Videothoracoscopic resection of neurogenic tumors of the superior sulcus using the harmonic scalpel

Thoracoscopic removal of neurogenic mediastinal tumors: technical aspects

“…When the tumor is stuck within the superior sulcus, its mobilization can be challenging. Dissection must be conducted thoroughly and monopolar electrocautery must be avoided [9]. Even the use of US is unsafe, because the heat at the tip of the scissors may damage the stellate ganglion.…”

Ressecção de schwannoma mediastinal por cirurgia torácica videoassistida

“…In the majority of the published cases in which video-assisted thoracoscopy alone was used for the removal of mediastinal masses, a high degree of success was obtained, (1)(2)(3)(4)(5)(6)(7)(8) demonstrating the safety of the procedure in the hands of well-trained surgeons. When compared to thoracotomy, videoassisted thoracoscopy requires smaller incisions, thereby resulting in less pain, fewer lung complications, shorter hospital stays, more rapid recovery (return to normal activities) and less aesthetic damage.…”

“…In the thorax, schwannomas are found in the posterior mediastinum (paravertebral posterior ridge) on the brachial plexus, as well as, albeit less frequently, in the intercostal nerves. (1,14) They are usually singular and are diagnosed by chance in simple chest Xrays. (14) When of larger proportions, they cause compressive symptoms such as pain and paresthesia.…”

Mediastinal Kitlelere Yaklasimda Vats

“…Bir çalışmada ise 2 nörojenik tümör vakasında ultrasonik koagülatör kullanılmış ve bu yöntemle nöro-jenik tümörlerin diseksiyonunun çok kolay olduğu ve komşu sinir yapılarının rahatlıkla görülebildiği belirtilmiştir (8). Vakaların her ikiside 4.günde sorunsuz olarak taburcu olmuştur.…”