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Cardiothoracic Surgery

  • Understanding the procedure

    Gleneagles Singapore, Bladeless Cataract Surgery

    Cardiothoracic surgery is the surgical treatment of diseases affecting organs inside the chest. This generally refers to the treatment of heart and lung diseases. Cardiothoracic surgeons are trained to perform surgery on the heart, lungs, chest wall and diaphragm. Treatments for heart diseases, such as coronary artery bypasses and heart transplants, can be executed by surgeons trained in the cardiothoracic specialty.

    The traditional approach for a surgeon to gain access to the chest is to perform a 10-15 cm incision (cut) on the chest. This is still the gold standard in certain thoracic conditions, including lung cancer surgery, but it is invasive as it involves a large incision and rib spreading. This is the most common approach, but the disadvantages are that it also translates into more chest trauma, pain and a slower return to baseline activities.

    Video Assisted Thoracoscopic Surgery (VATS) is an advanced alternative approach which allows trained thoracic surgeons to achieve the same goal as the thoracotomy. Through one to three small incisions (measuring 5-12 mm each), the surgeon is able to view the whole chest cavity with a small video camera. The images are then projected onto a high-resolution computer monitor. In our centre, it is routinely used to perform diagnostic procedures such as lung, pleura, mediastinal lymph nodes and tumour biopsy. With this expertise, this state-of-art technique further allows our surgeons to safely carry out treatment of numerous thoracic conditions as follows:

    • Pleurodesis

      • Pneumothorax (air in chest cavity)
      • Pleural effusion (fluid in chest cavity)
      • Chylothorax (lymphatic fluid in chest cavity)
    • Decortication of empyema

    • Lung volume surgery for severe emphysematous lungs

    • Resection of mediastinal tumours

      • Thymoma
      • Neurogenic tumor
      • Bronchogenic cyst
      • Leiomyoma
    • Lung cancer Surgery

      • Wedge resection (usually for secondary cancer spread from other organs) Segmentectomy
      • Lobectomy (Gold standard)
    • Esophagectomy for esophageal cancer

    • Sympathectomy for sweaty palms and/or sweaty arm pits

    • Drainage of hemothorax (blood in chest cavity)

     

    *Please note that this is not a complete list of all the conditions and treatments that we provide. The information is designed for educational references only and should not be construed as medical advice.

    Kindly consult one of our qualified healthcare specialists for an accurate diagnosis before starting on any treatment.

  • With small incisions and non-rib spreading techniques, VATS offers numerous benefits, including less pain after operation, early mobilisation, better immune response and earlier return to normal activities.

    As technology continues to evolve and our surgeons acquire better understanding of minimally invasive techniques, we have recently applied robotic assistance for lobectomy in lung cancer patients. Robotic-assisted surgery consists of the main surgeon remotely controlling the robotic instruments via a console a few feet away from the patient. A bedside surgeon, by watching the video monitor, will assist the main surgeon in handling the robotic instruments and attend to any situations that may arise.

    With modern video technology, the surgeon is now able to obtain true 3 dimensional, high resolution and highly magnified views of the surgical field. Of the many advantages, robotic-assisted surgery offers superior articulation of the instruments in the chest whilst eliminating the tremor of human hands. As a result, the surgeons can now perform surgery with higher precision in a safer environment.

    Gleneagles Hospital's established team of well-versed and highly specialised surgeons and doctors, supported by our strong multi-disciplinary team of medical specialists, nurses and therapists, will guide you with professionalism, sensitivity and care throughout the entire process. Rest assured that we will do all we can to bring about successful treatment outcomes for our patients.

  • We understand that patients value medical expertise and effective treatment above all else, and that is what we provide at Gleneagles. Our highly accomplished team of specialists and staff at Gleneagles Hospital will make it their priority to place your needs first in formulating a course of treatment. Let us help you move swiftly towards better health and better living today.

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