Dr Nara's Thoracic Surgery

30/03/2026

28/03/2026

Had a fruitful discussion with Dr Fang and Dr Cardillo in Shanghai East Hospital on the management of lung cancer and also observed surgeries by Dr Fang. Impressive setup for a government hospital. The next meeting is planned in Kuala Lumpur.

11/03/2026

Lady in her 30s suffering from hemoptysis since Feb 2026. CT scan showed a carina tumor. No biopsy was taken fearing of bleeding, hence no diagnosis. PET CT showed localised disease.

She was sent to me by Dr Fikri from Gleaneagles KL for resection. Together, we performed left partial carina resection and reconstruction from right sided thoracotomy without ECMO or CPB. Thanks to Dr Cindy for handling the airways.

Frozen section showed clear margins, it was a poorly differentiared carcinoma. Post surgical recovery was unevenful.

Prompt decision, quick referral and resection clearly makes a difference in recovery and outcome.

06/03/2026

3 trachea resection and reconstruction in 3 different hospitals within 2 weeks. All 3 patients were on long term trachy for tracheal stenosis. They are from Timor Leste, Myanmar and Kuching, Sarawak. No surgeons are offering such services from where they came from. Glad to be able to help patients breathe freely.

15/02/2026

Have a prosperous Chinese New Year 2026. May the year of fire horse gives fiery prosperity, health and wealth. Gong Xi Fa Cai.

14/02/2026

Pleural window or open window thoracostomy is a salvage procedure and at times, life saving for patients with severe thoracic empyema with nonexpanding lung. We performed a few of those, and our postgraduate student decided to write on it. Well done Dr Ehab.

https://www.e-mjm.org/2026/v81n1/empyema-thoracis.pdf

13/02/2026

Segment 7 lesions are rare. After 8 years of thoracic surgery practise and 2000+ cases later, I came across a metastatic nodule at right segment 7. This patient underwent a UniVATS right s7 segmentectomy with ICG guidance. With this, I have completed my segmentectomy journey involving all the segments in the right and left lung.

https://youtu.be/DTGCt_S-J2M?si=D_1sLjNJNBueAJEh

Enjoy the videos and music you love, upload original content, and share it all with friends, family, and the world on YouTube.

01/02/2026

Two of my patients sent tq message to me on Thaipusam day after being able to climb all the way up to Waterfall Hilltop Temple, Penang (around 500 steps) and Batumalai Temple, KL (272 steps) to worship Lord Muruga. Both of them underwent lobectomy for lung cancer around a year ago. This gives me immense satisfaction doing the job I do.

We are just meagre tools in His hands. All grace to Him.

29/01/2026

The International Chest Wall Surgery Workshop will be organised in Kuala Lumpur in collaboration with South East Asia Thoracic Society (SEATS). Anyone interested can start registering by scanning the QR code.

First come first serve basis. High quality workshop scrubs will be given to participants. 4 cadavers available to learn the skills from Prof Wang, Dr Aneez, Dr Sira, Dr Benedict and myself. This will be followed by live surgeries of 3 pectus cases & 2 cases of pectus bar removals and a chest wall tumor resection and reconstruction.

Only 20 participants accepted. Don't miss the chance.

21/01/2026

Your lungs. Your life. Your move.

For a limited time, get a comprehensive health & cancer screening for just RM199 (worth RM479) at the Lung Health Initiative 2026.

From NCD risk checks to cancer screening and AI-assisted chest X-rays, this one visit could make all the difference.

📍 CHSC, NCSM KL
📅 25 Jan 2026 | ⏰ 8:30 AM – 1:00 PM

🎯 Limited slots available.
📲 Register now by scanning the QR code.

05/01/2026

A rare incidence of small cell transformation of a previously operated right lower lobe stage 2 nsclc on osimertinib for 3 years. This time the recurrence was at the middle lobe.
The prognosis is poor, but after tumor board discussion, decision was made for surgery since it is a localised disease.

The surgery was extremely challenging.

https://youtu.be/-lonHFNBuP4?si=e_USyzULv67EYDBB

A rare incidence of small cell transformation of a previously operated right lower lobe stage 2 nsclc on osimertinib for 3 years. This time the recurrence w...

03/01/2026

2026 started with a bang.
A young man met with an accident and sustained sternal fracture, c3c4 transverse process fracture and a bizzare total transection of the distal trachea and carina. He got severe subcutaneous emphysema and somehow manage to be ventilated with low pressure settings.

We brought him in, and reanastomosed the airway. It's amazing how the peritracheal tissue managed to minimise the air leak after the trauma.

Patient is recovering post operatively in ICU.