Dr Nara's Thoracic Surgery

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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03/12/2025

This lady presented with central airway obstruction, underwent emergency tracheostomy in a private centre. Subsequently, we performed tracheal resection and reconstruction of a 3cm stenosis. 5 months post op, she developed granulation tissue from the tracheostomy site, almost occluding the airway again. We used blue laser to resect using flexible bronchoscopy. Our ENT surgeon in HKL, Dr Vanitha assisted us with the laser. Patient was discharged after overnight observation.

29/11/2025

The 2 days Thoracic Airway symposium ended well today with lots of experience gained. On Day1, we managed to perform a non-intubated bullectomy and an intubated Ls3 segmentectomy for a metastatic nodule and a ggo within the same segment, guided by AI powered 3d recon. Both the surgeries went well. This was followed by simulation training for the participants in bronchoscopy, dlt intubation and managing difficult airways.

Day 2 was all lectures and it was a joyful Saturday with lots of learning and laughter. Thank you for the collaboration and invitation to participate. We are truly honoured to have you guys as a team.

26/11/2025

This weekend will be filled with discussions on thoracic and airway diseases management. Whoever in the vicinity and wants to join the lectures, please drop by.

The workshop is fully booked.

26/11/2025

09/11/2025

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

https://youtu.be/ds5EZOxY9P8?si=Zg4XTzRKajWY7-Bq

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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.