Surgery for huge mediastinal tumors

Motus, Igor; Massard, Gilbert

doi:10.1177/0218492315592072

Cited by 3 publications

(3 citation statements)

References 17 publications

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“…Furthermore, it is easy to damage important organs during surgery, leading to complications such as major bleeding and even death. The surgical treatment is difficult and the risk has increased significantly (11,12). Therefore, the clinical treatment of complicated thoracic tumors is mostly based on thoracotomy, and surgical treatment remains to be a challenge (13).…”

Section: Discussionmentioning

confidence: 99%

Application of 3D modeling and printing technology in accurate resection of complicated thoracic tumors

Tan¹,

Yao²,

Hua

et al. 2020

Ann Transl Med

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Background: To explore the application value of three-dimensional (3D) reconstruction and 3D printing in preoperative evaluation of precise resection of complicated thoracic tumors. Methods: A retrospective analysis of 34 patients with complicated thoracic tumors who were treated by radical surgery from March 2016 to June 2019 was made. According to whether 3D reconstruction and 3D printing was used, the patients were divided into research group and control group. In the control group, preoperative evaluation was performed according to CT image data, and the operation plan was drawn up; in the research group, preoperative simulation and preoperative operation plan design were carried out according to 3D reconstruction and 3D printing technology. The operation time, change of operation approach, intraoperative blood loss, hospitalization time and postoperative complications were compared between the two groups. We also retrospectively reviewed additional 12 cases of unresectable complicated thoracic tumors. The above 34 patients who were treated by radical surgery were set as the resectable group. Three-dimensional reconstruction was performed for all cases. The tumor size, location, smoothness of tumor-vascular contact surface, close contact with adjacent organs were compared between these two groups.Results: The 3D reconstruction and 3D printing model were successfully established. The indexes of operation time, change of incision approach and blood loss in the research group were lower than those in the control group (P<0.05). All the patients were followed up for 6 months, and there was no death, no tumor recurrence and metastasis in the two groups. In the unresectable group, the score of position and smoothness of tumor-vascular contact surface were significantly higher than that in the resectable group.Conclusions: 3D reconstruction and 3D printing can effectively help surgeons carry out accurate surgical treatment, reduce the operation time and bleeding, reduce the risk of surgery, and facilitate the postoperative rehabilitation of patients, which has the value of promotion and application.

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Section: Discussionmentioning

confidence: 99%

Application of 3D modeling and printing technology in accurate resection of complicated thoracic tumors

Tan¹,

Yao²,

Hua

et al. 2020

Ann Transl Med

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“…In our case, the fifth intercostals space thoracotomy incision provided adequate access to the tumor and feeding vessels. It is important that the lesion be completely removed to minimize the risk of malignant transformation in later life 8 .…”

Section: Discussionmentioning

confidence: 99%

“…In a major series of late presentation of 17 mediastinal teratomas in adults (age 15-57 years) invasion of the pleura and pericardium was commonly encountered. In four patients, the malignant transformation had occurred, and all died 8 . In our patient, the teratoma was not adherent or invading the chest wall or pleura; however the challenge lay in identifying its blood supply which arose from the hilar vessels.…”

Section: Discussionmentioning

confidence: 99%

Neonatal Mediastinal Teratoma : A Cause of Neonatal Respiratory Distress

Corbally¹,

Zaidan²,

Nguyen³

2015

BMB

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Dip (Risk Management), CCST (Paed Surgery)*** Mediastinal teratoma is a rare cause of neonatal respiratory distress and frequently requires urgent surgical management. Arising from any structure in the mediastinum, they produce life-threatening respiratory and vascular insufficiency and present unique surgical challenges for the pediatric surgeon. We report a one-month-old child who presented to the emergency department of Children's Hospital Number 2 (Bệnh Viện Nhi Dồng 2), Ho Chi Minh City, Vietnam with severe respiratory distress. Following stabilization and appropriate imaging, he underwent emergency thoracotomy and excision of the large hemithoracic mass. Histology confirmed a mature benign teratoma.

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