The Korean Journal of Internal Medicine

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Original Article
Korean J Med. 2010;78(2):247-251.
혈액투석 환자의 심낭삼출의 치료에 시도한 흉강경을 이용한 심낭막 개창술
류지원, 이주현, 홍현석, 이주학, 전순호, 한상웅, 김호중
A case of a pericardial window procedure performed by needlescopic surgery in a hemodialysis patient
Ji-Won Ryu, Ju-Hyun Lee, Hyun-Suk Hong, Joo-Hark Yi, Soon-Ho Chon, Sang-Woong Han, Ho-Jung Kim


Abstract
With the advent of 2- and 3-mm endoscopic instruments, a thoracoscopic pericardiectomy can be performed with relative ease and with almost no postoperative scar. We report a case of a 40-year-old woman with end-stage renal disease who had a large volume of pericardial effusion that did not abate after repeated dialysis. A pericardial window was performed by needlescopy for diagnostic and therapeutic reasons, and her postoperative scar was minimal. Her postoperative course was uneventful, and she has had no complications or recurrence of pericardial or pleural effusion. (Korean J Med 78:247-251, 2010)

Keywords :Pericardial effusion, Kidney failure, chronic, Renal dialysis, Thoracoscopy, Pericardial window techniques
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