe every technique in detail and an authoritative, international team of contributors provides clinical experience and expert guidance.
Chest Surgery provides readers with a comprehensive and authoritative text that explains and illustrates all thoracic surgery procedures, with the exception of those on the heart and esophagus. The easy-to-read text is supported by clear, instructive line drawings and intraoperative photographs. The result is a well-illustrated practical guide for the seasoned and novice practitioner alike. The contributors, who are all acknowledged experts, demonstrate simple and safe forms of operation by distilling their experience into the most efficient methods for both standard and less common procedures. For ease in following a surgical procedure, the text description of each step is coupled with an appropriate drawing. There are often numerous ways of performing an operation, and this book takes care to impart the basic principles underlying surgery. It will be the "must-have" guide for all thoracic surgery residents who wish to acquaint themselves with the latest developments in this constantly expanding field.
This Atlas presents a state-of-the-art review of VATS and robotic approaches to managing lung and esophageal cancers. It discusses cancer staging, physiological evaluation of patients, and patient selection for minimally invasive surgery. The atlas offers detailed descriptions of individual operations accompanied by anatomic drawings, intraoperative images, and 3-dimensional anatomic reconstructions. Written by recognized experts in the field, it provides readers with an unparalleled resource for advancing their skills in managing these cancers. It is a valuable reference work for thoracic surgeons in training as well as in practice who want to pursue minimally invasive surgery. It is unique in offering fully illustrated, step-by-step descriptions of the operative procedures.
A Case-Based Approach to Interventional Pulmonology: A Focus on Asian Perspectives focuses on various aspects of Interventional Pulmonology (IP) based on clinical case scenarios. Today, evidence-based medicine and statistics are ruling our daily practice. Thus, each case is unique regardless of what the theory predicts. This asian perspective of Interventional Pulmonology (IP) is also of great importance, given the differences in the etiologies compared to other regions of the world. Asia being the leading region in terms of population and the high incidence of certain airway and lung diseases, is an amazing source for fundamental and clinical research. The contents of the book have been divided into four different sections with a primary aim of case-based scenarios and solutions. Section A consists of diagnostic IP procedures like linear and radial EBUS, navigation bronchoscopy, bronchoscopic lung cryobiopsy (BLC) and cone beam CT. Section B focuses on therapeutic rigid bronchoscopic procedures. Besides airway stenting and laser bronchoscopy, this discusses recent interventions such as bronchial thermoplasty, bronchoscopic lung volume reduction, 3D printing and microwave ablation. Section C is dedicated to pleural procedures focusing on indwelling pleural catheters (IPC) and fibrinolytics. Section D is dedicated to common paediatric IP procedures. Each case is presented with the history, including clinical, radiological, bronchoscopic/pleuroscopic findings and final outcomes. Many of these cases also have video illustrations. This book will be of great value to interventional pulmonologists, thoracic surgeons, surgical oncologists, and interventional radiologists.
This book provides a guide to the anatomy and the surgical techniques required in thoracic and cardiothoracic surgery. It discusses the advantages and disadvantages of certain surgical procedures in relation to the lymphatic system, thyroid gland, chest wall and parathyroid glands, as well as pulmonary endarterectomy. Further, it addresses intraoperative and postoperative complications, and explores newer fields like microthymectomy, microlobectomy, and pain management for thoracic surgery patients. Providing an update on the latest advances in thoracic surgery, it appeals to general, thoracic, cardiothoracic, and cardiovascular surgeons. It also offers trainees insights into the foundation of the techniques and the relevant anatomy.
This third edition Atlas of Endoscopic Major Pulmonary Resections describes in detail the totally thoracoscopic approach to major pulmonary resections, in which only endoscopic instruments and monitor control are used. Pulmonary lobectomies and segmentectomies are presented step by step, using brief technical notes and high-quality, clearly labeled still images. Each chapter begins with information on the anatomical background, which is illustrated in three-dimensional reconstructions. In turn, technical ‘tricks’ and specific pitfalls are explained in pictograms. The technical descriptions presented here are based on the author’s own technique, which in some cases differs from other video-assisted approaches. The goal is for surgeons embarking on video-assisted major pulmonary resections – regardless of which approach they use – to find helpful hints and guidance on this totally new vision of pulmonary and mediastinal anatomy.The first edition of this atlas was released at a time when video-assisted major pulmonary resections were just emerging as a valid alternative to conventional techniques. In the second edition, chapters on sublobar resections, as a new alternative to lobectomy in selected patients, were added. In this third edition, as the interest in sublobar resections is growing, and because they are challenging, the technique is dealt with in depth. In particular, readers will be introduced to new imaging technologies to support these techniques.
Advances in CT have enabled us to detect small lung cancers, which has changed the lung cancer surgery from lobectomy to a lesser lobar resection such as a segmentectomy or wedge resection. While wedge resection is a simple procedure, it has a higher risk of local recurrence of cancer than a lobectomy. On the other hand, segmentectomy is a well known curative surgery for small lung cancers. However, it is difficult to perform accurately because of its anatomical complexity, which makes surgeons hesitant to use it. The book “Illustrated Anatomical Segmentectomy for Lung Cancer” provides readers a detailed explanation of segmentectomy with numerous easy-to-understand color illustrations showing the precise segmental anatomies for each pattern of the procedure. To better illustrate an accurate anatomical segmentectomy, the text shows details of anatomy during segmentectomy. This can involve up to 25 patterns, each of which is shown in roughly 10 illustrations.