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Interactive Cardiovascular and Thoracic Surgery 2:373-375(2003)
© 2003 European Association of Cardio-Thoracic Surgery


New ideas - Thoracic general

A method for video-assisted thoracoscopic photodynamic therapy (VAT-PDT)

Keyvan Moghissia,*, Kate Dixona and J.Andrew C. Thorpea,b

a The Yorkshire Laser Centre, Goole and District Hospital, Woodland Avenue, Goole, East Yorkshire DN14 6RX, UK
b Leeds General Infirmary, Leeds, UK

* Corresponding author. Tel./fax: +44-1724-290-456
kmoghissi{at}yorkshirelasercentre.org

A technique is described for application of photodynamic therapy (PDT) to peripheral pulmonary and other intrathoracic malignant tumours. For video-assisted thoracoscopic-PDT we advocate the use of the flexible fibreoptic bronchoscope through an appropriately placed port. This, together with the standard thoracoscope and attached monitor can provide three-dimensional visualisation of the intrathoracic lesion and more importantly allow the accurate delivery of laser light to the tumour. At the present time we have successfully used this method without complication in three patients with advanced inoperable disease.

Key Words: Video-assisted thoracoscopic photodynamic therapy; Flexible fibreoptic bronchoscope for video-assisted thoracoscopic







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