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Thoracic Surgery 2/8/15 – 2/14/15 Poornima Vanguri

Thoracic Surgery 2/8/15 2/14/15 Poornima Vanguri

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ATTD/RESDATEPATIENTINDICATIONPROCEDURE Shah/Shah Vanguri 2/12 Respiratory failurePercutaneous tracheostomy Cassano/Vanguri 2/13 Right lung cancer Bronchoscopy, EBUS, Port-a-cath placement Cassano/Vanguri 2/13 Left lung cancerLeft VATS, wedge resection Cassano/Vanguri 2/13 Right lung nodulesRight VATS, wedge resection Nicolato/Shah 2/13 Left lower lobe lung mass Left thoracotomy, left lower lobectomy Nicolato/Stern 2/14 Left pleural effusion, pulmonary laceration Left VATS, decortication, wedge resection

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Page 1: Thoracic Surgery 2/8/15  2/14/15 Poornima Vanguri

Thoracic Surgery2/8/15 – 2/14/15

Poornima Vanguri

Page 2: Thoracic Surgery 2/8/15  2/14/15 Poornima Vanguri

ATTD/RES DATE PATIENT INDICATION PROCEDURE

Shah/Vanguri 2/9Epiphrenic

diverticulum, esophageal dysmotility

Upper Endoscopy, Laparoscopic Heller myotomy and DOR fundoplication, Left

thoracotomy with resection of diverticulum

Cassano/LanningVanguri

2/10Hyperparathyroidism, Mediastinal

mass

Left VATS, Robitc assisted excision of mediastinal mass

Cassano/Vanguri 2/10 Squamous cell

lung cancer Right axillary mass excision

Shah/Vanguri 2/11Esophageal

perforation s/p stent

EGD, removal of stent

Shah/Vanguri 2/12 Zenker’s diverticulum

Trans-oral repair of Zenker’s with crichopharyngeal

myotomy

Shah/Vanguri 2/13Respiratory

failure, need for long-term feeding

access

Open gastrostomy tube placement, percutaneous

tracheostomy

Nicolato/Shah 2/13 Right pleural foreign body

Right VATS, removal of foreign body

Page 3: Thoracic Surgery 2/8/15  2/14/15 Poornima Vanguri

ATTD/RES DATE PATIENT INDICATION PROCEDURE

Shah/ShahVanguri 2/12 Respiratory

failurePercutaneous tracheostomy

Cassano/Vanguri 2/13 Right lung cancer Bronchoscopy, EBUS,

Port-a-cath placement

Cassano/Vanguri 2/13 Left lung cancer Left VATS, wedge

resection

Cassano/Vanguri 2/13 Right lung

nodulesRight VATS, wedge

resection

Nicolato/Shah 2/13 Left lower lobe lung mass

Left thoracotomy, left lower lobectomy

Nicolato/Stern 2/14Left pleural

effusion, pulmonary laceration

Left VATS, decortication, wedge resection

Page 4: Thoracic Surgery 2/8/15  2/14/15 Poornima Vanguri

Death and ComplicationsAttending DATE PATIENT Dx/PROCEDURE COMPLICATION

Cassano/Espino 2/10

2/6 – Right pleural effusion/Right VATS, decortication

2/7 – Right hemothorax/Right VATS, evacuation of hematoma

Sepsis, MSOF, withdrawal of care, death

Shah/Deantonio 2/122/3- AML,Right hemothorax s/p CT guided needle biopsy/ Right VATS,

decortication

Shock, tumor lysis syndrome, withdrawal of care, death