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Ann Thorac Surg 2004;77:1091-1093
© 2004 The Society of Thoracic Surgeons

Case report

Extrapleural thoracoscopic excision of a mediastinal bronchogenic cyst in a patient with dense pleural adhesions

Hiroki Sato, MD, PhDa*, Atsushi Watanabe, MD, PhDb, Tamotsu Yamaguchi, MD, PhDa, Nobuhiro Harada, MDa, Satomi Inoue, MD, PhDa, Tomio Abe, MD, PhDb

a Department of Thoracic and Cardiovascular Surgery, Hokkaido Prefectural Kitami Hospital, Kitami, Japan
b Second Department of Surgery, Sapporo Medical University School of Medicine, Sapporo, Japan

Accepted for publication April 25, 2003.

* Address reprint requests to Dr Sato, Department of Thoracic and Cardiovascular Surgery, Hokkaido Prefectural Kitami Hospital, 1-1-2 Koueinishimachi, Kitami, Hokkaido, 090-0058 Japan
e-mail: hiroki{at}sapmed.ac.jp

We report the case of a 70-year-old man with dense pleural adhesions who underwent an excision of a mediastinal bronchogenic cyst by video-assisted thoracoscopic surgery (VATS) through an extrapleural approach. The VATS approach for the diagnostic and therapeutic excision of a mediastinal tumor is easier and safer than an intrapleural approach if a patient has dense pleural adhesions.






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