Procedures We Offer

What is the difference between open surgery and minimally invasive surgery?

Our experienced thoracic surgeons always seek the least invasive surgical treatment for diseases of the chest. Yet sometimes your best option is open surgery. When this is the case, our surgeons will give you a detailed explanation for their recommendation. During open surgery, you are given general anesthesia, and the body is opened to provide access to the diseased area.

An exciting alternative to open surgery is our ever-expanding arsenal of minimally invasive surgical procedures. Performed under local anesthesia, minimally invasive approaches involve making only tiny incisions. Through one very small opening, your surgeon guides a device with a miniature camera that lets doctors view clear and magnified images of the damaged area on monitors in the operating room. Using special instruments passed through other small openings, your doctor performs the surgery by exploring, removing or repairing what’s wrong inside your body.

Benefits of minimally invasive surgery

Because this approach is less stressful to the body, patients experience less discomfort, less scarring, and enjoy a dramatically faster recovery. Even when treated for serious disease, patients can sometimes go home the very day of the operation or the next. Minimally invasive surgical procedures can offer a life-saving option for older patients (and others) who are not candidates for the physical stress of open surgery. For patients with cancer, dramatically faster recovery from surgery permits moving forward almost immediately into the next stages of treatment, typically chemotherapy and radiation, which can be beneficial.

Our Beth Israel Thoracic Surgery Division has fully embraced this new and beneficial technology, which is most certainly, the "surgery of the future."

Below are some of the procedures we offer:

Bullectomy
MINIMALLY INVASIVE

When is it used?
Most often used to treat emphysema, a condition in which problems in the lungs prevent you from using enough oxygen, bullectomy is the surgical removal of a bulla, which is a large air space in the lung that is not contributing to breathing function. Once the bulla is removed, the healthy air sac around it has room to expand, and the muscles used in breathing also work better. Although bullectomy does not cure emphysema, it can offer relief for some patients.

What happens?
Bullectomy can be performed in two ways:

  • Video-assisted thoracoscopic surgery (VATS): through small incisions on the side of the chest, a tube is inserted that removes the bulla
  • Muscle-sparing thoracotomy: a four-to-six-inch incision is made, usually beneath the armpit, through which the bulla is removed

Cricopharyngeal Myotomy
MINIMALLY INVASIVE AND OPEN SURGERY

When is it used?
This procedure may be used to treat patients who have difficulty swallowing due to an esophageal diverticulum or achalasia.

What happens?
The surgery involves making a cut in the upper esophageal sphincter muscle (UES) at the base of the esophagus, which opens and closes to permit food and drink to pass through to your stomach. Once cut, the muscle relaxes and allows the free passage of food and liquids. This surgery can be open or minimally invasive.

Drainage for Empyema
MINIMALLY INVASIVE

When is it used?
Empyema is a collection of fluid within the pleural cavity (membranous covering of the lung). It usually occurs due to the extension of pneumonia in the adjacent lung segment or lobe. It starts out as a clear serous effusion which later becomes infected and thick in consistency.

What happens?
With free flowing fluid, chest tube drainage along with antibiotic coverage provides optimum resolution, however with thickening and formation of loculations (pockets with fluid), chest tube drainage becomes inadequate and surgical drainage with VATS surgery is required for complete drainage. If drainage is delayed, VATS may not achieve complete decortication (removal of the infected peel covering the lung) and a conventional open thoracic surgical procedure with decortication is required. VATS drainage is a highly successful procedure with cure rates above 90-95%.

Malignant Pleural Effusion (drainage and surgical treatment)
MINIMALLY INVASIVE

When is it used?
A pleural effusion is a collection of fluid in the chest cavity around the lungs, due to a variety of reasons. A malignant pleural effusion is when fluid collects in the chest due to an underlying cancer. The presence of an effusion represents metastasis of the primary cancer to involve either the lung itself or the pleura, the inner lining of the chest wall and is a poor prognostic sign. This fluid can compress the lung tissue, resulting in shortness of breath that often requires oxygen therapy.

