Ricerc@Sapienza

Background: Advanced-stage thymic tumors infiltrating the superior vena cava (SVC), when radically resectable, can be surgically treated by SVC prosthetic replacement within a multimodality therapeutic approach. We hereby present our series of patients undergoing SVC resection and prosthetic reconstruction for stage III or IV thymic malignancies.

In this Video we present the intraoperative use of indocyanine green lymphography in a patient with recurrent idiopathic chylothorax refractory to conservative therapy. In those patients, a thick mediastinal pleura, caused by prior surgery and/or inflammatory adhesions, could make the identification of the thoracic duct challenging.