Videothoracoscopic excision of thoracic neurogenic tumors

Riquet, Marc; Mouroux, Jérôme; Pons, François; Debrosse, Denis; A, Dujon; Dahan, Marcel; Jancovici, R

doi:10.1016/0003-4975(95)00487-6

Cited by 66 publications

(37 citation statements)

References 10 publications

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“…The Harmonic Scalpel facilitated dissection and maintained a clear field with minimal blood loss because of its excellent hemostatic capacity. Our operative time of 245 min compares favorably with the reported operative time of 40 to 270 min for thoracoscopic removal of mediastinal neurogenic tumors [1,8].…”

Section: Figsupporting

confidence: 64%

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et al. 2001

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Background: Rarely, a posterior mediastinal mass may mimic an adrenal tumor on preoperative computed tomography scan. The intraoperative discovery that a mass thought to be associated with the adrenal gland actually is above the diaphragm in the posteroinferior mediastinum poses a challenge for the laparoscopic surgeon. Conversion to a thoracotomy or to videothoracoscopy incurs additional morbidity and risk for the patient. Materials and Methods: We describe a technique for the transdiaphragmatic removal of a benign mass from the posterior mediastinum. A posterior mediastinal tumor was detected during a laparoscopic procedure for a suspected right adrenal tumor. Frozen section proved benign, and the mass was resected laparoscopically via transdiaphragmatic access to the posterior mediastinum. Results: No complications were noted during or after surgery. The patient was ready for discharge from the hospital on postoperative day 1. Conclusions: Transdiaphragmatic resection was done successfully instead of conversion to a thoracotomy or thoracoscopic procedure for a benign posterior mediastinal tumor found incidentally during laparoscopic surgery for a presumed adrenal lesion. This transdiaphragmatic approach can be applied to selected benign mediastinal masses.

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Section: Figsupporting

confidence: 64%

“…A postoperative chest tube would be required only in selected cases wherein the pleura is violated. The reported average length of hospital stay after thoracoscopic resection of mediastinal neurogenic tumors ranges from 2.6 to 6 days [1,8]. The reported patient was ready for discharge on postoperative day 1.…”

Section: Figmentioning

confidence: 97%

Erratum

et al. 2001

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“…10,11 It may be possible to preserve the nerve during excision of schwannoma, because schwannomas are encapsulated lesions of nerve sheath origin, which grow from the formation of a lateral mass on the parent nerve, often making the nerve easily identifiable. Conversely, neurofibromas are non-encapsulated, they possess a poorly organized structure, and they grow by diffusely expanding the parent nerve containing all nerve elements, including axons, sheath cells, and connective tissue, which may prevent the axons from being identified as they course through the tumor.…”

Section: Discussionmentioning

confidence: 99%

Mediastinal Neurofibroma Originating from the Left Intrathoracic Phrenic Nerve: Report of a Case

et al. 2004

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We report a case of mediastinal neurofibroma originating from the left phrenic nerve in a 42-year-old woman who was referred to us after a routine chest X-ray showed a smooth, round abnormal shadow in the left middle lung field adjacent to the heart. We resected a 25 x 20 x 20-mm tumor by video-assisted thoracic surgery. Histopathological examination confirmed that the lesion was a mediastinal neurofibroma originating from the left phrenic nerve without von Recklinghausen's disease. Neurogenic mediastinal tumors originating from the phrenic nerve are very rare, and to the best of our knowledge, no other case of a mediastinal neurofibroma originating from the phrenic nerve in a patient without von Recklinghausen's disease has ever been reported.

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“…Gegen ein thorakoskopisches Verfahren spricht eine Tumorgröße von über 6 cm, wenn Spinalarterien betroffen sind oder eine intraspinale Ausbreitung des Tumors zu sehen ist [26]. Bei Nervenscheiden tumoren des Vagus bzw.…”

Section: Neurogene Tumoren Des Mediastinumsunclassified

Chirurgie der Mediastinaltumoren

Stremmel

Passlick

2007

Chirurg

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Thymomas, lymphomas, and germ cell tumors are the most frequent lesions of the anterior mediastinum, whereas endodermal (bronchogenic) cysts and lymphomas are the most frequent lesions of the middle mediastinum. In the posterior mediastinum, neurogenic tumors and soft-tissue sarcomas are the most frequent. Depending on tumor location, mediastinoscopy, mediastinotomy, and thoracoscopy are the preferred diagnostic methods. Surgical treatment of thymoma is the gold standard, and median sternotomy is the most frequently applied approach. The decisive prognostic and therapeutic criteria are Masaoka staging, WHO classification, and R0 status. Thoracoscopy should be performed only in patients with myasthenia gravis and with very small tumors. Surgical treatment is highly recommended in patients with locally recurrent tumors. The importance of surgical treatment of germ cell tumors is determined by a negative concentration of beta-HCG and alpha-fetoprotein and in cases of residual tumor after chemotherapy. Bronchogenic cysts always require resection because of their high complication rate (66%) after conservative treatment. In these cases complete resection is necessary due to the probability of recurrence. Ninety-eight percent of neurogenic tumors in adults are benign and usually resected via thoracoscopy or thoracotomy, depending on location and size.

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Videothoracoscopic excision of thoracic neurogenic tumors

Cited by 66 publications

References 10 publications

Erratum

Erratum

Mediastinal Neurofibroma Originating from the Left Intrathoracic Phrenic Nerve: Report of a Case

Chirurgie der Mediastinaltumoren

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