Video-assisted thoracic surgery lobectomy for lung cancer in Ramathibodi Hospital.

Background: Although the public perceives video-assisted thoracic surgery (VATS) as advantageous because it is less invasive than a standard thoracotomy There are questioned the safety of VATS lobectomy and its adequacy as a cancer operation. This study is reviewed to assess this issue.

Material And Method: This retrospective study was performed between January 2009 and June 2011 in 58 patients who underwent VATS for a standard anatomic lobectomy with lymph node sampled or dissection for lung cancer 43 women (74%) and 15 men (26%) and mean age 60.

Pulmonary cusp augmentation in repair of tetralogy of Fallot.

Background: pulmonary insufficiency after transannular patch repair of tetralogy of Fallot is associated with a poorer outcome.

Objective: to compare the results of 2 techniques of transannular patch repair.

Methods: 93 patients with tetralogy of Fallot and hypoplasia of the right ventricular outflow tract underwent repair between 1990 and 2004 by 2 different techniques.

Modified cox maze procedure for atrial fibrillation with mitral valve diseaset.

Objective: To determine early term results of the modified Cox maze procedure for curing atrial fibrillation (AF) associated with mitral valve disease.

Method: Between January and December 2000, 10 consecutive patients with AF underwent the modified Cox maze procedure with mitral valve repair in 2 and replacement in 8. The associated procedure included 3 aortic valve replacements, 1 tricuspid annuloplasty, and 2 atrial septal defect closures.

Correction of absent pulmonary valve syndrome using a pericardial valved conduit.

Absent pulmonary valve syndrome in a 4-month-old infant was successfully corrected using a fresh autologous pericardial trileaflet valved conduit. He recovered from operation with only mild pulmonary regurgitation at 4 months postoperatively. This technique is an effective alternative for infants with congenital heart disease who need tissue valved conduits.

Correction of truncus arteriosus using a fresh autologous pericardial trileaflet valve conduit.

A fresh autologous pericardial trileaflet valve conduit was used in a 5-month-old infant for correction of truncus arteriosus. The patient recovered from the operation with satisfactory hemodynamics and post-operative echocardiogram at 3 months showed only mild to moderate pulmonary regurgitation. This technique is a useful alternative for correction in an infant with congenital heart disease who needs a tissue valve conduit.