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Operative Thoracic Surgery
SERIES EDITORS
R C G Russell MS FRCS FRCPS
Consulting Surgeon, University College Hospitals, London
Henry A Pitt MD
Professor and Vice Chairman, Department of Surgery, Indiana University, Indianapolis, Indiana
ART EDITOR
Gillian Lee FMAA HonFIMI AMI RMIP
Gillian Lee Illustrations, 15 Little Plucketts Way, Buckhurst Hill, Essex
Operative Thoracic Surgery
FIFTH EDITION
Edited by
Larry R Kaiser MD
The John Rhea Barton Professor and Chairman
Department of Surgery
University of Pennsylvania
Surgeon-in-Chief
University of Pennsylvania Health System
Philadelphia, Pennsylvania, USA
Glyn G Jamieson MS MD FRACS FRCS FACS
Dorothy Mortlock Professor and Chairman
Department of Surgery
University of Adelaide
Royal Adelaide Hospital
Adelaide, South Australia, Australia
First published in Great Britain in 1956 by
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Butterworths Heinemann
Second edition 1968
Third edition 1976
Fourth edition 1982
This fifth edition published in 2006 by
Hodder Arnold, an imprint of Hodder Education and a member of the Hodder
Headline Group, 338 Euston Road, London NW1 3BH
http://www.hoddereducation.com
Distributed in the United States of America by
Oxford University Press Inc.,
198 Madison Avenue, New York, NY10016
Oxford is a registered trademark of Oxford University Press
2006 Edward Arnold (Publishers) Ltd
©
All rights reserved. Apart from any use permitted under UK copyright law, this
publication may only be reproduced, stored or transmitted, in any form, or by
any means with prior permission in writing of the publishers or in the case of
reprographic production in accordance with the terms of licences issued by
the Copyright Licensing Agency. In the United Kingdom such licences are
issued by the Copyright Licensing Agency: 90 Tottenham Court Road, London
W1T 4LP
Whilst the advice and information in this book are believed to be true and
accurate at the date of going to press, neither the author[s] nor the publisher
can accept any legal responsibility or liability for any errors or omissions that
may be made. In particular (but without limiting the generality of the
preceding disclaimer) every effort has been made to check drug dosages;
however it is still possible that errors have been missed. Furthermore, dosage
schedules are constantly being revised and new side-effects recognized. For
these reasons the reader is strongly urged to consult the drug companies'
printed instructions before administering any of the drugs recommended in
this book.
British Library Cataloguing in Publication Data
A catalogue record for this book is available from the British Library
Library of Congress Cataloging-in-Publication Data
A catalog record for this book is available from the Library of Congress
ISBN-10 0 340 75973 9
ISBN-13 978 0 340 759 738
1 2 3 4 5 6 7 8 9 10
Commissioning Editor: Sarah Burrows
Project Manager: Nora Naughton
Production Controller: Joanna Walker
Cover Designer: Nichola Smith
Art Editor: Gillian Lee
Typeset in 10 on 12pt Minion by Phoenix Photosetting, Chatham, Kent
Printed and bound in Italy by Printer Trento
What do you think about this book? Or any other Hodder Arnold title?
