By Robert Kalimi MD, L. Penfield Faber MD
This certain case-based evaluate of thoracic surgical procedure deals first-class coaching for oral board examinations, which emphasize either basic wisdom and case administration. Written via famous specialists, the e-book offers various situations overlaying the whole spectrum of thoracic surgical ailments. every one case starts off with the scientific presentation and proceeds to X-ray record, differential analysis, CT experiment document, analysis and suggestion, surgical procedure, final result, and dialogue. X-rays, CT scans, bronchoscopic images, and different correct illustrations accompany the textual content. a few instances comprise postoperative issues and dialogue of the factors, assessment, and administration of those complications.
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Extra info for Clinical Scenarios in Thoracic Surgery
Before an organ can be accepted for harvesting, brain death must be established. An acceptable donor should be younger than 55 years of age and must have ABO compatibility with the recipient. Donor operation coordinates multiple teams for multiple organ harvesting. To be an acceptable organ, the lung should not have incurred direct trauma, contusion, or hemorrhage.
Histologic Photograph Figure 6-6 See Color Plate 4 following page 114. 30 Clinical Scenarios in Thoracic Surgery Histologic Report Hematoxylin and eosin preparation demonstrate pleomorphic cells with cytologic atypia and mitotic activity greater than 2 to 10 mitoses per 10 high-power fields (HPFs), consistent with atypical carcinoid tumor. ■ Discussion Carcinoid tumors make up less than 1% of all tumors of bronchial origin. Initially believed to be benign, they are now known to exist in a spectrum of neuroendocrine tumors.
Case Continued You perform a left neck incision and a cricopharyngeal myotomy that extend several centimeters down the esophagus. During efforts to dissect the investing fascia off of the diverticulum, a small defect is created in the diverticulum. Discussion Endoscopic stapling of the diverticulum is not considered in this patient because the diverticulum is too small to permit the stapler to accommodate the entire cricopharyngeus muscle. An open myotomy is therefore performed. The primary advantage of performing a diverticulopexy is that no suture or staple line is created, eliminating the possibility of leakage.