What happens?
Treatment of this condition involves insertion of a tube to drain the fluid, which typically relieves the symptoms; however, recurrence of these effusions is extremely high with drainage alone. Definitive treatment involves an operation where 2-3 small incisions are made in the side of the chest and a fiber optic camera (thoracoscope) is inserted. The chest is inspected for signs of abnormal growths either on the lung or on the inner surface of the chest well. The fluid is drained, all loculations broken up and talc powder is instilled in the chest. This causes an inflammatory reaction which scars the lung against the chest wall, preventing the re-accumulation of fluid. This operation is approximately 75% successful in preventing recurrence of the fluid collection, but does not treat the underling malignancy. Another good option in patients with trapped lung (lungs that do not expand due to severe cancer or scar tissue involvement) is placement of a pleurex catheter.

sympathectomy

Endoscopic Thoracic Sympathectomy for Hyperhidrosis
MINIMALLY INVASIVE

When is it used?
Endoscopic Thoracic Sympathectomy (ETS) is a minimally invasive procedure that is more than 97% effective in curing severe palmar hyperhidrosis. Hyperhidrosis – meaning excessive sweating – can be present in patients with sympathetic hyperactivity. Patients afflicted with this disorder can exhibit severe sweating of the hands, underarms and feet, which can be so debilitating that it can affect job performance and a patient’s social well being. Severe focal hyperhidrosis may affect as much as 3% of the population and appears to be genetically related. This sweating is not part of the body’s normal temperature regulation. Unfortunately in patients with a severe case, topical ointments and treatments with iontophoresis devices are unlikely to be effective. Botulinum toxin infections may be effective in some patients especially those with axillary sweat. However the duration of effect is limited and repeat treatments are the norm.

What happens?
In selected patients, especially those with severe palmar sweat or combinations of other areas with palmar sweat, ETS is the preferred method of treatment. The surgery is usually performed with 2 pencil sized incisions in the axillae and entails an overnight stay. Our surgeons are skilled in the procedure and have outstanding results with a minimum of complications. Compensatory sweating in other parts of the body can occur so careful consultation by an experienced team familiar with other treatment options is of paramount importance for patients afflicted with this disorder.

Esophagectomy and Minimally Invasive Esophageal Surgery
MINIMALLY INVASIVE

When is it used?
Esophagectomy is the surgical removal of all or part of the esophagus and is typically undertaken as a treatment for high-grade dysplasia (Barrett’s esophagus) or cancer of the esophagus. For cancers involving the upper region of the esophagus, an esophagectomy may be done to remove the cancerous portion along with nearby lymph nodes and reconnect the remaining esophagus to the stomach, which is brought up into the neck. For cancers of the lower esophagus, it may be necessary to perform an esophagogastrectomy, in which a portion of the stomach is removed as well. The stomach can then be reattached to the remaining portion of the esophagus either in the chest or neck. Chemo and/or radiation therapy is often combined with surgery.

What happens?
In this minimally invasive procedure, your surgeon makes three or four small incisions in your upper belly, chest or lower neck—each one less than one half-inch long. A long flexible tube with a tiny camera on its end (an endoscope) is inserted through one of these cuts into your upper belly. Images from the camera appear on a monitor in the operating room, letting your doctor guide the surgery. Other medical instruments are passed through the other incisions.

Your surgeon removes the damaged part of the esophagus, replacing it with a new tube formed from part of your stomach. The doctor joins together your rebuilt esophagus and the top of your stomach either in your neck or chest, depending on how much of your esophagus was removed.

Esophagogastrectomy

When is it used?
An Esophagogastrectomy (ee–sof–a–go–gas-trek-to-mee) is surgery to remove the esophagus and part of the stomach. This surgery is typically done for people with esophageal cancer or people with Barrett’s Esophagitis, (ee-sof-ah-ji-tis) who are at high risk for developing esophageal cancer.

What happens?
A diseased portion of the esophagus is surgically removed. The missing portion of the esophagus is then replaced in one of two ways: by moving the remaining portion of the stomach upwards, or by replacing it with a section of the large bowel (colonic reconstruction). Lymph nodes near the esophagus may also need to be removed. Your doctor will discuss with you what procedure is most likely to be needed for your situation.

Esophageal Dilation
MINIMALLY INVASIVE

When is it used?
This minimally invasive surgical procedure treats various swallowing disorders caused by problems within the esophagus, the food tube leading from the back of your throat to the stomach. These disorders include:

Esophageal stricture, a build-up of scar tissue (caused by chronic inflammation) in the lower part of the esophagus, which can narrow and stiffen its inner wall. This can lead to trouble swallowing. The procedure stretches (or dilates) the esophagus.

