Surgery outcomes of the bronchogenic cysts

Mestan, Hüseyin; Ceylan, Kenan Can; Kaya, Şeyda Örs

doi:10.1183/13993003.congress-2019.pa1094

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“…Mediastinal bronchogenic cysts resection must ensure complete removal of the epithelium-lined cyst wall via resection or ablation to prevent the accumulation of fluid or recurrence ( 27 , 28 ). In the case of intrapulmonary bronchogenic cysts within lung parenchyma, lobectomy has been the historical gold standard though more recently parenchymal sparing approaches, such as non-anatomic wedge resection or segmentectomy, have been advocated by some surgeons ( 29 ). Thoracotomy has traditionally been the standard approach given their location and inflammation of surrounding tissues, with the vast majority of older series being exclusively completed via an open approach ( 14 , 26 ).…”

Section: Discussionmentioning

confidence: 99%

Bronchogenic cysts: a narrative review

Gross¹,

Briski²,

Wherley³

et al. 2023

Mediastinum

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Background and Objective Bronchogenic cysts represent a rare form of cystic malformation of the respiratory tract. Primarily located in the mediastinum if occurring early in gestation as opposed to the thoracic cavity if arising later in development. However, they can arise from any site along the foregut. They exhibit a variety of clinical and radiologic presentations, representing a diagnostic challenge, especially in areas with endemic hydatid disease. Endoscopic drainage has emerged as a diagnostic and potentially therapeutic option but has been complicated by reports of infection. Surgical excision remains the standard of care allowing for symptomatic resolution and definitive diagnosis via pathologic examination; minimally invasive approaches such as robotic and thoracoscopic approaches aiding treatment. Following complete resection, prognosis is excellent with essentially no recurrence. Methods A review of the available electronic literature was performed from 1975 through 2022, using PubMed and Google Scholar, with an emphasis on more recent series. We included all retrospective series and case reports. A single author identified the studies, and all authors reviewed the selection until there was a consensus on which studies to include. Key Content and Findings The literature consisted of relatively small series, mixed between adult and pediatric patients, and the consensus remains that all symptomatic lesions should be excised via minimally invasive approach where feasible. Conclusions Surgical excision of symptomatic bronchogenic cysts remains the gold standard, with endoscopic drainage being reserved for diagnosis or as a temporizing measure in clinically unstable patients.

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