Published on April 02, 2025

Advancements in Thoracic Surgery

For decades, thoracic surgery, or procedures involving the lungs, esophagus, and other structures in the chest, was known for being invasive and requiring long recovery times. But today, thanks to remarkable advancements in medical technology, patients facing lung cancer and other chest conditions can experience safer, less painful procedures with faster recovery.

A hometown surgeon changing care in the High Country

Dr. Tim Edmisten of Watauga Surgical, a Boone native, has been at the forefront of these advancements, bringing exceptional thoracic surgical care to Western North Carolina. After years of training – including a specialty in London – he returned home to the mountains to not only continue, but expand, access to cutting-edge surgical care in the region.

“I wanted to have the opportunity to continue to provide care to the people of this region and also to be able to build the thoracic surgical expertise,” Dr. Edmisten shared. “It's been really exciting to see how that's evolved over the last 25 years.”

From open surgery to minimally invasive procedures

In the early 2000s, a major shift occurred with the introduction of Video-Assisted Thoracic Surgery (VATS), significantly improving care and outcomes for lung cancer patients.. Instead of traditional thoracotomy with an 8-inch incision and a long, painful recovery, VATS allows surgeons to remove lung tissue through a small incision, using a camera for guidance. The result? Less pain, fewer complications, and a quicker return to normal life.

Since then, advancements have continued at an astonishing pace:

  • Endobronchial Ultrasound (EBUS): This allows surgeons to biopsy lung masses without making a single incision. By inserting a small camera and ultrasound probe through a breathing tube, they can take precise samples of lymph nodes and determine the best course of treatment.
  • Navigational Bronchoscopy: Think of it as GPS for the lungs. Using 3D imaging, surgeons can navigate complex airways to reach nodules deep in the lung – something previously impossible without major surgery.
  • Robotic-Assisted Surgery: The latest advancement, the da Vinci 5 surgical robot, offers unmatched precision. Dr. Edmisten and his team can now perform complex thoracic surgeries with tiny incisions, less pain, and faster recovery.

What this means for you

These innovations aren't just about making surgery more high-tech – they're about changing lives. For patients, this means:

  • Less pain and discomfort
  • Far shorter hospital stays
  • Faster recovery times
  • More precise diagnosis and treatment

A lung biopsy that once required an invasive procedure can now be done with a tiny needle. A lung cancer removal that once took months to recover from now allows patients to get back to their lives much sooner.

The future of thoracic surgery is here

Dr. Edmisten’s commitment to advancing thoracic surgery means that patients in our region no longer have to travel to large metropolitan hospitals for high-quality care. The same innovative techniques found in renowned medical centers are now available right here at home.

“Our patients are having bigger operations done less invasively, which leads to fewer complications and a quicker return to a productive, active lifestyle,” he said.

For anyone facing a lung cancer diagnosis or other thoracic condition, these advancements offer hope – not just for better treatment, but for a smoother road to recovery.

To learn more about the advancements in thoracic surgery, watch the video below. For more information about Watauga Surgical or to schedule an appointment, call 828-264-2340.