A Convenient Method Using a Foley Catheter and Dye for Thoracoscopic Resection of Mediastinal Cyst
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概要
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Video-assisted thoracoscopic surgery has been useful for resection of a cystic mass in the mediastinum.However, there are difficulties that a thin wall of the cyst are easy to rupture, and that a largeand tension cyst also interferes with a thoracoscope vision. Therefore, we present herein a convenientmethod using a Foley catheter and dye. A cystic mass is punctured directly with a needle and thecontent is aspirated. After removal of the needle, an 18F Foley urethral catheter is inserted into themass. Then, the balloon is inflated with normal saline, and the content in the mass is almost removedthrough another lumen of the Foley catheter. Next, the cystic mass is inflated with diluted indocyaninegreen (ICG) through the lumen, and refilled with an adequate volume of ICG solution to detect the wall.The ICG solution is aspirated, and removal of the mass is accomplished simply by deflating the balloon.Finaly, the mass can be removed from the thoracic cavity. Using ICG can make the margin clearer. Wehave successfully treated 2 patients with this technique.
- 北関東医学会の論文
- 2007-05-01
著者
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IBE Takashi
Department of Electronics and Informatics, Toyama Prefectural University
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Ibe Takashi
Department Of General Thoracic Surgery Maebashi Red Cross Hospital
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Kamiyoshihara Mitsuhiro
Department Of General Thoracic Surgery Maebashi Red Cross Hospital
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Takise Atsushi
Department Of Respiratory Medicine Maebashi Red Cross Hospital
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TAKEYOSHI Izumi
Division of Thoracic and Visceral Organ Surgery, Gunma University Graduate School of Medicine
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