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Updated: Jun 29, 2025

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
Fluorescence-guided thoracoscopic surgery for postoperative chylothorax: A technical note with video vignette
Tzu-Wei Kuo1, Shih-Kang Tseng1, Pin-Li Chou1
1Division of Thoracic Surgery, Chang Gung Memorial Hospital at Linkou, Chang Gung University College of Medicine, Taoyuan, Taiwan.
A novel fluorescence-guided technique using indocyanine green (ICG) effectively identifies thoracic duct (TD) anatomy and leak sites during surgery for chylothorax. This method aids in precise ligation and confirms successful lymphatic closure.
Area of Science:
- Thoracic Surgery
- Surgical Innovation
- Medical Imaging
Background:
- Postoperative chylothorax management often involves thoracic duct (TD) ligation, but identifying the leak site can be difficult due to anatomical variations and tissue damage.
- Existing methods for locating the TD and leak points in revision surgeries are challenging.
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