Long considered the bible of thoracic surgery, this comprehensive two-volume textbook guides you through virtually every open and endoscopic surgical technique with expert commentary by the leaders in thoracic surgery from around the world. Coverage includes extensive sections on lung cancer and other pulmonary tumors. All facets of thoracic disease are covered from anatomy and embryology to diagnostics, including extensive radiological sections. Multidisciplinary contributions on medical treatment, radiation oncology, and surgery and anesthesia are included.

Highlights include new material on minimally invasive procedures and thoroughly updated diagnostic and treatment information. Operative checklists are included in procedural chapters, and procedures are presented as bulleted to-do lists wherever possible. This edition also covers non-resection therapies for high-risk non-small cell lung cancer patients, including sublobar resection with adjuvant brachytherapy, radiotherapy ablation, and stereotactic body radiation therapy.

A companion Website will offer the fully searchable text with all images and video clips of selected procedures.

Contributing Authors

Preface to the Seventh Edition

Preface to the First Edition

PART A: The Lung, Pleura, Diaphragm, and Chest Wall

Section I Anatomy of the Chest Wall and Lungs

• 1 Anatomy of the Thorax.


• 2 Embryology of the Lungs


• 3 Ultrastructure and Morphometry of the Human Lung



Section II Physiology of the Lungs



• 7 Pulmonary Gas Exchange


• 8 Mechanics of Breathing



Section III Thoracic Imaging



• 9 Radiographic Evaluation of the Lungs and Chest


• 10 Computed Tomography of the Lungs,
  Pleura, and Chest Wall


• 11 Magnetic Resonance Imaging of the
  Thorax



Section IV Diagnostic Procedures



• 15 Laboratory Investigations in the Diagnosis of Pulmonary Diseases


• 16 Diagnostic Studies in Lung Cancer


• 17 Bronchoscopic Evaluation of the Lungs and Tracheobronchial Tree



Section V Assessment of the Thoracic Surgical Patient



• 20 Pulmonary Physiologic Assessment of Operative Risk


• 21 Preoperative Cardiac Evaluation of the Thoracic Surgical Patient



Section VI Anesthetic Management of the General Thoracic Surgical Patient



• 22 Conduct of Anesthesia


• 23 The Shared Airway: Management of the Patient With Airway Pathology


• 24 Anesthesia for Pediatric General Thoracic Surgery



Section VII Pulmonary Resections



• 25 Thoracic Incisions


• 26 General Features of Pulmonary
  Resections


• 27 Thoracic Surgery in the Elderly



Section VIII Postoperative Management of the General
Thoracic Surgical Patient



• 41 General Principles of Postoperative Care


• 42 Mechanical Ventilation of the Surgical Patient



Section IX The Chest Wall



• 43 Chest Wall Deformities


• 44 Lung Hernias of the Chest Wall


• 45 Infections of the Chest Wall



Section X The Diaphragm



• 51 Embryology and Anatomy of the
  Diaphragm


• 52 Pacing of the Diaphragm



Section XI The Pleura



• 56 Anatomy of the Pleura



Section XII Thoracic Trauma



• 73 Blunt and Penetrating Injuries of the Chest Wall, Pleura, and Lungs



Section XIII The Trachea



• 78 Tracheostomy



Section XIV Congenital, Structural, and Inflammatory
Diseases of the Lung



• 83 Congenital Lesions of the Lung



Section XV Statistical Analysis and Trial Design



• 99 Evidence-Based Thoracic Surgery



Section XVI Carcinoma of the Lung



• 101 Lung Cancer: Epidemiology and
  Carcinogenesis



Section XVII Other Tumors of the Lung



• 122 Carcinoid Tumors



PART B: The Esophagus




Section XVIII Anatomy



• 128 Embryology of the Esophagus



Section XIX Physiology



• 131 Physiology and Physiologic Studies of the Esophagus



Section XX Diagnostic Studies



• 133 Radiologic Evaluation of the Esophagus



Section XXI Operative Procedures in the Management of Esophageal Disease




Section XXII Trauma to the Esophagus




Section XXIII Benign Esophageal Disease




Section XXIV Malignant Lesions of the Esophagus




PART C: The Mediastinum




Section XXV Anatomy




Section XXVI Noninvasive Investigations




Section XXVII Invasive Diagnostic Investigations and Surgical Approaches




Section XXVIII Mediastinal Infections, Overview of Mass
Lesions in the Mediastinum, and Control of Vascular Obstructing Symptomatology




Section XXIX Primary Mediastinal Tumors and Syndromes
Associated with Mediastinal Lesions




Section XXX Mediastinal Cysts