Thoracic Surgery Procedures Handbook 2026: An Organ-by-Organ Approach to Pulmonary Resection, Esophageal Reconstruction, and Mediastinal Dissection for the OR Team - Softcover

Inhaltsangabe

Built for thoracic surgeons, residents, fellows, advanced practice clinicians, and OR teams, this handbook connects thoracic anatomy, physiology, imaging, and reconstruction principles to the procedural decisions that define safe operative care. It moves from preoperative evaluation, access, and conversion strategy through pulmonary resection, esophageal reconstruction, airway procedures, mediastinal surgery, pleural disease, chest wall repair, diaphragm operations, and postoperative rescue. The Thoracic Operative Sequence System frames each procedure around the anatomy that must be controlled, the step that changes risk, and the complication signal that requires escalation.

• Plan thoracic access and conversion — choose thoracotomy, VATS, robotic, sternotomy, or combined exposure according to target anatomy and rescue needs.

• Control pulmonary resection anatomy — move from wedge resection and segmentectomy to lobectomy, pneumonectomy, sleeve resection, bronchoplasty, and pulmonary artery reconstruction with margin and air-leak discipline.

• Build esophageal reconstruction safely — connect workup, conduit selection, vascular arcade preservation, route planning, anastomotic tension, leak control, and postoperative nutrition.

• Coordinate airway procedures — manage tracheal resection, airway anastomosis, bronchoscopy, stenting, bleeding control, and shared-airway ventilation hazards.

• Navigate mediastinum and nodes — plan thymectomy, anterior mediastinal mass resection, compartment-based evaluation, and station-specific lymph node dissection.

• Treat pleural and structural disease — manage empyema, decortication, pneumothorax, chest tubes, chest wall reconstruction, diaphragm plication, hernia repair, and tumor involvement.

• Recognize complications early — interpret air leak, chyle, fever, hoarseness, dysphagia, postoperative spaces, reconstruction failure, and readmission through the operation that created the risk.

Use it to brief the case, guide the sequence, protect the repair, and deliver safer thoracic care from incision through recovery.

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