Surgery of the Chest Handbook 2027: Operative Anatomy, Oncologic Pathways & Perioperative Rescue for Residents

Plan the Corridor, Control the Hazard, Protect the Recovery

Built for residents who must translate imaging, physiology, and disease biology into a safe operative plan, this text spans adult general thoracic practice from patient selection through surveillance. It connects pulmonary reserve, regional anatomy, tumor staging, and tissue mechanics to the decisions made during lung resection, pleural and mediastinal operations, airway reconstruction, esophageal procedures, chest-wall repair, trauma care, and transplantation interfaces.

Seventy-five detailed figure briefs, structured decision pathways, narrative cases, and chapter-specific rescue logic turn preparation into action at the bedside and operating table.

What This Book Puts Into Clinical Practice

Reconstruct hilar and mediastinal anatomy — identify vascular, airway, neural, and lymphatic danger structures before division

Select pulmonary resection extent — balance margins, nodal quality, segmental anatomy, tumor biology, and predicted postoperative reserve

Sequence VATS, robotic, and open exposure — choose port geometry and proximal control that preserve a rapid conversion route

Manage pleural, airway, and esophageal disease — connect contamination, obstruction, tissue viability, and physiology to intervention

Respond to intraoperative catastrophe — organize bleeding control, airway rescue, conversion, reconstruction, and postoperative surveillance

Prevent failure to rescue — interpret drainage, oxygenation, imaging, rhythm, perfusion, and recovery trajectory by mechanism

Coordinate cancer and transplant pathways — integrate staging, multimodality therapy, ECMO interfaces, pathology, and survivorship

Use it to enter each thoracic case with a defined objective, a controlled route, and a rescue plan the whole team understands.