Thoracic Surgery Atlas, 2nd edition (PDF)

By Mark K. Ferguson MD

The Thoracic Surgery Atlas, 2nd edition is a comprehensive guide to operative thoracic surgery, providing technique-based articles in cardiovascular and thoracic surgery. The book includes authoritative, experience-based observations to help guide the reader through the details of complex procedures and avoid common problems . The purpose of the book is to provide clinicians with the most up-to-date and clinically focused guide to operative thoracic surgery, including the latest techniques and technologies . The scope of the book covers all facets of thoracic disease, making it an essential resource for thoracic surgeons and clinicians .

The 2nd edition of the Thoracic Surgery Atlas includes several changes from the 1st edition. It details the latest operative techniques, including those for transplantation, and provides an up-to-date atlas of operative techniques for thoracic procedures . The book is highly illustrated, providing a comprehensive review of general thoracic surgery, and the author shares valuable experience-based observations to help guide the reader through complex procedures . The comparative atlas provides technique-based articles in cardiovascular and thoracic surgery, making it a valuable resource for clinicians seeking to improve their surgical skills .

The target audience for the Thoracic Surgery Atlas, 2nd edition is thoracic surgeons, general surgeons, and other clinicians involved in the care of patients with thoracic disease. The book is designed to be a comprehensive and authoritative guide to operative thoracic surgery, providing clinicians with the most up-to-date techniques and technologies to improve patient outcomes . The book is an essential resource for any clinician seeking to improve their surgical skills and stay up-to-date with the latest advancements in thoracic surgery.

Anatomy of the Thorax

The thorax is a complex anatomical region that includes bones, muscles, and cartilage. Understanding the anatomy of the thorax is essential for thoracic surgery, as it involves procedures on organs located within this region. The thorax is composed of 12 pairs of ribs, the sternum, and the thoracic vertebrae, which together form the rib cage . The muscles of the thorax include the intercostal muscles, which are responsible for breathing, and the pectoralis major and minor muscles, which are involved in arm movement. Cartilage is also present in the thorax, including the costal cartilage that connects the ribs to the sternum . A comprehensive understanding of the bones, muscles, and cartilage of the thorax is crucial for thoracic surgeons to perform procedures safely and effectively .

The mediastinum is a central compartment within the thorax that contains vital organs such as the heart, great vessels, trachea, and esophagus. The mediastinum is divided into four compartments: the superior, anterior, middle, and posterior mediastinum. The superior mediastinum contains the thymus gland, the anterior mediastinum contains lymph nodes and fat, the middle mediastinum contains the heart and great vessels, and the posterior mediastinum contains the esophagus and aorta . Understanding the contents and organization of the mediastinum is important for thoracic surgeons to navigate this complex region during surgical procedures .

The pleura is a thin membrane that lines the thoracic cavity and covers the lungs. The pleura is divided into two layers: the visceral pleura, which covers the lungs, and the parietal pleura, which lines the thoracic cavity. The pleural cavity is the space between the visceral and parietal pleurae, which contains a small amount of fluid that allows for smooth movement of the lungs during breathing . Knowledge of the pleura and pleural cavities is essential for thoracic surgeons, as procedures such as thoracentesis and pleurodesis involve accessing these spaces . Additionally, understanding the pleura is important for managing complications such as pneumothorax, a condition in which air enters the pleural cavity and causes lung collapse .

Diagnostic Tools and Imaging Techniques

Diagnostic tools and imaging techniques are essential for the accurate diagnosis and treatment of thoracic diseases. Radiography and CT scans are commonly used imaging techniques in thoracic surgery. These techniques provide detailed images of the thorax, allowing for the identification of abnormalities and the planning of surgical procedures . The second edition of the Thoracic Surgery Atlas includes up-to-date information on these diagnostic tools and imaging techniques, providing a comprehensive guide for thoracic surgeons .

