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Keyhole
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Minimally Invasive Surgery
More than 95% of Dr Aresu’s surgical cases are undertaken using a minimally invasive approach, a technique associated with reduced post-operative pain, lower peri-operative complication rates, and accelerated recovery.
Subxiphoid VATS
This technique is performed through a single 2–4 cm incision between the ribs (intercostal space).
Uniportal VATS
This approach uses a single 2–4 cm incision just below the sternum (subxiphoid region).
Through small incisions and advanced wristed tools, robotic thoracic surgery delivers unmatched precision. Enhanced 3D vision gives surgeons greater accuracy and control than ever before.
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:
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Minimally invasive (VATS): Small keyhole or subxiphoid incisions for thymectomy or mass removal, offering less pain and faster recovery.
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Open surgery: Sternotomy or thoracotomy for large or invasive tumours.
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ECMO/bypass-assisted: Used in complex cases needing airway or vessel reconstruction.
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Congenital deformity repair
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Pectus excavatum: minimally invasive Nuss procedure, or Ravitch procedure.
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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.
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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.
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Performance Data
Overall mortality for lung cancer resection
2024 - 2025
US comparison (STS 2024/25 database)
Dr Aresu’s Performance Data (2024–2025)
Mr Aresu’s results consistently outperform national and international benchmarks, offering patients the highest standards of safety and recovery.