About us

We are a focused, dedicated and highly experienced team, providing expert surgical care in all domains of Thoracic Surgery relating to diseases of the Lungs, Esophagus, Mediastinum, Chest Wall and Diaphragm.
We are a high volume tertiary referral centre offering all major thoracic surgical procedures such as complex lung resections including segmental and sleeve resections for lung cancer, tuberculosis and other infective conditions, emphysema, parasitic infections and congenital lesions.
Tracheal surgery and other surgical airway and reconstructions is our special area of expertise and we have a very large series of airway surgery.
Our team specializes in Video Assisted Thoracoscopic Surgery, Robotic Surgery and Mediastinoscopy capable of performing major intra-thoracic surgical procedures through “key holes” with the help of a thoracoscope.
Our expertise extends to surgery for major mediastinal tumors, chest wall tumors and reconstructions. We are also well versed we have a high volume experience in esophageal surgery for cancer, strictures and in complex problems like trache-esophageal and broncho-esophageal fistulas.
Trauma due to road traffic accidents, assault and stab injuries, gunshots are some of the routinely handled procedures and surgeries.
We have the competence and infrastructure to handle the most complex chest surgical diseases and trauma, which has positioned us as a major referral centre for all types of thoracic surgical problems.
We are the pioneers of Lung volume reduction surgery in India and our experience extends to bullous lung disease, spontaneous pneumothorax, pleural tumours and minimally invasive surgery for empyemas and other chest infections.
Our Centre for thoracic Surgery is accredited for lung transplantation with the necessary training for this complex procedure, we are ready to embark on a Lung transplant programme. Our hospital already has an established and well known heart transplant programme
Our greatest strength is our integration with the Department of Chest Medicine with its very experienced Chest Physicians, Interventional Pulmonologists and Rsdiologists, Critical Care and a dedicated and well known Thoracic Anaesthesiology team and we are geared to tackle all thoracic problems under one umbrella.

Understanding The Thorax

The word “thoracic” refers to the thorax, which is our chest . Our thorax contains:

  • Lungs
  • Pleura: 2 thin layers of tissue that surround your lungs. The space between the pleura is called the pleural space.
  • Heart
  • Pericardium: the thin layer of tissue that surrounds your heart
  • Diaphragm: the muscle that separates your chest from your abdomen (belly)
  • Thymus: a gland that helps protect you from infections during childhood. The thymus has no known function in adults.

There are 2 lungs, 1 on each side of the chest. The lungs are made up of lobes. the left lung has 2 lobes and the right lung has 3 lobes.

What is Thoracic Surgery?

Thoracic surgery is the surgical discipline that involves procedures of the chest — primarily of the lungs, esophagus and thymus gland, as well as surgery of the chest wall.It is also called non cardiac thoracic surgery.

The non-cardiac surgical procedures include lung cancer, esophageal cancer, neoplasms or tumors of the thymus gland and tumors that are growing into the chest wall and comprise this discipline we.

Thoracic surgery involves surgery for both benign diseases, like infections of the chest or lungs,which are common in India as well as removal of tumors or cancers of the chest.

Key Points:

  • Thoracic surgery has changed profoundly in the 21st century. Multidisciplinary treatment is evolving and surgeons have major collaborative roles in management of lung cancer, respiratory infections, chest trauma, paediatric respiratory disorders and end-stage respiratory insufficiency.
  • Today, lung cancer is the most frequent indication for thoracic surgery.
  • Lung transplantation is increasingly an option for patients with end-stage lung disease.
  • Recent developments in thoracic surgery have focused on reducing invasiveness, particularly through the use of video-assistance and Robotics, and on parenchyma-saving techniques such as sublobar resection.These save as much lung substance as possiblw without compromising cure.

Thoracic Surgical Access

There are different ways of doing Thoracic Surgery. The type of cut patients have is decided by  the underlying problem for which surgery is being done and its complexity as also the size of the tumour being removed.

Types of Thoracic Incisions

Thoracotomy: 1 large incision one one side

Video-assisted thoracic surgery (VATS): 1 or more small incisions on the side, back, or both.For VATS, the surgeon will use a long, thin video camera and surgical tools during surgery. This is sometimes called minimally invasive surgery. The surgeon may use a robot to control the video camera and surgical tools. This is called robotically-assisted VATS.

Median sternotomy: 1 large incision in the center of the chest. There can be some variations which the surgeon will explain.

The Risks of Thoracic Surgery

No Surgery is without risk.Complications can happen in the best of hands. Understanding the risks of surgery is therefore important for both patients and surgeons in the shared decision making process. Inability to accurately define the risks  leads to patient dissatisfaction, trust deficits and  increase in health care delivery costs. For an informed consent process, accurate information is needed regarding surgical risks which helps decision making on the type of operation or whether surgery should be performed at all.

At our Centre, we embrace the National Surgical Quality Improvement programme and use an internationally validated risk calculator before any surgery to define the exact risk to the patient from our surgery.

Two examples are given below, one of a low risk and the other of a high risk patient

Using this calculator, we are able to discuss all potential complications and the risk of death from our surgical intervention with the patient and the family. Since the risks of the procedure had already been discussed objectively and transparently , the quality of care is no longer questioned by the patient or the family.

To the best of our knowledge, we are the only hospital in this country to use this methodology to accurately assess risk of surgery enabling transparent counseling.

Indian medicine has been marred by allegations of mismanagement and distrust when adverse events occur post surgery. Social media has often falsely been used to blame the doctor. Adoption of this objective and transparent counseling method has helped us avert such unfortunate events and it has become an important audit tool to monitor adequacy of our quality of care and helped identify shortcomings in its delivery.

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