Achalasia makes it difficult to swallow foods and liquids. Achalasia is a fairly rare disorder of the smooth muscle of the esophagus, the food pipe leading from your mouth to your stomach. Where your esophagus meets your stomach is a ring-like “gateway” muscle called the lower esophageal sphincter (LES). When you’re not swallowing, the LES stays closed to keep food, liquid and stomach acid from flowing back up into your esophagus. When you do swallow, nerve signals tell the muscles of the esophagus to contract and push food down its tube (an action called peristalsis); these same signals tell the LES to open.

If you have achalasia, the nerve cells in the lower esophageal tube and the LES don’t work properly. Two problems result: You lack peristalsis (the waves of muscular contraction that push food down your esophagus); and the LES (the “gateway” to your stomach) doesn’t open fully.

What happens?
After you are sedated, your surgeon passes several tubes of different diameters through your esophagus to stretch the narrowed part. The process must usually be repeated often because the underlying problem causes the esophagus to narrow again.

nissen

Fundoplication (Nissen, Dor, Toupet and Belsey )
MINIMALLY INVASIVE

When is it used?
This surgical procedure addresses the acid reflux–backflow of strong and irritating stomach acid into the lower esophagus–caused by gastroesophageal reflux disease (GERD). Constant exposure to the strong acids can damages the cells of your lower esophagus, where it joins the upper part of the stomach.

In some cases, patients suffering from achalasia (a swallowing disorder) may need to undergo a fundoplication to reinforce the lower esophageal sphincter's ability to close.

What happens?
During this procedure, your surgeon tightens the sphincter muscle between the top of your stomach and the bottom of your esophagus, which normally prevents the backflow of stomach acid into the lower esophagus. The procedure involves wrapping the upper part of the stomach around the lower part of the esophagus, and sewing this in place. The reinforced and tightened sphincter now provides a better "seal" and relieves the symptoms associated with GERD and achalasia.

Fundoplication comes in a variety of forms such as Nissen, Dor, Toupet and Belsey. These surgical approaches differ in how much–and where–the lower esophagus is wrapped by the stomach. For example, in a Dor fundoplication, the top of the stomach is partially wrapped around the front of the esophagus’ lower end; while in a Toupet fundoplication, the top of the stomach is partially wrapped around the back of the lower esophagus.

Heller Myotomy
MINIMALLY INVASIVE

When is it used?
The Heller myotomy procedure is used to treat the disease called achalasia, which makes it difficult to swallow foods and liquids. Achalasia is a fairly rare disorder of the smooth muscle of the esophagus, the food pipe leading from your mouth to your stomach.

heller

Where your esophagus meets your stomach is a ring-like “gateway” muscle called the lower esophageal sphincter (LES). When you’re not swallowing, the LES stays closed to keep food, liquid and stomach acid from flowing back up into your esophagus. When you do swallow, nerve signals tell the muscles of the esophagus to contract and push food down its tube (an action called peristalsis); these same signals tell the LES to open.

If you have achalasia, the nerve cells in the lower esophageal tube and the LES don’t work properly. Two problems result: You lack peristalsis (the waves of muscular contraction that push food down your esophagus); and the LES (the “gateway” to your stomach) doesn’t open fully.

What happens?
Surgery provides permanent relief by division of the esophageal muscle (Heller myotomy), usually done laparoscopically and aided by the da Vinci robot. The too-tight muscles of the sphincter muscle are cut thus letting food and liquids pass freely to the stomach.

lobectomy

Lobectomy
MINIMALLY INVASIVE

When is it used?
Patients with early stage non-small cell lung cancer have the greatest chance of long-term survival with an anatomic lung resection – also known as a lobectomy. The right lung is composed of three lobes, and the left lung comprises of two lobes. When a lobectomy is performed, the entire affected lobe is removed in conjunction with the lymph nodes that drain the cancerous region. Additionally, lymph nodes located in the mediastinum (the area of the chest between the lungs) are removed in order to determine cancer staging, as well as possible future therapies.

What happens?
There are two approaches to a lobectomy. Your surgeon will choose the right method for you, based on your condition.

  • VATS (Video-Assisted Thoracoscopic Surgery) lobectomy: In this minimally invasive approach, your surgeon removes a lobe of the lung through a few small incisions in the lateral wall of the chest. The surgical instruments and a tiny fiber-optic camera are inserted and guided internally. The surgeon performs the procedure by using the video images as a guide. A VATS lobectomy has several advantages over the traditional “open” approach due to its minimally invasive approach and faster recovery. Patients not eligible for VATS, such as those with a large tumor near the central blood vessels and airways would undergo an open lobectomy.
  • Open lobectomy: In this “traditional” surgical approach, a lobe of the lungs is removed through a long incision on the side of your chest (thoracotomy).

