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Fig. 4 | Surgical Case Reports

Fig. 4

From: A case of a thoracic duct cyst extending from the mediastinum to the cisterna chyli resected using bilateral thoracoscopic surgery in the prone position

Fig. 4

a In the right thoracic cavity, the tumor is continuous from the caudal side of the tracheal bifurcation to the diaphragm. b To prevent chyle leakage, a vessel-sealing system is used to dissect the tumor perimeter, and the cord-like material is securely clipped and detached. c Tumor is multifocal and connected in a bead-like pattern. d Left side of the aortic hiatus is opened from the left thoracic cavity, the tumor is dissected from the aorta, and the caudal margin of the tumor is reached. At the caudal margin, clipping is performed, and the dissected specimen is removed

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