Cambridge Thoracics: Minimally Invasive and Robotic Surgery Excellence

Trou de serrure

Chirurgie mini-invasive

Environ 90 % des cas chirurgicaux de M. Aresu sont réalisés à l’aide d’une approche mini-invasive, une technique associée à une réduction de la douleur postopératoire , à des taux de complications périopératoires plus faibles et à une récupération accélérée .

VATS sous-xiphoïdien

Cette technique est réalisée par une seule incision de 2 à 4 cm entre les côtes (espace intercostal).

Uniportal TVA

Cette approche utilise une seule incision de 2 à 4 cm juste en dessous du sternum (région sous-xiphoïdienne).

Uniportal TVA

Cette approche utilise une seule incision de 2 à 4 cm juste en dessous du sternum (région sous-xiphoïdienne).

Lung cancer surgery is a highly effective treatment, tailored to each patient’s diagnosis, disease stage, and overall health. Our team treats primary lung cancers, selected small cell cancers, carcinoid tumours, metastatic disease, and benign lung tumours. Using minimally invasive or very rarely when needed, open surgery, we aim to remove the tumour while reducing trauma, speeding recovery, and maintaining quality of life.
The mediastinum is the central chest area containing vital organs such as the heart, thymus, and major vessels. Surgery treats conditions like thymomas, germ cell tumours, cysts, lymph node disease, or myasthenia gravis.

Surgical approaches:

Minimally invasive (VATS): Small keyhole or subxiphoid incisions for thymectomy or mass removal, offering less pain and faster recovery.

Open surgery: Sternotomy or thoracotomy for large or invasive tumours.

ECMO/bypass-assisted: Used in complex cases needing airway or vessel reconstruction.
Congenital deformity repair

Pectus excavatum: minimally invasive Nuss procedure, or Ravitch procedure.

Pectus carinatum: surgical correction or non-surgical bracing/vacuum bell therapy.

Chest wall resection and reconstruction: For malignant and non-malignant tumours, including rib fixation for trauma or chest wall instability.
Minimally invasive Uniportal or Subxiphoid VATS used in 100% of patients.
Bilateral disease: With the subxiphoid approach, both lungs can be treated through a single small incision, reducing pain and recovery time.
Diagnostic and palliative surgery tailored to each patient’s condition.
Lung metastasectomy performed with minimally invasive approaches, preserving lung function wherever possible.
Minimally invasive bilateral sympathectomy using a uniportal VATS approach, offering permanent relief from excessive hand sweating.
Pectus excavatum (“sunken chest”):
Nuss procedure: Minimally invasive; a curved metal bar lifts the sternum, removed after 2–3 years.
Ravitch procedure: Open repair with cartilage resection and sternal repositioning.
Pectus carinatum (“pigeon chest”): Corrected by cartilage resection and sternal reshaping, or with external bracing in mild cases.
Poland syndrome: Repaired using muscle flaps or prosthetic materials.
Sternal clefts/complex anomalies: Treated with custom grafts, plates, or prostheses.
Lung transplantation is the definitive treatment for selected patients with advanced, irreversible lung disease, involving replacement of one or both lungs using cardiothoracic techniques, often with cardiopulmonary bypass or ECMO support.

Recipient selection follows strict criteria for patients with end-stage COPD, pulmonary fibrosis, cystic fibrosis, or pulmonary hypertension, assessed by a multidisciplinary team for organ function, infection risk, cancer exclusion, and psychosocial readiness.