Optimal visualization using indocyanine green fluorescence imaging for pleuroperitoneal communication complicated by CAPD

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  • Kobayashi Aki
    Department of Thoracic Surgery, Tokyo Metropolitan Bokutoh Hospital
  • Ebana Hiroki
    Department of Thoracic Surgery, Tokyo Metropolitan Bokutoh Hospital
  • Ostuji Mizuto
    Department of Thoracic Surgery, Tokyo Metropolitan Bokutoh Hospital

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  • 腹膜持続透析に合併した横隔膜交通症にインドシアニングリーン併用近赤外光胸腔鏡が有用であった一例

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Abstract

<p>Massive hydrothorax secondary to pleuroperitoneal communication occurs as a complication of CAPD. The key to successful surgical therapy depends on the precise detection of the transdiaphragmatic route of dialysate leakage. In this report, we present the case of a 56-year-old woman successfully treated with thoracoscopic closure. Although only a subtle change was noted under white-light thoracoscopy, the route of fluorescence leakage of ICG administered from the peritoneal catheter clearly seen under infrared thoracoscopy and hiatus of the diaphragm were closed by excision and suturing. The patient could resume CAPD 40 days after surgery without recurrence of hydrothorax.</p>

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