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Minimally Invasive Techniques |

Video-Assisted Thoracoscopic Closure of the Delayed Bronchial Rupture After Thoracoscopic Resection of Mediastinal Bronchogenic Cyst*

Deog-Gon Cho, MD; Moon-Sub Kwack, MD
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*From the Department of Thoracic and Cardiovascular Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea.



Chest. 1999;115(1):257-259. doi:10.1378/chest.115.1.257
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Video-assisted thoracoscopic surgery (VATS) is an effective and less invasive modality for management of mediastinal disorders, but various complications can result from the procedure. This report describes a case of delayed rupture of the bronchus intermedius which occurred on postoperative day 1 after the patient underwent complete thoracoscopic removal of a mediastinal bronchogenic cyst (BC) with pericystic adhesions to the bronchus. The bronchial rupture was successfully treated by conventional surgical instruments through limited thoracotomy with video-assisted thoracoscopic guidance. In recognition of this possibility, VATS for a BC with adhesions should be carefully performed. Additionally, the role of VATS in bronchial repair is beneficial.

Abbreviations: BC = bronchogenic cyst; VATS = video-assisted thoracoscopic surgery

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