Dr Nara's Thoracic Surgery

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

The danger is real. Follow for the latest AI risk updates you won't find anywhere else.

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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