Dr Nara's Thoracic Surgery

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.

31/12/2025

The last publication of 2025. Well done Dr Tay for the writing. This case is another one of our multidisciplinary effort to solve the complex surgical intervention for this patient. Happy New Year everyone. May 2026 provide us more opportunities to scale greater heights.

https://backend.medliber.com/storage/article/manuscript/1336109_manuscript.pdf

29/12/2025

18 year old boy with primary mediastinal GCT, operated, presented with multiple nodules at lateral segment of the middle lobe. After looking at the 3d reconstruction, I decided to go for a segmentectomy.

He was discharged well.

https://youtu.be/R1qpgAfQFnI?si=pD7G3PFzq8cCzjtJ

18 year old presented with multiple nodules in RS5 with underlying mediastinal germ cell tumor. 3d reconstruction with AI assist and ICG was used to guide th...

25/12/2025

Christmas eve was eventful in HKL. We debulked and stented a patient with central airway obstruction from an undiagnosed tumor using flexible bronchoscopy, blue laser and fully covered SEMS. Patient is stable and awaiting for diagnosis. Merry Christmas folks.

10/12/2025

06/12/2025

The inevitable is real. Adapt or perish

🤖 The Future of Surgery is Here!

PwC's Future of Health report projects that automation and robotics 🦾 will take over a significant share of surgical workflows by the 2030s. Imagine AI handling tasks like:
🧵 Stitching
🗺️ Camera Navigation
✂️ Incision Guidance
🧠 Real-time Decision Support inside operating theatres.

Trials in cardiology, neurology, orthopedics, and minimally invasive surgery already show robotics delivering consistent precision without fatigue. Early data indicates reduced operation times ⏱️ and fewer complications in repeatable procedures.

Hospitals across Japan, Singapore, the US, and parts of Europe are already testing integrated robotic surgical suites that use AI feedback to analyze tissue, track blood flow, and predict risk in real time. 🩸

PwC analysts emphasize that widespread adoption depends on regulation, surgeon retraining, and device reliability, but the shift is accelerating. Many health systems are already budgeting for these autonomous surgical platforms within the next decade. Get ready for the revolution! 🚀
Source:- Pwc

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