Mediastinoscopy
MINIMALLY INVASIVE

When is it used?
This minimally invasive procedure enables the surgeon to examine the inside of your upper chest between and in front of the lungs (an area called the mediastinum). It is performed for various purposes:

  • To detect problems of the lungs and the area in front of them;
  • To diagnose lung cancer or lymphoma, including Hodgkin’s disease. Mediastinoscopy is often used to check lymph nodes in the mediastinum before a decision is made to remove a cancerous lung. It can also help your doctor recommend the best treatment (surgery, radiation, chemotherapy) for lung cancer.
  • To diagnose certain kinds of infection, especially those that can affect the lungs, such as tuberculosis.

What happens?
While you are under general anesthesia, a small incision is made in your neck above the breastbone, through which a viewing scope (mediastinoscope) is inserted. This long tube-like instrument is tipped with a light and a small camera that projects images onto a TV screen, from which your surgeon sees the operation. Through small incisions in your chest, other instruments are inserted, possibly one that can clip away a lymph node and remove it through one of the chest incisions. Typically, the mediastinoscope collects a tissue sample (biopsy), which is then examined under a microscope.

Modified Ravitch Repair for Pectus Excavatum
MINIMALLY INVASIVE AND OPEN SURGERY

When is it used?
This surgery corrects the condition known as pectus excavatum, which is a deformity of the chest wall that causes a sunken breastbone and ribs. Often called “sunken chest,” it occurs at birth and often worsens during adolescence. Surgery is usually done to improve the appearance of the chest or when the deformity is so severe that it affects breathing, especially in older adults.

What happens?
OPEN SURGERY

While the patient is under anesthesia, the surgeon first makes a cut across the front of the chest, removing the deformed cartilage. It will grow back correctly. Next, the surgeon makes a cut in the breastbone and moves it to one side. Through the opening, a rib or metal strut (support piece) is positioned to hold the breastbone in the normal position–more elevated than before–until it heals. Healing takes three to six months. Eventually, the metal struts come out through a small cut in the skin under the arm.

The exact placement and size of the metal strut is dependant upon the nature of the chest wall deformity.

MINIMALLY INVASIVE

No cartilage is removed using the minimally invasive approach. While the patient is under anesthesia, the surgeon makes a small cut on each side of the chest. A curved steel bar that has been shaped to fit the patient is inserted through the cuts and placed under the breastbone. The bar is guided into position using a small video camera called a thoracoscope, which is placed inside the chest during surgery. Using a special instrument, the surgeon rotates the bar and lifts the breastbone. The bar is left in place for healing to take place. Once normal chest wall shape is achieved the bar is removed.

The exact placement and size of the metal strut is dependant upon the nature of the chest wall deformity.

PleurX Catheter Placement
MINIMALLY INVASIVE

When is it used?
This drainage system is used to manage build-up of fluid around the lungs caused by the disease called pleural effusion. In this disorder, excess fluid builds up in the space between the pleura, the double layer of moist membranes that surround the lungs. This accumulation of fluid prevents the lungs from fully expanding, causing chronic shortness of breath. The PleurX system lets you, the patient, continually drain this fluid while living normally at home. Because you control when and where to drain, you have control over managing your symptoms.

What happens?
Once you and your physician decide that the PleurX self-drainage system is the best treatment option for you, the next step is placement of a small, flexible catheter into your chest. This can be done as an outpatient procedure. After the catheter is placed in position, you’ll receive training and drainage kits with all the supplies and directions you need to drain fluid at home. Basically, you (or your caregiver) simply connect a vacuum bottle to the valve at the end of the catheter, and fluid drains into the bottle.

pneumectomy

Pneumonectomy
OPEN SURGERY

When is it used?
This surgical procedure involves removing an entire diseased lung. It is mostly used to treat lung cancer, when less radical surgery (for example, a lobectomy) will not produce satisfactory results. For example, it can be the best treatment for a tumor located near the center of the lung.

What happens?
When an "open" or traditional surgical approach is used, the surgeon cuts a large opening on the same side of the chest as the diseased lung, sometimes removing part of the fifth rib to have a clearer view of the lung and more room to remove it. The surgeon then deflates, or collapses, the diseased lung, and removes it.

