Dr Nara's Thoracic Surgery

09/11/2025

Middle lobe S4 segmentectomy guided by AI assisted 3D reconstruction & ICG

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09/11/2025

For the first time in Malaysia, we performed a single incision (4cm) VATS right S4 segmentectomy with the guidance of AI assisted 3D Reconstructed CT Thorax in Pantai Hospital Kuala Lumpur yesterday. The surgery was performed in a gentleman with a lung nodule measuring 0.8cm detected during his medical checkup. Frozen section proved the nodule to be adenocarcinoma (lepidic). A S4 segmentectomy and lymphadenectomy was performed to achieve oncological clearance.

A workshop was held to share the knowledge with other fellow thoracic surgeons. Precise, safe and a well planned surgery will ultimately render the best outcome for the patient, especially in lung cancer. Thank you for all the support.

08/11/2025

An unnecessary middle lobectomy prevented by not only the skill of the surgeon, but also by having appropriate pre op planning by AI Assisted 3d reconstruction. Well done.

08/11/2025

Thank you to and to our sponsor Lotus Medical (Shanmugavalli) for making this program a success.

02/11/2025

In this day and age of AI and precision medicine, surgery should not be performed without in depth understanding of the individual patients anatomy. With the chance of bronchovascular variations as high as 20 to 30%, mistakes must be avoided at all costs.

This is an example on how to utilise AI and 3d reconstruction to study that patient's anatomy before a right upper lobectomy for lung adenocarcinoma.

The approach can be by VATS, RATS or even open thoracotomy, but do not make mistakes due to suboptimal planning and understanding.

26/10/2025

Congratulations to Dr YenZhir Tay for being selected as one of the winners of digital paper presentation at the SEATS 2025 in Bali. He wrote on CEA correlation with lung cancer and egfr mutation. Well done.

25/10/2025

South East Asia Thoracic Society Conference 2025 in Bali was mindblowing in all aspects. Huge congratulations to the organising chair, Dr Saladin for pulling off a memorable event. The collaboration between surgeons, oncologists and pulmonologists were evidently strong in the conference proceedings addressing various thoracic diseases.

The HKL team presented 3 posters, presenting complex procedures performed. Well done.

Thank you for the invite and see you all in Singapore next year.

18/10/2025

Day trip to my alma mater, Hospital Sultanah Bahiyah Alor Setar for the Lung Cancer Updates 2025. Nostalgic feeling standing on the stage giving a talk as Consultant Thoracic Surgeon, the same place I used to run around as a medical officer around 18 years ago. Time flies.

Thank you Dr Arvind Alaga for the invite. Looking forward for our future collaboration. Proud of your achievements up north.

14/10/2025

Sounds like a cartel business this insurance, at the cost of patients, squeezing the doctors.

11/10/2025

The 7th Indian Society of Thoracic Surgeons Conference 2025 was held in Jodhpur, the Blue City. The academic diet were well curated for the new and senior surgeons. I was tasked to deliver 3 talks on
1. Training opportunities in SEA
2. NiVATS
3. Chest Wall Tumor - Beyond the Borders of Chest.

To spice up the event, the banquet dinner was entertained by the famous Mame Khan (just found out he is famous). Mesmerising voice, and apparently he was the first ever Folk artist to walk the Red Carpet at The Cannes Film Festival in 2022 and to perform at the Indian pavilion at Cannes.

Made new friends and rekindled camaraderie with the old ones.

Kudos to Dr Ramkaran and his vibrant team for making this conference a huge success and a new benchmark. I am truly honoured to be part of faculty. Thank you for the invite.

03/10/2025

I think i am going to go

03/10/2025

Lady in her 60s presented with a "long overdue" left breast phyllodes tumor, invading the chest wall involving 4th to 6th rib and lower sternum.

The thoracic and breast teams resected the tumor and fixed the titanium plates. Plastic & Reconstruction team performed the anterolateral thigh free flap cover. Patient is recovering well, liberated from the agony.