A case of pulmonary carcinoma removed safely from SVC by using CUSA
Takahashi, N.; Tsunematsu, K.; Sugawara, H.; Ohkubo, T.; Takahashi, M.; Abe, T.
Kyobu Geka. Japanese Journal of Thoracic Surgery 53(13): 1141-1143
2000
ISSN/ISBN: 0021-5252 PMID: 11127564 Document Number: 523633
A 50-year-old man, who had his medical history of right pulmonary tuberculosis, was pointed out an abnormal shadow in the right upper mediastinum on the chest X-ray. Chest CT scan demonstrated a large tumor mass that was suspected to make partial invasions upon the great vessels (SVC and right PA). We could perform a safety removal of the tumor from the great vessels without perforation of vessels by using CUSA. The output of CUSA was set up 20-30% of the maximum (amplitude; 60-90 microns). The tumor came from rS2 and rS3 and was large cell carcinoma. Nevertheless taking a time, CUSA is a useful device for a bleeding-less tumor removal.