Robotic Removal of Mediastinal Cysts and Tumors
MINIMALLY INVASIVE

When is it used?
Mediastinal masses are of several types and are derived from various organs including the thymus, trachea or esophagus (foregut cysts), pericardium (pericardial cysts) or neural structures (neurogenic tumors). Most of these masses and cysts are benign but do compress adjacent structures and produce symptoms. Due to their propensity to enlarge and get infected, surgical excision is often recommended. Our group has pioneered Video Assisted Thoracoscopic Surgery (VATS) combined with the da Vinci robotic to achieve complete endoscopic resection of selected mediastinal cysts and tumors, with excellent outcomes.

Stenting and Airway Management (tracheal and esophageal)
MINIMALLY INVASIVE

When is it used?
This procedure is used to treat narrowing of the trachea, the rubbery tube connecting your nose and mouth to your lungs, which permits breathing (also known as your windpipe). The narrowing can result from a malignant (cancerous) or a benign (noncancerous) condition. 20-30% of patients with lung cancer will present with central airway obstruction. This is a significant cause of morbidity and early mortality, with patients suffering from extreme shortness of breath, hemoptysis (coughing up blood), post-obstructive pneumonia, sepsis and an early death. Further, both a debilitated patient as well as superimposed infection precludes this group of patients from receiving chemotherapy and radiation therapy. Endobronchial airway stenting usually leads to immediate relief of symptoms with minimal post-operative complications.

Similarly advanced inoperable esophageal cancers can present with obstruction that makes it difficult to swallow food. Esophageal cancers may also lead to fistulous connection between the esophagus and airway, leading to continuous aspiration, mediastinitis and pneumonia. Esophageal stenting dramatically improves the quality of life in selected patients, with restoration of natural alimentation that enables the patients to swallow soft food and liquids.

What happens?
Your surgeon positions a tiny tube called a stent inside your trachea or esophagus, which props open the narrowed section and keeps it from becoming obstructed again. Stents can be silicone or metal, and each is used for different conditions.

A silicone stent is used to treat:

  • Narrowing caused by tumors
  • Benign narrowing that can’t be operated on
  • Abnormal holes or passageways between the trachaea and esophagus (your food pipe) called fistulae.

A metal stent is used to treat:

  • Advanced-stage cancerous tumors blocking the trachea or bronchi, which are the branches of the trachea leading to the lungs
  • Non-cancerous blockages that can’t be treated by other methods

If your surgeon is placing a silicone stent: While you are under general anesthesia, your doctor first inserts a rigid bronchoscope into your airway through your mouth. This long tube tipped with a camera lets your doctor see down your trachea, and can also be used to remove some of the tissue blocking this passage. Your surgeon next inserts the stent, guiding it into position. Once in place, it is opened in your airway.

If your surgeon is placing a metal stent: While you are either under general anesthesia or local anesthesia (with or without sedation), your doctor first inserts a flexible bronchoscope into your airway through your mouth. This long, steerable camera on a flexible catheter (tube) lets your doctor see down your trachea. Once the bronchoscope is in place, a guide wire is inserted through it and into the obstruction in your airway, removing it. The bronchoscope is removed, and the stent is moved along the guide wire until it is positioned correctly in your trachea. Once in place, it is opened.

Thoracoscopy
MINIMALLY INVASIVE

When is it used?
In this procedure, an endoscope–a narrow tube with a viewing mirror or camera attachment that lets the doctor see images on a monitor–is inserted into the chest wall through a very small incision. This enables the physician to examine the lungs or other parts inside the chest cavity without making a large incision. Many surgical procedures, including taking tissue samples (biopsies) can be accomplished using thoracoscopy.

What happens?
While under general anesthesia, your surgeon makes two or three small incisions in your chest wall, often between the ribs. A specialized endoscope is inserted through the chest wall. Instruments inserted through other small incisions perform the necessary surgery or biopsy.

Thymectomy for Tumors and Myasthenia Gravis
MINIMALLY INVASIVE

When is it used?
The thymus gland is an essential organ in the development and maturation of immune function early in life. After adolescence, the thymus loses most of its functional capacity. Tumors of the thymus usually occur in adulthood. Myasthenia gravis is an auto immune condition that is characterized by weakness of the voluntary muscles of the body. Thymectomy is an operation to remove the thymus gland and is performed for thymic tumors or in myasthenia gravis, where it leads to significant remission of the disease in more than 80% of patients.

