Thoracoscopic Resection of Mediastinal Bronchogenic Cysts in Adults

Muramatsu, Takashi; Shimamura, Mie; Furuichi, Motohiko; Takeshita, Shinji; Morooka, Hiroaki; Tanaka, Yôko; Yagasaki, Chiyoshi; Ohmori, Kazuo; Shiono, Motomi

doi:10.1016/s1015-9584(11)60012-2

Cited by 9 publications

(14 citation statements)

References 13 publications

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“…According to some reported studies, the conversion rate from VATS to open thoracotomy was 8-35%, and the main reason was major pleural adhesion (4,6,14). However, in our institution, VATS was initially performed in patients with lung cancer and some benign lung diseases, such as pneumothorax, tuberculous, and pulmonary aspergillosis.…”

Section: Discussionmentioning

confidence: 91%

“…Four cysts were projected as waterlike on MRI while they were all seen as soft-tissue-like on CT images, which demonstrated that MRI may be useful for differentiating MBC from mediastinal neoplasia when CT scans manifest as soft-tissue-like lesions. For patients exhibiting symptoms, surgical resection is the preferred treatment modality (14). Other treatment modalities, such as robotic thoracic surgery and endobronchial ultrasound-guided transbronchial needle aspiration (15,16), are still in the developmental stages, and follow-up is still needed to verify the long-term efficacy.…”

Section: Discussionmentioning

confidence: 99%

“…In our institute, VATS procedure for MBCs gradually became the most preferred approach with increased experience. The feasibility and validity of VATS in MBC have been discussed by numerous studies (1,6,14,18,28). However, most of these studies are case reports or case series, and appropriate comparative data to PLT have been sparse.…”

Section: Discussionmentioning

confidence: 99%

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Video-assisted thoracic surgery compared with posterolateral thoracotomy for mediastinal bronchogenic cysts in adult patients

Guo

Mei

Liu³

et al. 2016

J. Thorac. Dis.

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The patient demographic characteristics, intraoperative findings, postoperative outcomes and follow-up information were reviewed and analyzed. Results: A total of 99 patients underwent cystectomy were enrolled for the present study. Of those patients, 65 underwent VATS cystectomy (VATS group) and 34 underwent PLT cystectomy (PLT group) during the same period. The VATS group had shorter operative time than the PLT group (108.77±47.81 vs. 144.62±55.16, P=0.001), less intraoperative blood loss (median 20 vs. 100 mL, P<0.001), and less pleural drainage of the first three days after surgery (median 240 vs. 400 mL, P=0.002). In addition, the length of postoperative hospital stay and duration of chest drainage for the VATS group was also shorter than those of the PLT group (4.94±2.01 vs. 8.64±5.52 days, P=0.001; 2.52±1.29 vs. 3.71±1.55 days, P<0.001, respectively). No statistical significance was revealed among the two groups with regard to the maximum diameter of the cysts, pleural atresia, incomplete resection, surgery-related complications, duration of intensive care unit stay, and postoperative complications. Conclusions: Both VATS and PLT are reliable approaches for the surgical resection of MBCs. The VATS approach is superior to PLT with shorter operative time, shorter duration of chest drainage, shorter postoperative hospital stay, less intraoperative blood loss, and less pleural drainage of the first three days after surgery. We conclude that VATS should be the preferred approach for the treatment of MBCs. represent 18% of all primary mediastinal malformations, the exact incidence of Mediastinal bronchogenic cysts (MBCs) is unknown because most patients are asymptomatic (1,4,5). However, more and more patients were detected because of the advanced diagnostic equipment and the increasing application of routine medical examinations in recent years.For adult patients with MBC, surgical resection is generally performed through posterolateral thoracotomy (PLT). With the recent advances in endoscopic instruments and operative techniques, video-assisted thoracic surgery (VATS) resection of MBC has been used with increasing frequency since it was first performed by Mouroux and associates in 1991 (6); it may become a potentially new surgical choice for the treatment of MBCs. However, limited studies have been published to compare the results of VATS versus PLT in adult patients with MBC, thus, uncertainty remains as to whether VATS can be an alternative to PLT for the treatment of MBCs. Thus, we retrospectively reviewed the data of patients with MBCs to reveal whether VATS was superior to PLT or not when concerning the effectiveness and safety in treating MBCs. Methods Data collectionPatients with MBCs who underwent surgical resection between August 2005 and December 2015 were identified from the electronic database of the Department of Thoracic Surgery, West China Hospital, Sichuan University. The clinical history of these patients was reviewed including the following items: patient demographic characteristics [age,...

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Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

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Video-assisted thoracic surgery compared with posterolateral thoracotomy for mediastinal bronchogenic cysts in adult patients

Guo

Mei

Liu³

et al. 2016

J. Thorac. Dis.

View full text Add to dashboard Cite

show abstract

“…Following the discovery of the tumor on the chest radiograph, the diagnostic process should be supplemented with a CT or MRI scan of the chest, which is not only helpful in reaching the diagnosis and determining the tumor’s relation to adjacent organs, but also provides an opportunity to select appropriate treatment methods and strategies [1, 2, 6]. Establishing the precise location of the tumor and its relations to adjacent structures is very important in anticipating potential intraoperative difficulties: it facilitates adequate preparation of the patient for surgery and efficient trocar placement [2, 9, 10]. The management of mediastinal cysts is a topic of controversy.…”

Section: Discussionmentioning

confidence: 99%

“…They are thought to originate from abnormal embryogenesis between the 4 th and 8 th week of gestation [2]. Bronchogenic cysts can cause symptoms such as persistent cough, hoarseness, recurrent pneumonia, and – in the case of large tumors pressing on the adjacent organs of the mediastinum – dyspnea, acute respiratory failure, difficulty in swallowing, superior vena cava syndrome, and Horner’s syndrome.…”

Section: Introductionmentioning

confidence: 99%