An Approach to Cystic Lesions of the Mediastinum via the Mediastinoscope

Pursel, Stewart; Hershey, E; Day, Jerry; Barrett, Raymond J.

doi:10.1016/s0003-4975(10)66645-3

Cited by 13 publications

(3 citation statements)

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“…Incomplete resection may lead to local recurrence [1]. Some authors reported that aspiration of bronchogenic cyst treated by mediastinoscopic drainage [14,15]. In our study, we performed complete cyst excision in all patients except three for mediastinal cysts.…”

Section: Discussionmentioning

confidence: 73%

Surgery in Bronchogenic Cysts: Report of 33 Patients

Biçakçioğlu¹

2013

Eu Clin Anal Med

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Bu çalışmanın amacı opere edilen bronkojenik kistlerin analizini yapmaktır. Gereç ve Yöntem: Ocak 2003-Aralık 2012 tarihleri arasında kliniğimizde opere edilen olguların patoloji kayıtları geriye dönük olarak incelendi ve tanısı bronkojenik kist olan 33 olgu analiz edildi. Tüm olguların tıbbi kayıtlarına ulaşıldı ve yaş, cinsiyet, klinik özellikleri, tanı metodları, lezyonun özellikleri, cerrahi yöntemleri, hastanede kalış süreleri, postoperatif komplikasyonları ve postoperatif izlemleri gözden geçirildi. Bulgular: Olguların 17'si kadın 16'sı erkek olup ortalama yaşı 37,78 (yaş aralığı, 6-64) idi. Beş olgu 18 yaş altında idi. 25 olgu semptomatik iken, 8 olgu asemptomatikti ve lezyonlar başka bir nedenle çekilen akciğer grafisinde tesadüfen saptandı. Semptomlar nefes darlığı (n=12), göğüs ağrısı (n=10), öksürük (n=9), hemoptizi (n=3) ve balgam (n=1) idi. 7 olguda semptomlar birden fazlaydı. Lezyonlar 22 olguda mediastinal, 11 olguda intrapulmoner yerleşimliydi. 22 sağ, 10 sol olmak üzere 30 olguya posterolateral torakotomi, 2 olguya video yardımlı torakoskopik cerrahi ve 1 olguya da mediyastinoskopi yapıldı. Mediastinal kistik lezyonların 19'una total kistektomi, 3'üne deepitelizasyon ile parsiyel kist eksizyonu, intrapulmoner yerleşimli olanların 9'una wedge rezeksiyon, 1'ine segmentektomi, 1'ine alt lobektomi yapıldı. Postoperatif takip süresi 7 ay ile 10 yıl arasında değişmekte olup ortalama 4,1 yıldır. Bir olgu postoperatif 24. gün kaybedilmiş olup, diğer tüm olgularda takip süresince nüks ya da mortalite gözlenmedi. Tartışma: Bronkojenik kistler nadir görülen bir foregut anomalisi olup tedavisi cerrahi rezeksiyondur.

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Section: Discussionmentioning

confidence: 73%

Surgery in Bronchogenic Cysts: Report of 33 Patients

Biçakçioğlu¹

2013

Eu Clin Anal Med

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“…Pursel et al, 14 Ginsberg et al 15 and Smythe et al 16 in different eras have performed mediastinoscopic cyst excision with success. It however remains an underperformed procedure for what is a fairly common condition (20% of all mediastinal masses).…”

Section: Surgery Approachmentioning

confidence: 99%

“…The incidence and types of many primary mediastinal tumours and cysts vary with age of the patient group under consideration. The clinical presentation varies from those patients who are asymptomatic (The diagnosis was made during routine chest x-ray), to those with symptoms related to mechanical effects of invasion or compression to those who have systemic symptoms 14. Clinical Features: Paralleling the relative percentages of the malignant neoplasm within the different anatomic regions, tumours of the anterosuperior mediastinum are most likely to cause symptoms (75%) relative to the posterior mediastinum (50%) and the middle mediastinum (45%).…”

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confidence: 99%

A Study of Clinical Profile and Management of Patients With Mediastinal Tumours

Dashetwar¹,

Ravindra²

2016

jebmh

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BACKGROUNDA large number of neoplasms and cysts may arise from multiple anatomic sites in the mediastinum and present with myriad clinical signs and symptoms. They affect people of all ages, although apparently more common in young and middle-aged adults. AIM:The present study was designed to study the location, incidence and various surgical options available for mediastinal tumours. MATERIALS AND METHODSThis retrospective study includes 24 cases of mediastinal masses admitted in Gandhi Hospital between Jan 2012 and Nov 2012. All details of the patient's pertinent clinical history was obtained from case record file in the department. RESULTSOut of 24 cases, 15 (60%) cases are between age group of 10-30 years with equal incidence in gender. Most of the lesions 18 (70%) cases were seen in anterior mediastinum region and 12 (50%) cases were treated with anterolateral thoracotomy surgical approach. Complete resection of tumours was done in 11 (46%) cases. Histopathological examination revealed benign thymomas in 6 (25%) cases as commonest tumour. CONCLUSIONAnterior mediastinal tumours are more common, which can be treated with anterolateral thoracotomy with very low morbidity and almost nil mortality with good outcomes.

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Generalities of the Transcervical Approach to the Mediastinum

Sanchís

2020

Thoracic Surgery

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An Approach to Cystic Lesions of the Mediastinum via the Mediastinoscope

Cited by 13 publications

References 1 publication

Surgery in Bronchogenic Cysts: Report of 33 Patients

Surgery in Bronchogenic Cysts: Report of 33 Patients

A Study of Clinical Profile and Management of Patients With Mediastinal Tumours

Generalities of the Transcervical Approach to the Mediastinum

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