Thoracic Surgery
Thoracic surgery is the treatment and study of diseases of the chest or thorax, including lungs, heart, blood vessels and chest wall that require surgical operation for diagnosis and/or treatment. Other organs on which thoracic surgery is performed include, trachea, esophagus, mediastinum and diaphragm. Thoracic surgeons may include congenital heart, cardiovascular and cardiothoracic surgeons. The most common diseases requiring thoracic surgery include lung cancer, chest trauma, esophageal cancer, emphysema, and lung transplantation.
Preparation for Thoracic Surgery
- Except in the case of emergency procedures, candidates for general thoracic surgery should undergo a complete medical history and thorough physical examination prior to surgery
- Particular attention is given to the respiratory system
- The patient’s smoking history will be questioned. If the patient is an active smoker, encouragement is always given for the patient to quit smoking prior to the surgery to facilitate recovery and reduce chances of complications
- Diagnostic tests used to evaluate the patient preoperatively may include, but are not limited to, x rays, MRI, CT scans, blood gas analysis, pulmonary function tests, electrocardiography, endoscopy, pulmonary angiography, and sputum culture
- Patients are instructed not to eat 10 to 12 hours prior to a thoracic surgery procedure
Thoracic Surgery Procedures –
Thoracic Surgical and diagnostic procedures include:
- VATS Lobectomy
- Thoracoscopic lung resection
- Thoracoscopic evaluation and management of pleural space
- Thoracoscopic mediastinal biopsy
- Thoracoscopic resection of mediastinal masses
- Thoracoscopic Staging
The surgeon may use two common incisional approaches: sternotomy (incision through and down the breastbone) or via the side of the chest (thoracotomy). An operative procedure known as video assisted thoracoscopic surgery (VATS) is minimally invasive. During VATS, a lung is collapsed and the thoracoscope and surgical instruments are inserted into the thorax through any of three to four small incisions in the chest wall. Another approach involves the use of a mediastinoscope or bronchoscope to visualize the internal anatomical structures during thoracic surgery or diagnostic procedures.
Types of Thoracic Surgery
The most basic and generalized type, general thoracic surgery involves the treatment of lung diseases, tumors, cancers, and transplants as well as esophageal problems and gastroesophageal reflux.
- Mesothelioma – Mesothelioma is a rare form of cancer that develops from the protective lining that covers many of the internal organs like liver, lung, etc. It is diagnosed with the help of Thoracoscopy besides other evaluation methods. Thoracoscopy allows the doctor to look inside the chest and obtain tissue samples . Alternatively, the chest surgeon might directly open the chest (thoracotomy).
- Lung Transplantation – There are various types of lung transplantations: unilateral (one lung; most common type); bilateral (both lungs); heart-lung; and living donor lobe transplantation. Thoracic surgery plays a significant role in lung transplantation.
- Chest Trauma – Chest trauma is a medical/surgical emergency. Patients with respiratory distress require endotracheal intubation (passing a plastic tube from the mouth to the windpipe) and mechanically assisted ventilator support. Invasive thoracic procedures are necessary in emergency situations. Trauma requiring urgent thoracic surgery may include any of the following problems: a large clotted hemothorax, massive air leak, esophageal injury, valvular cardiac injury, proven damage to blood vessels in the heart, or chest wall defect.
- Esophageal Cancer – Over 90% of patients with esophageal squamous cell carcinoma develop the tumor in the upper and middle thoracic esophagus. The standard operation for patients with resectable esophageal carcinoma includes removal of the tumor from the esophagus, a portion of the stomach, and the lymph nodes (within the cancerous region). These tumors are removed by the surgeons through thoracic surgery.
- Soft Tissue Sarcoma – Thoracic surgery is also needed to cure soft tissue sarcoma.Though these tumors can form in any part of the body but they are more common in the arms, abdomen, legs and trunks
- Emphysema – LVRS or Lung volume reduction surgery is the term used to describe surgery for patients with emphysema. Surgery will assist the patient, but the primary pathogenic process that caused the emphysema is permanent because lung tissues lose the capability of elastic recoil during normal breathing.
- Lung Cancer – Lung surgery for cancer includes the removal of the tumor, lymph nodes and sections of the lung that contain the tumor. Thoracic Surgery is the treatment of choice in several types and stages of lung cancer, either alone, or in combination with chemotherapy or radiation therapy. Surgical approach includes Thoracoscopy (VATS-Video Assisted Thoracic Surgery). If the tumor is not accessible with the thoracoscope Thoracotomy is used.
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Nach der ersten Einzahlung wird der Willkommensbonus aktiviert, sofern verfügbar. Der Spieler kann dann Gate of Olympus starten und zwischen Echtgeldmodus und Testversion wählen. Gewinne aus Echtgeldspielen werden auf dem Kontostand gutgeschrieben und können nach erfolgreicher Verifizierung des Kontos ausgezahlt werden. Professionelle Hilfestellung des Kundenservice Gates of Hades offers a fresh spin on the familiar Gates of Olympus formula, making it a solid choice for fans of the series. Du hast bei Gates of Olympus online die Möglichkeit, eine Doppelchance an- oder abzuwählen. Diese Doppelchance kostet extra, sorgt aber für mehr Scatter auf den Walzen. Gates of Olympus 1000, entwickelt von Pragmatic Play, ist eine Art Fortsetzung des beliebten Scatter-Pays Slots Gates of Olympus. Dieses spannende Spiel kommt mit aufregenden Verbesserungen, einschließlich der Einführung von Multiplikatoren, die einen beeindruckenden Wert von 1.000x erreichen können. Außerdem können die Spieler Freispiele mit anhaltenden Multiplikatoren, eine Ante Bet-Funktion und eine Bonus Buy-Option zum Kauf von Freispielen genießen. All dies geschieht vor dem Hintergrund einer Grafik im Stil der griechischen Mythologie und mit einem beeindruckenden Sound.
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The first version could pay up to 5,000x, which was fine at the time. However, with players’ appetite for more risk and higher max wins, Pragmatic Play released Gates of Olympus 1000, where you could win up to 15,000x the bet. Details Gates of Olympus 1000 keeps the familiar style of the original slot, but with sleeker graphics and symbols. The 6×5 grid features gems as low-paying symbols and items like the crown, sandglass, ring, and cup as high-paying ones. The theme centers on Zeus and Mt. Olympus, with controls placed beneath the reels in Pragmatic Play’s usual layout. Gates of Olympus features epic and lucrative features to maximize your wins. With cascading reels and bonuses, the casino game offers incredible fun to players. Forming a winning combination in Gates of Olympus entails landing clusters of eight or more matching symbols on the grid. The crown, hourglass, ring, and chalice offer the highest payouts. On the other hand, gems of different colours are the least lucrative symbols. I have summarised the payouts for clusters of 8+, 10+, and 12+ icons respectively.
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January 14, 2026 at 8:21 pm
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