Bilateral Modified Radical Neck Dissection
Smilow Cancer Hospital at Yale New Haven
Tobias Carling, MD, PhD, FACS
Associate Professor of Surgery
Yale School of Medicine
In 2014, a now 61-year-old male had a total thyroidectomy and central neck dissection for bilateral papillary thyroid cancer with extrathyroidal extension. Now, after presenting with recurrent metastatic papillary thyroid cancer, Dr. Tobias Carling performs a bilateral modified radical neck dissection.
Whipple Procedure for Multiple Endocrine Neoplasia of the Pancreas
Keith Lillemoe, MD
Surgeon in Chief
Massachusetts General Hospital
Harvard Medical School
Participate in a masterclass with MGH Chief of Surgery, Dr. Keith Lillemoe, as he performs and narrates a complete Whipple procedure in the latest video-article published by JOMI.
The Whipple procedure, or pancreaticoduodenectomy, is most notably known for its use in the treatment of cancer that is confined to the head of the pancreas. Because of the intricate blood supply between the pancreas, duodenum, gallbladder, and common bile duct, these structures must be resected along with the head of the pancreas. The remaining structures must then be carefully and precisely anastomosed in order to preserve digestive functioning.
This procedure is a complex and difficult operation that can have serious risks; however, it is responsible for saving countless lives.
Laparoscopic Cholecystectomy
Massachusetts General Hospital
Denise W. Gee, MD
Assistant Professor of Surgery
Harvard Medical School
A female patient presented with a few months of abdominal pain following the eating of fatty foods. Imaging showed gallbladder sludge, small stones, or potentially a polyp. Here, Dr. Denise W. Gee performs a laparoscopic cholecystectomy to alleviate these symptoms. #MGH #generalsurgery #gallbladder #cholecystectomy
Trans-Oral Endoscopic Thyroidectomy Vestibular Approach (TOETVA)
Smilow Cancer Hospital at Yale New Haven
Tobias Carling, MD, PhD, FACS
Associate Professor of Surgery
Yale School of Medicine
A 45-year-old patient with a growing thyroid nodule undergoes a left thyroid lobectomy after fine needle biopsy showed Hurthle cell neoplasm. Here, Dr. Carling performs a TOETVA, which has the added benefit of avoiding any conspicuous neck scars. #thyroidectomy #TOETVA #yale #endocrinology #generalsurgery #ENT
Cystoscopy and Placement of Uretal Stents (HIPEC Series: Part 1)
Francis McGovern, MD
Department of Urology
Massachusetts General Hospital
Dr. McGovern performs a cystoscopy and places uretal stents in a patient who is about to undergo a HIPEC surgery. This is part 2 of our HIPEC series with Dr. Cusack with more to follow. #mgh #urology #cystoscopy #HIPEC
Transmastoid Repair of Superior Semicircular Canal Dehiscence
Duke University Medical Center
David M. Kaylie, MD, MS
Associate Professor of Surgery1
C. Scott Brown, MD
Resident Physician1
1Division of Head and Neck Surgery & Communication Sciences
Dr. David Kaylie repairs a superior semicircular canal dehiscence via a transmastoid approach in a patient who experienced autophany and aural fullness by plugging the anterior and posterior limbs of the canal. #neurotology #ENT #Duke
Right Laparoscopic Adrenalectomy
Massachusetts General Hospital
Richard Hodin, MD
Professor of Surgery
Harvard Medical School
In this case, a 58-year-old female was found to have hyperaldosteronism, and a CT scan revealed bilateral cortical adenomas. Here, Dr. Richard Hodin, MD, walks the viewer through the analysis of adrenal vein sampling and performs a right laparoscopic adrenalectomy at MGH.
Right Posterior Retroperitoneoscopic Adrenalectomy
Smilow Cancer Hospital at Yale New Haven
Tobias Carling, MD, PhD, FACS
Associate Professor of Surgery
Yale School of Medicine
One of the early adaptors of the approach, Tobias Carling, MD, PhD, FACS, performs a right posterior retroperitoneoscopic adrenalectomy on a patient that presented with subclinical Cushing's syndrome. Specifically, she had elevated urinary cortisol, failed a dexamethasone suppression test, and had a growing adrenal tumor as revealed by serial imaging. Due to the patient’s anatomy, Dr. Carling used a lateral approach to ligating the right adrenal vein; this video includes his usual medial approach as an additional module.
Hypoglossal Nerve Stimulator
Duke University Medical Center
Russel Kahmke, MD
Assistant Professor of Surgery1
Adam Honeybrook, MBBS
Resident Physician1
C. Scott Brown, MD
Resident Physician1
1Division of Head and Neck Surgery & Communication Sciences
Dr. Russel Kahmke implants a hypoglossal nerve stimulator in a patient with obstructive sleep apnea. He is one of only several surgeons currently performing this procedure in North Carolina.
Mako Robotic Arm Assisted Total Knee Arthroplasty
Tufts Medical Center
Jeffrey S. Zarin, MD
Chief, Division of Arthroplasty
In this case a 66-year-old patient presents with arthritis predominantly in the medial compartment. Dr. Jeffrey Zarin explains how to use the Mako robot to precisely plan and perform a total knee arthroplasty surgery on this patient. Preoperatively, he uses a CT scan to create a model of the patient in order to determine the appropriate implant size, and intraoperatively, he utilizes the Mako robot to assist in ligament and gap balancing, perform the osteotomies, and make precise corrections.