The Transcervical Approach in Thoracic Surgery PDF
Preview The Transcervical Approach in Thoracic Surgery
The Transcervical Approach in Thoracic Surgery Marcin Zieliński Ramón Rami-Porta Editors 123 The Transcervical Approach in Thoracic Surgery ń Marcin Zieli ski (cid:129) Ramón Rami-Porta Editors The Transcervical Approach in Thoracic Surgery Editors Marcin Zieliński, MD, PhD Ramón Rami-Porta, MD, PhD, FETCS Department of Thoracic Surgery Department of Thoracic Surgery Pulmonary Hospital Hospital Universitari Mutua Terrassa Zakopane Terrassa Poland Barcelona Spain Videos to this book can be accessed at http://www.springerimages.com/ videos/978-3-642-54564-1 ISBN 978-3-642-54564-1 ISBN 978-3-642-54565-8 (eBook) DOI 10.1007/978-3-642-54565-8 Springer Heidelberg New York Dordrecht London Library of Congress Control Number: 2014941285 © Springer-Verlag Berlin Heidelberg 2014 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifi cally the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfi lms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. Exempted from this legal reservation are brief excerpts in connection with reviews or scholarly analysis or material supplied specifi cally for the purpose of being entered and executed on a computer system, for exclusive use by the purchaser of the work. Duplication of this publication or parts thereof is permitted only under the provisions of the Copyright Law of the Publisher's location, in its current version, and permission for use must always be obtained from Springer. Permissions for use may be obtained through RightsLink at the Copyright Clearance Center. Violations are liable to prosecution under the respective Copyright Law. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specifi c statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. While the advice and information in this book are believed to be true and accurate at the date of publication, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com) To my wife Beata and my daughters Aleksandra and Zofi a. Marcin Zieliński To my mother, Joaquina, and my departed father, Ramón, without whom I would be no one. To Drs. Antonio Alix Trueba and Félix Serrano Muñoz, from whom I learnt mediastinoscopy and mediastinotomy, procedures that proved to be fundamental in the development of my professional life. To the late Dr. Tsuguo Naruke, for his example, teachings and mentorship. With much appreciation and personal esteem. Ramón Rami-Porta Forewo rd The protection afforded by the bony structures surrounding the thorax deterred surgeons and assailants alike! It is no surprise therefore that “access” remains an important topic in thoracic surgery. The editors of this book have brought together expert authors from around the world who share a common interest and experience in exploiting access to the thorax through the “sky- light” provided by the thoracic inlet. This book provides comprehensive cov- erage of established and developing techniques to enable diagnosis, staging and treatment of intrathoracic disorders using the transcervical approach, alone and in combination with accessory techniques. T he chapters detailing diagnostic and staging procedures cover long-e stablished techniques such as scalene node biopsy and cervical mediastinoscopy and the spin- off derivatives resulting from improvements in endoscopic instruments and video assistance which allow more extensive evaluation of mediastinal nodal spread and the pleural spaces. The array of abbreviations and acronyms, CMT, CITES, C-VATS, NOTES, MUS, VAMLA and TEMLA, some familiar others new, include many techniques developed by the authors themselves. Some are comple- mentary or competitive to others, and comparison is facilitated by each chapter having a common template which includes the history, indications and contraindi- cations, results and complications of each, along with a thorough description of the technique and its variations, complemented by extensive illustrations. Additional chapters cover therapeutic applications; some such as oesophageal operations and airway surgery are well established, whilst others such a lobec- tomy through a cervical approach are in early development. Finally, we are treated to a glimpse of the future with chapters on robotic surgery and the possible place for minimal access cervical approaches for cardiovascular procedures. I am sure the reader will appreciate this thorough review of all things which can now be achieved through a cervical approach and those that might be feasible in the near future, written as it is by renowned experts in the fi eld. Peter Goldstraw Emeritus Professor of Thoracic Surgery, National Heart and Lung Institute, Imperial College, London, UK Honorary Consultant in Thoracic Surgery, Royal Brompton Hospital, London, UK Immediate Past President, International Association for the Study of Lung Cancer London, UK vii Preface The book that you have in your hands is the result of a process that began in July 2011, when Marcin and I met in Amsterdam to attend the World Conference on Lung Cancer. We happened to sit together at the speakers’ dinner, and almost at the end, over dessert and coffee, we talked about the possibility of editing a book that should include the state of the art of the thoracic surgery procedures performed through a cervical incision. Both had experience in the transcervical approach. Marcin, with different teams of co- workers, had performed the transcervical approach for thymectomy that led them to the transcervical extended mediastinal lymphadenectomy and, even- tually, to even transcervical lobectomy; and I and my team had worked on mediastinoscopy and its variants for many years. We knew that we were not alone and that there were others who shared a similar interest in this approach. We were not the fi rst either, because the use of the transcervical approach can be traced back to the late nineteenth century and to the beginning of the twen- tieth, especially with Sauerbruch, who is credited for using the transcervical approach for thymectomy for the fi rst time. Months later, the fi rst draft of the table of contents was completed, and after several revisions, we believe that it now includes all the procedures and authors that are presently working on the transcervical approach. The Transcervical Approach in Thoracic Surgery covers all diagnostic, staging and therapeutic procedures performed today. They are varied, and therefore, the book is divided in fi ve parts. Part I includes ten chapters that deal with the diagnostic and staging procedures, from the most modest, such as the scalene fat pad biopsy, to the most thorough: transcervical extended mediastinal lymphadenectomy. There are many procedures in between (mediastinoscopy, extended cervical mediastinoscopy, remediastinoscopy, the different forms of mediastino-thoracoscopy, mediastinal ultrasonography and video-assisted mediastinoscopic lymphadenectomy) that are performed for specifi c indications but that provide access to the mediastinum and pleural spaces from a small cervical incision. Part II deals with the procedures per- formed to access the thymus and cystic and tumour lesions in the supero- anterior mediastinum. Part III describes exceptional procedures, such as transcervical lobectomy and transcervical closure of the main bronchi. These procedures have proved to be feasible and successful if indicated properly. Part IV is devoted to the procedures for tracheal and oesophageal lesions. Finally, Part V covers the application of robotics through the transcervical ix
The list of books you might like
