General Thoracic Surgery
 
Definition
General Thoracic Surgery (GTS) encompasses the factual knowledge, technical skill and judgement required to diagnose accurately and to manage surgically, diseases of the thorax (chest).
The knowledge base includes, but is not limited to, diseases of
  • » the chest wall,
  • » pleura,
  • » lungs,
  • » trachea and bronchi,
  • » mediastinum,
  • » diaphragm
  • » oesophagus.
Area of Interest (diseases)
The main competence of a general thoracic surgeon is the ability to perform all kinds of open, endoscopic or video-assisted surgical procedures in children and in adults as enumerated below.
  • 1. Operations involving resection, reconstruction, repair and biopsy of the lung.
  • 2. Operations involving the chest wall, including resection and reconstruction for neoplasms, thoracoplasty and repair of pectus excavatum and pectus carinatum and other chest wall deformities, as well as the management of traumatic chest wall instability.
  • 3. Operations involving resection, reconstruction and repair of the trachea and bronchi for neoplasms, strictures and trauma.
  • 4. Operations involving resection, reconstruction and repair of the diaphragm.
  • 5. Operations involving the mediastinum, including biopsy and resection of neoplasms, drainage of infections, mediastinal lymphadenectomy, mediastinotomy and mediastinoscopy.
  • 6. Operations of the pericardium involving resection, reconstruction and drainage.
  • 7. Endoscopic procedures using both the flexible and rigid scopes and instrumentation of the tracheobronchial tree and oesophagus.
  • 8. Operations for biopsy of the cervical, mediastinal and axillary lymph nodes.
  • 9. Operations on the thoracic sympathetic nerves.
  • 10. Operations to correct abnormalities of the thoracic outlet.
  • 11. Operations necessary for airway control, including tracheostomy, tracheal intubation and endoluminal procedures.
  • 12. Operations for management of pleural and pleural space problems, including thoracocentesis, tube thoracostomy, shunting for pleural effusion, management of pneumothorax, pleurectomy, decortication and drainage and resection of empyema
  • 13. Operations to provide exposure for interventions made by other specialists.
  • 14. All operations incidental to the performance of the above operative procedures.
  • 15. Operations for functional corrections and complications of emphysema.
  • 16. Operations involving transplantation of one or two lungs or lobes, including all diagnostic or therapeutic procedures related to the field.
  • 17. Operations for traumatic injuries to the chest or to organs within the chest and their sequelae.

    Semih Halezeroglu, MD, FETCS Professor of Thoracic Surgery
  The Acibadem Health Group @ 2007
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