Thoracic Surgical Techniques

Mr Coonar has been a consultant at Papworth since 2007 and his practice is in pure thoracic surgery. He works closely with a large team including other surgeons, specialist nurses, radiologists and physicians. Mr Coonar was appointed President of the Royal Society of Medicine Cardiothoracic Section in December 2013.

He handles benign diseases and cancer. His main clinical interests are minimally invasive surgery (video-assisted, endoscopic and others), lung cancer surgery (including advanced cases and patients with poor lung function), mesothelioma surgery, chest wall surgery, airway surgery, lung volume reduction surgery, surgery for thoracic sarcoma and resection of metastatic cancer to the chest.

Initially trained in London and the United States, Mr Wells has worked at Papworth Hospital as a consultant cardiothoracic surgeon since 1986. His specialist area of cardiac surgical interest is the management of all forms of heart valve disease, especially mitral valve reconstruction.

Mr Wells has the largest experience in the United Kingdom and among the largest in the world with over 3,000 cases completed achieving a near 100% repair rate for leaking mitral valves with mortality at less than 1.0% for first time procedures. His aim is to achieve a normally functioning valve. He also has an interest in aortic valve repair and surgery of the aorta.

In his thoracic practice, Mr Wells offers a full range of surgical procedures for lung cancer and all benign diseases in the chest. This includes hyperhydrosis, thoracic outlet syndrome and pectus deformities.

This heavily revised second edition of this book provides a comprehensive overview of both common and rarely performed thoracic surgical techniques. Techniques covered include thymectomy, left and right lower lobectomy, rib resection for empyema, median sternotomy and lung biopsies. Emphasis is focused on the practical steps necessary to successfully and reliably perform the techniques covered, while acknowledgement is also given to individual variations in how these techniques are performed.

Thoracic Surgical Techniques provides a detailed clinical illustrative guide for successfully performing a range of procedures reliably. Its large number of detailed illustrations and concise technical descriptions provides an invaluable resource for all practising and trainee thoracic surgeons.

Priniciples of Thoracic Surgery.- Fundamentals of Open and VATS surgery.- Bronchoscopy.- Simple Thoracoscopy.- Percutaneous Tracheostomy.- Chest Drains.- Chest wall anatomy.- Posterolateral Thoracotomy.- Anterolateral Thoracotomy.- Anterior Thoracotomy.- Median Sternotomy.- Axillary Thoracotomy.- Modified Ravitch operation Pectus Excavatum.- Nuss Procedure for Pectus Excavatum.- Pectus carinatum.- Chest wall tumours.- Excision of first rib for thoracic oulet syndrome.- Thoracoplasty.- Rib resection for empyema.- Cervicothoracic sympathectomy.- Surgical Anatomy of the trachea.- Tracheostomy.- Specific resections of trachea or carina.- Lung biopsies.- Operations For Spontaneous Pneumothorax.- Surgical Treatment Of Bullous Disease Of The Lung.- Right Pneumonectomy.- Right Intrapericardial Pneumonectomy.- Left Pneumonectomy.- Left Intrapericardial Pneumonectomy.- Right Upper Lobectomy.- Middle Lobectomy.- Middle And Right Lower Lobectomy.- Right Lower Lobectomy.- Left Upper Lobectomy.- Left Lower Lobectomy.- Upper Lobectomy With Sleeve Resection Of The Main Bronchus.- Chest Wall Excision In Combination With Pulmonary Resection.- Segmental Resection.- Excision Of Empyema And Decortication Of The Lung.- Early Post-Pneumonectomy Bronchopleural Fistula.- Late Post-Pneumonectomy Bronchopleural Fistula.- Closure of post pneumonectomy space.- Anatomy Of The Mediastinum.- Mediastinoscopy & Endoscopic Biopsy.- Anterior Mediastinotomy.- Thymectomy.- Excision Of Mediastinal Neurogenic Tumour.- Excision Of Other Mediastinal Cysts And Tumours.- Intrathoracic Goitre.- Pericardial Drainage.