Please send your comments to www.hoddereducation.com
Contents
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Contributors ix
Contributing medical artists xiii
Preface xv
Section I: Thoracic Surgery 1
1 Repair of pectus excavatum 3
Charles N Paidas and J Alex Haller Jr
2 Thoracic trauma 15
Kenneth L Mattox and Jon-Cecil M Walkes
3 Chest wall tumors 29
Anna Maria Ciccone, Tiziano De Giacomo, Erino Angelo Rendina and Federico Venuta
4 Anterior mediastinal lesions 43
Shinichiro Miyoshi
5 Thymectomy 53
Larry R Kaiser
6 Chylothorax 59
Robert J Cerfolio
7 Bronchoscopy 63
John C Kucharczuk
8 Video-assisted thoracic surgery 73
Luiz Eduardo V Leão
9 Video-assisted thorascopic sympathectomy 89
M Blair Marshall
10 Mediastinoscopy 93
Maher Deeb
11 Mediastinotomy 99
Joseph S Friedberg
12 Intercostal drainage 107
Noriaki Tsubota
13 Tracheostomy 113
Randal S Weber, Ara A Chalian and Sarah H Kagan
14 Right-sided pulmonary resections 119
Ryosuke Tsuchiya
15 Left-sided pulmonary resections 137
16 Tracheal resection 153
Jean Deslauriers and Reza Mehran
Peter Goldstraw
vi Contents
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17 Lung volume reduction surgery 171
Joseph B Shrager
18 Videothoracoscopic bullectomy for spontaneous pneumothorax 183
Tomás Angelillo Mackinlay
19 Pulmonary hydatid cysts 195
Andres Varela, Raul Burgos and Evaristo Castedo
20 Bronchopleural fistula after pneumonectomy and lobectomy 207
David P Jenkins and Edward R Townsend
21 Postpneumonectomy and empyema 215
Peter H Hollaus
22 Decortication of the lung 243
C Peter Clarke
23 Thoracic incisions 249
M Blair Marshall
24 Bronchoplastic procedures 259
Larry R Kaiser
25 Resection of posterior mediastinal masses 267
Joseph B Shrager
26 Lung transplantation 275
John Dark
27 Thoracic outlet syndromes 289
Harold Clifton Urschel Jr
28 Mediastinal lymph node dissection 299
Paolo Macchiarini
29 The pericardium 307
John C Kucharczuk
30 Extrapleural pneumonectomy 315
John C Kucharczuk
31 Surgical management of superior sulcus tumors 325
M Blair Marshall and Larry R Kaiser
Section II: Esophageal surgery 333
32 Rigid esophagoscopy 335
Michael T Marrinan and Claude Deschamps
33 Sutured anastomoses 341
Jamie Kelly and Glyn G Jamieson
34 Stapling techniques for anastomoses of the esophagus 349
Glyn G Jamieson
35 Use of the stomach as an esophageal substitute 353
36 Abdominal and right thoracic subtototal esophagectomy 367
37 Left thoracic subtotal esophagectomy 379
Arnulf H Hölscher and J Rüdiger Siewert
Bernard Launois and Guy J Maddern
Jun-Feng Liu
Contents vii
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38 Transhiatal esophagectomy 397
Mark B Orringer
39 Long esophageal myotomy and excision of diverticula 413
André Duranceau
40 Thoracoscopic management of esophageal diverticulum 421
Glyn G Jamieson, Robert Ludemann and John Hunter
41 Perforation of the esophagus 425
Baiya Krishnadasan, Olivier Huber and Carlos Pellegrini
42 Open antireflux operations through a left thoracic approach 437
André Duranceau
43 The uncut Collis-Nissen procedure 459
Victor F Trastek and Francis C Nichols
44 Reoperative antireflux surgery using the thoracic approach 469
Alex G Little
45 Thoracoscopic cardiomyotomy for achalasia 473
Christopher John Martin
46 Esophagogastrectomy for adenocarcinoma of the esophagus and cardia 479
Arnulf H Hölscher, Rudolf Bumm and J Rüdiger Siewert
47 Thoracoscopic techniques for the removal of benign esophageal tumors 491
David Ian Watson
48 Thoracolaparoscopic esophagectomy for malignancy 497
David Ian Watson and Glyn G Jamieson
Index 507
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Contributors
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Rudolf Bumm MD
Assistant Professor, Department of Surgery, Technical University of
Munich, Munich, Germany
Raul Burgos
MD PhD
