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330501 The Kitakanto medical journal >
Vol.57 (2007) >

Please use this identifier to cite or link to this item: http://hdl.handle.net/10087/1488

Title: A Convenient Method Using a Foley Catheter and Dye for Thoracoscopic Resection of Mediastinal Cyst
Authors: Kamiyoshihara, Mitsuhiro
Ibe, Takashi
Takise, Atsushi
Takeyoshi, Izumi
Keywords: Video-assisted thoracic surgery
mediastinal cyst
Indocyanine green
Issue Date: 1-May-2007
Publisher: 北関東医学会
Citation: The Kitakanto medical journal. 57(2), 175-177 (2007)
Abstract: 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 large and tension cyst also interferes with a thoracoscope vision. Therefore, we present herein a convenient method using a Foley catheter and dye. A cystic mass is punctured directly with a needle and the content is aspirated. After removal of the needle, an 18F Foley urethral catheter is inserted into the mass. Then, the balloon is inflated with normal saline, and the content in the mass is almost removed through another lumen of the Foley catheter. Next, the cystic mass is inflated with diluted indocyanine green (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. We have successfully treated 2 patients with this technique.
URI: http://hdl.handle.net/10087/1488
ISSN: 1343-2826
Appears in Collections:Vol.57 (2007)

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