Bronchoscopy and endobronchial ultrasound are other important diagnostic tools in thoracic surgery. Endobronchial ultrasound has received significant attention among pulmonologists, thoracic surgeons, and other medical professionals due to its minimally invasive nature and high diagnostic yield . This technique involves combining conventional bronchoscopy and ultrasound imaging with needle aspiration, allowing for the evaluation of mediastinal lymph nodes and other thoracic structures . The Thoracic Surgery Atlas provides detailed information on the use of these techniques in thoracic surgery, including their indications and potential complications .

Thoracoscopy and video-assisted thoracoscopic surgery are minimally invasive surgical techniques that have revolutionized the approach to and management of many thoracic diseases. VATS has become a widely accepted standard approach for the surgical treatment of stages I and II thoracic diseases . This technique involves making small incisions in the chest and using a camera and specialized instruments to perform the surgery . The Thoracic Surgery Atlas provides a detailed description of the different approaches to VATS and focuses on the full thoracoscopic fissure-based technique . With its comprehensive coverage of diagnostic tools and surgical techniques, the Thoracic Surgery Atlas is an essential resource for thoracic surgeons and other medical professionals.

Thoracic Surgical Procedures

The Thoracic Surgery Atlas, 2nd edition, is a comprehensive resource for thoracic surgical procedures. It includes authoritative, experience-based observations to help guide surgeons through the details of complex procedures and avoid common problems . One of the most commonly performed procedures in thoracic surgery is lobectomy and pneumonectomy, which involve the removal of a lobe or an entire lung. The book provides a review of the equipment, personnel, preparation, and techniques involved in this procedure, as well as a summary of the potential complications that may arise . Video-assisted thoracoscopic surgery is a well-established technique for major pulmonary resections, and the book provides a detailed description of this procedure .

In addition to lobectomy and pneumonectomy, the book also covers other thoracic surgical procedures such as wedge resection and segmentectomy. These procedures involve the removal of a smaller portion of the lung and are often performed to treat early-stage lung cancer . Anatomic single or combined basal segmentectomy is technically challenging due to the variation and deep location of vessels, and the book provides guidance on how to perform this procedure .

The Thoracic Surgery Atlas, 2nd edition, also covers mediastinal tumor resection and thymectomy. Robotic thoracic surgery has been shown to be feasible and safe for resection of tumors of the thymus, with a low risk of complications and postoperative pain . The book provides a review of the surgical methods used for thymectomy, including extended thymectomy and thymothymectomy . Additionally, the book discusses the optimal position and port placement during robotic resection for various mediastinal tumors . Overall, this highly illustrated resource provides valuable insights and guidance for surgeons performing thoracic surgical procedures.

Complications and Considerations in Thoracic Surgery

One of the most important considerations in thoracic surgery is the management of postoperative complications. Prevention is key, and it starts with preoperative preparation and patient screening . However, even with the best preparation, complications can still arise. The second edition of the Thoracic Surgery Atlas provides authoritative, experience-based observations to help guide surgeons through the details of complex procedures, avoid common problems, and manage postoperative complications . This comprehensive text covers procedures involving all chest organs and offers step-by-step guidance on a variety of thoracic surgical techniques, giving surgeons more options for the challenges they may face .

Anesthesia and pain management are also critical considerations in thoracic surgery. The second edition of the Thoracic Surgery Atlas provides valuable insights into these areas, including the latest techniques and best practices for managing pain and discomfort in patients . With this information, surgeons can ensure that their patients are as comfortable as possible during and after the procedure, which can lead to better outcomes and faster recovery times.

Emerging techniques and future directions in thoracic surgery are also covered in the second edition of the Thoracic Surgery Atlas. This includes the latest advancements in minimally invasive surgery, such as uniportal VATS, as well as other emerging techniques . The field of thoracic surgery is constantly evolving, and staying up to date on the latest techniques and technologies is essential for providing the best possible care to patients. The Thoracic Surgery Atlas is an invaluable resource for surgeons looking to stay at the forefront of this rapidly advancing field .

Product Details

• Publisher ‏ : ‎ Elsevier; 2nd edition (December 15, 2023)
• Language ‏ : ‎ English
• eBook Digital ‏ : ‎ 350 pages
• ISBN-10 ‏ : ‎ 0323930220
• ISBN-13 ‏ : ‎ 978-0323930222