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Eur J Cardiothorac Surg 2005;28:648-649
© 2005 Elsevier Science NL

How-to-do-it

Video-assisted thoracoscopic surgery for hydrothorax in peritoneal dialysis patients — check-air-leakage method

Hsu-Ting Yen a , Hung-Yi Lu a , Hui Ping Liu b , Ming-Jang Hsieh a , *

a Division of Thoracic and Cardiovascular Surgery, Department of Surgery, Chang Gung Memorial Hospital, Kaohsiung, 123, Ta-Pei Road, Niao Sung Hsiang, Kaohsiung Hsien, Taiwan, ROC
b Divisions of Thoracic and Cardiovascular Surgery, Chang Gung Memorial Hospital, Chang Gung University, Kweishan, Taoyuan, Taiwan, ROC

Received 10 May 2005; received in revised form 10 June 2005; accepted 13 June 2005.

* Corresponding author. Tel.: +886 7 7317123; fax: +886 7 7322402. (Email: octopa{at}adm.cgmh.org.tw).

Hydrothorax developing from pleuroperitoneal communication as a complication of peritoneal dialysis was first described in 1967 [Edward SR, Unger AM. Acute hydrothorax—a new complication of peritoneal dialysis. JAMA 1967; 199:853–5. [1]]. The incidence of hydrothorax is approximately 1.6–2% of continuous ambulatory peritoneal dialysis (CAPD) patients. The key to successful therapy is obliteration of the transdiaphragmatic route of dialysate leakage with video-assisted thoracoscopic surgery (VATS). The method in which air leakage is checked intraoperatively is the preferred choice and better than all other procedures.

Key Words: Diaphragm • Pleural effusion • Video-assisted thoracic surgery (VATS)






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Copyright © 2005 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.