The department of thoracic surgery specialises in surgical procedures on
• Pleura (Chest cavity)
• Trachea and bronchus (wind pipe)
• Esophagus (food pipe)
• Chest wall
• Hyperhydrosis (excessive sweating): of face, axilla or hand
METHODS OF OPERATION
Robotic Thoracic Surgery
We offer the latest cutting edge technology (da Vinci Xi robotic system) to provide the best outcomes to our patients. The surgeon at the robotic console controls the robot to do the precise surgery of the patients along with all the benefits of minimally invasive surgery VATS (Video-assisted thoracoscopic surgery) or Key Hole surgery of the chest. Almost all operations in the chest can be done by this technique which avoids excessive pain and complications of open surgery. Also it offers better cosmesis and the patient can return to work very soon after the surgery.
Bronchiectasis (infection in lung)
Bronchiectasis is very common. Patients presents with cough and blood in the sputum. Aspergilloma (fungus in the lung). Fungus ball in the lung often occurs in pre-existing cavitie. Patients present with cough and blood in the sputum. Surgical removal of involved lung cures the patient Hydatid cyst in lung. Hydatid cyst can occur in young individual also. Patients present with cough and blood in the sputum. Surgical removal of involved part cures the patient.
Lung bullae and blebs
Lung bullae often occurs in chronic smokers. The patients develop increasing breathlessness, often is –diagnosed as asthma. Blebs usually occur in young individuals and they present with breathlessness due to pneumothorax (air in chest). We specialize in key-hole surgery for both the diseases with excellent outcomes.
- Nodules can occur in lungs due to various causes ranging from infection to cancer.
- Key-hole surgery can remove the nodules, providing immediate diagnosis.
- Lung cancer is increasing in incidence due to increasing pollution and smoking.
- For cancer localized to chest, surgery offers the best chance of cure. We offer open surgery, VATS (key-hole) as well as robotic surgery for lung cancer.
- Drainage of retained hemothorax.
- Repair of lung.
- Bleeding control.
- Removal of bullets/foreign bodies.
- Various kind of cyst can occur in the lungs and rest of the chest. Patients present with pain or breathlessness.
- We routinely remove these by key-hole and robotic surgery.
DISEASES OF PLEURA
- Decortication and drainage of empyema.
- Pleurodesis for recurrent pleural effusion.
- Local anaesthesia thoracoscopy with pleural biopsy.
- Chylothorax sometimes needs ligation of thoracic duct.
DISEASES OF PERICARDIUM
- Pericardial window
- Excision of Pericardial cyst
DISEASES OF MEDIASTINUM
Myasthenia gravis often occurs in young ladies. Removal of thymus gland helps over 85% of myasthenia gravis patients.
Thymoma is a tumor of thymus gland which can occur with or without myasthenia gravis. Complete surgical removal offers long term cure to these patients. Posterior mediastinal tumors (nerve sheath tumor). The back side of chest is common site for tumors of nerve sheath. Though mostly benign, these tumors keep growing in size and can become cancerous. We routinely remove them by robotic and key-hole method Bronchogenic & pericardial cysts.
TRACHEA AND BRONCHUS
- Wind pipe can develop benign tumors as well as cancers.
- Complete removal of tumors with its base can cure these patients.
- Wind pipe can be injured in accidents. This leads to collapse of that side of lung. This requires a complex operation to rejoin the wind pipe.
Bronchial and lung carcinoid
Carcinoids are slow growing tumors that can occur in wind pipe or lungs. Complete removal cures these patients. Tracheoesophageal fistula (abnormal connection between food & wind pipe). Abnormal connection between food & wind pipe can occur due to numerous reasons. Patients develop cough on trying to eat or drink anything
- Infections / sinuses
- Axillary and Palmar hyperhidrosis
- Cardiac arrhythmias