Innominate Artery Dissection Caused by Video-Mediastinoscopy.

Mediastinoscopy is considered a safe technique to biopsy mediastinal lesions. Among its complications, vascular ones are the most common. We present a rare case of intimal dissection of the innominate artery during the performance of a mediastinoscopy that caused an ischemic attack from which the patient recovered completely without long-term sequelae. We analyze the possible causes and risk factors of this complication.

Supraclavicular excision of a cervical rib for treatment of thoracic outlet syndrome.

Cervical rib resection through a supraclavicular approach is a safe and feasible treatment for patients suffering from thoracic outlet syndrome caused by the presence of a cervical rib or by an anomalous first rib. This video tutorial illustrates the technical aspects of this procedure.

Abordaje quirúrgico del carcinoma broncogénico de células no pequeñas con metástasis extrapulmonar / Surgical approach of non-small cell lung cancer with extrapulmonary metastasis

El carcinoma broncogénico es la causa más frecuente de muerte por cáncer en el mundo. Cerca del 75% de los pacientes presentan enfermedad diseminada en el momento del diagnóstico. Hasta un 50% de los pacientes con enfermedad localizada al inicio desarrollarán metástasis. Sin embargo, la evidencia científica actual ha demostrado que, cuando la enfermedad metastásica es limitada y sobre todo en determinadas localizaciones como la cerebral y la suprarrenal, su abordaje multidisciplinar con intención radical puede prolongar la supervivencia. El presente artículo revisa la evidencia clínica bibliográfica existente que apoya el tratamiento, no solo de la enfermedad primaria sino de la metastásica, además del estudio preoperatorio y las indicaciones más aceptadas

Bronchogenic carcinoma is the leading cause of death due to cancer worldwide. Nearly 75% of patients have a disseminated carcinoma at diagnosis. Up to 50% of patients with a localized disease will develop metastasis. Nevertheless, the current scientific evidence has demonstrated that when the metastatic disease is limited, particularly in specific locations such as the brain and the adrenal glands, a multidisciplinary approach with radical intent could achieve a longer survival. This review analyses the clinical evidence available in the literature that supports the treatment of both the primary and the metastatic disease, as well as the preoperative study and the most widely accepted indications

Surgical approach of non-small cell lung cancer with extrapulmonary metastasis. / Abordaje quirúrgico del carcinoma broncogénico de células no pequeñas con metástasis extrapulmonar.

Bronchogenic carcinoma is the leading cause of death due to cancer worldwide. Nearly 75% of patients have a disseminated carcinoma at diagnosis. Up to 50% of patients with a localized disease will develop metastasis. Nevertheless, the current scientific evidence has demonstrated that when the metastatic disease is limited, particularly in specific locations such as the brain and the adrenal glands, a multidisciplinary approach with radical intent could achieve a longer survival. This review analyses the clinical evidence available in the literature that supports the treatment of both the primary and the metastatic disease, as well as the preoperative study and the most widely accepted indications.

Video-assisted thoracoscopic left cardiac sympathetic denervation for congenital long QT syndrome.

Left cardiac sympathetic denervation is an effective therapy for patients with congenital long QT syndrome resistant to beta-blocker therapy. In this video tutorial we describe a minimally invasive video-assisted thoracoscopic technique for performing left cardiac sympathetic denervation.

Hallazgo incidental de fístula arterio-arterial entre arterias sistémicas no bronquiales y una arteria pulmonar en paciente oncológico / Incidental Finding of an Arterio-arterial Fistula Between Non-bronchial Systemic Arteries and a Pulmonary Artery in a Cancer patient

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