What happens?
Surgical approaches include a sternotomy (through the breast bone), transcervical (through a small collar or neck incision) and transthoracic (through one or both sides of the chest, using VATS). Complete endoscopic thymus surgery with the da Vinci robot enables a complete and extended resection of all the thymic tissue in the mediastinum and neck. We are one of only a few centers in the US that can also offer transcervical thymectomy. Due to minimal trauma of both these minimally invasive techniques, patients can return to full activity in a very short time.

VAT

Video-Assisted Thoracic Surgery (VATS)
MINIMALLY INVASIVE

When is it used?
This relatively new type of minimally invasive thoracic (chest) surgery enables doctors to gain access to the chest cavity to perform a variety of procedures without the use of a retractor. VATS has been widely applied for removal of cancer, diagnosis of infections or tumors of the chest wall and treatment of repeatedly collapsing lungs.

What happens?
Video Assisted Thoracoscopic Surgery (VATS) is a minimally invasive surgical technique which is an alternative to traditional thoracotomy. With thoracotomy, a large incision is made in between the ribs which are then spread apart. However, with VATS, two or three 1 cm incisions are made which allow for the presence of the thoracoscope (camera), and surgical instruments inside the chest. The surgeon’s thoracoscope transmits images to a television monitor, allowing him to maneuver inside the chest using different instruments. This surgical approach inflicts less trauma to the body than a thoracotomy, and allows for faster recovery time, decreased hospital stay, and reduced post-operative pain. Patients are also glad to have much smaller scars with VATS.

VATS Treatment of Spontaneous Pnemothorax
MINIMALLY INVASIVE

When is it used?
A spontaneous pneumothorax, or the sudden collapse of a single lung, may occur without any trauma or injury. The pneumothorax results from the rupture of a blister on the lung, which allows air to leak out. When this condition occurs in an individual without prior history of lung disease, it is known as primary spontaneous pneumothorax. This is most commonly seen in tall, thin individuals between the ages of 17-40 who have a predisposition to spontaneous pneumothorax. The anatomy of their lungs in addition to the large volume of air they hold makes it more likely that a small blister --a bleb -- will burst on the upper part of the lung. The lung collapse is unpredictable, as it may occur during physical activity or simply at rest. When the pneumothorax is due to an underlying lung condition such as emphysema, it is known as a secondary spontaneous pneumothorax. In this, the emphysematous blebs are larger and known as bullae.

What happens?
For uncomplicated primary spontaneous pneumothorax in patients with a clean medical history, surgery may not be necessary unless the pneumothorax recurs.

In secondary spontaneous pneumothorax, surgery is done with a VATS approach. The bleb or bullae is removed, and the lung is made to adhere to the chest wall in order to prevent future pneumothoraces using mechanical pleurodesis. Talc pleurodesis is used only for a failed primary procedure. This surgical technique almost always prevents recurrence of pneumothorax. Whereas in secondary spontaneous pneumothorax non-surgical management shows up to 50% recurrence rate.

wedge

Wedge Resection
MINIMALLY INVASIVE AND OPEN SURGERY

When is it used?
In this procedure, the surgeon removes a small, wedge-shaped portion of the lung that contains cancerous cells, along with some surrounding healthy tissue. A wedge resection is preferred to a lobectomy (removing a complete lung lobe) when there is a danger of diminished lung function if too much of the lung is removed.

What happens?
This surgery can be performed using two methods: minimally-invasive video-assisted thoracoscopic surgery (VATS) or traditional open chest surgery, called a thoracotomy. Your surgeon will recommend one of these two approaches based on your individual situation.

To make an appointment with a thoracic surgeon at Mount Sinai Beth Israel contact them individually. You can also click here to fill out an appointment scheduling form. A staff member will get back to you within 48 hours to schedule an appointment. You can also email your questions to BIThoracicSurgery@chpnet.org

For an Appointment Call
Faiz Bhora, MD
212.523.7475
Raja Flores
212.241.9466
Andrew Kaufman
212.241.8842
Ram Reddy
212.659.6800
Dong-Seok Lee
212.241.4325
Henry Tannous
212.659.9479
Andrea Wolf
212.241.9502


For Health Care Professionals

CME Course
December 5 - 6, 2014
Integrating 20 years of Experience in CT Screening for Lung Cancer into Everyday Practice: 
An International Two-Day Intensive Course for Practicing Clinicians.
Learn more

FREE Lung Cancer Screening

You can get a FREE low-dose CT scan of your chest, which is recognized as the best test for spots (nodules) on the lungs. See if you qualify for a FREE test by calling 212.636.3333