Associate Professor, Autonomous University of Madrid, Department
of Cardiovascular and Thoracic Surgery, Hospital Puerta de Hierro,
Madrid, Spain
Evaristo Castedo
MD
Professor of Surgery, Autonomous University of Madrid, Department
of Cardiovascular and Thoracic Surgery, Hospital Puerta de Hierro,
Madrid, Spain
Robert J Cerfolio
MD FACS FACCP
Associate Professor of Surgery, Chief of Section of Thoracic Surgery,
University of Alabama at Birmingham; Department of Surgery,
Division of Cardiothoracic Surgery, Birmingham, Alabama, USA
Annamaria Ciccone
MD
Division of Thoracic Surgery, Universita La Sapienza, Rome, Italy
Ara A Chalian MD FACS
Specialist Associate Professor, Director Head and Neck
Reconstructive Surgery Service, Department of Otorhinolaryngology
– Head and Neck Surgery, University of Pennsylvania Health System,
Philadelphia, Pennsylvania, USA
C Peter Clarke
MB BS FRACS FACS
Professorial Fellow, Department of Surgery, University of Melbourne;
Senior Thoracic Surgeon, Austin Health, Heidelberg, Victoria,
Australia
John Dark
Professor, Regional Cardiothoracic Centre, Freeman Hospital,
Newcastle upon Tyne, UK
Tiziano De Giacomo
MD
Division of Thoracic Surgery, Universita La Sapienza, Rome, Italy
Maher Deeb
MD
Fellow, Hospital of the University of Pennsylvania, Philadelphia,
Pennsylvania, USA; Shaare Zedek Medical Center, Jerusalem, Israel
Claude Deschamps
MD
Professor of Surgery, Mayo College of Medicine, Rochester,
Minnesota, USA
Jean Deslauriers
MD FRCS(C)
Professor of Surgery at Laval University, Sainte-Foy, Quebec, Canada
André Duranceau
MD
Professor of Surgery, Chair, Division of Thoracic Surgery, Centre
hospitalier de l’Université de Montréal, Montréal, Quebec, Canada
Joseph S Friedberg MD FACS
Associate Professor of Surgery, Division of Thoracic Surgery, PennPresbyterian Medical Center, Philadelphia, Pennsylvania, USA
J Alex Haller Jr
MD
Emeritus Professor of Pediatric Surgery, Department of Surgery, The
Johns Hopkins University School of Medicine; Emeritus Chief of
Pediatric Surgery, Department of Surgery, Johns Hopkins Hospital,
Baltimore, Maryland, USA
Peter H Hollaus
MD
Consultant, General and Thoracic Surgeon, Department of Thoracic
Surgery, Pulmologisches Zentrum Wien, Vienna, Austria
Arnulf H Hölscher
MD FACS FRCS
Professor of Surgery and Chairman, Department of Visceral and
Vascular Surgery, University of Cologne Medical School; Director,
Department of Visceral and Vascular Surgery, Medical Center
University of Cologne, Cologne, Germany
Olivier Huber
MD
Associate Professor, Department of Surgery, University of Geneva;
Head, Foregut Surgery, University Hospital of Geneva, Geneva,
Switzerland
John Hunter
MD
Professor and Chairman, Department of Surgery, Oregon Health
Sciences University, Portland, Oregon, USA
Peter Goldstraw
FRCS
Consultant Thoracic Surgeon, Royal Brompton Hospital, London;
Professor of Thoracic Surgery, Imperial College, London, UK
Glyn G Jamieson
MS MD FRACS FRCS FACS
Dorothy Mortlock Professor and Chairman, Department of Surgery,
University of Adelaide, Royal Adelaide Hospital, Adelaide, South
Australia, Australia
David P Jenkins
BSC MS FRCS
Formerly Specialist Registrar, Department of Thoracic Surgery,
Harefield Hospital, Middlesex, UK; Consultant Cardiothoracic
Surgeon, Papworth Hosptial, Cambridge, UK
Sarah H Kagan
PhD RN
Associate Professor of Gerontological Nursing; School of Nursing,
Gerontology Clinical Nurse Specialist, Hospital of the University of
Pennsylvania; Secondary Faculty, Department of Otorhinolaryngology
– Head and Neck Surgery, University of Pennsylvania, Philadelphia,
Pennsylvania, USA
Larry R Kaiser
MD
The John Rhea Barton Professor and Chairman, Department of
Surgery, University of Pennsylvania; Surgeon-in-Chief, University of
Pennsylvania Health System, Philadelphia, Pennsylvania, USA
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