Video‐assisted thoracoscopic excision of esophageal duplication cyst in an adult

Darwish, Bassam; Izzat, Mohammad Bashar

doi:10.1002/ccr3.2457

Cited by 3 publications

(14 citation statements)

References 7 publications

(16 reference statements)

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“…[ 2 15 ] Delayed presentation in adults is infrequent. [ 2 3 4 5 14 16 ] The most common age at presentation is in the second and third decades and is more common in males. [ 13 ] Our series had comparatively more females ( n = 4) and older patients with a mean age of 38 ± 4.4 years.…”

Section: Discussionmentioning

confidence: 99%

“…With time, all the cysts grow in size and may develop complications. [ 5 18 22 ] Hence, surgical resection is advocated for all adult ODC cases. [ 6 12 ] Complete excision carries the least rates of recurrence.…”

Section: Discussionmentioning

confidence: 99%

“…[ 18 ] The various factors to be considered in pre-operative planning are the age of the patient, comorbidities, presence of complications, size and location of the cyst, its relationship to the adjacent structures, type of the cyst, the presence of its communications with the oesophageal lumen and its distance from the OGJ. [ 5 6 15 22 24 25 ]…”

Section: Discussionmentioning

confidence: 99%

“…[ 6 12 ] However, they could be managed safely and effectively with minimally invasive approaches such as VATS and robot-assisted thoracoscopic surgery. [ 5 6 7 8 9 10 18 22 24 26 ] There are reports of ODC in the lower oesophagus managed by transhiatal laparoscopic or robotic approach. [ 16 22 27 28 29 ] Intra-abdominally located cysts may be managed by a laparoscopic approach.…”

Section: Discussionmentioning

confidence: 99%

“…Only a few case reports of VATS for ODC are available in the literature. [ 5 6 7 8 9 10 ] In this paper, we have analysed the clinical profile, details of investigations, surgical technique and outcomes in six consecutive patients with ODC, treated by VATS in our institution.…”

Section: Introductionmentioning

confidence: 99%

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Minimally invasive surgery for adult oesophageal duplication cysts: Clinical profile and outcomes of treatment from a tertiary care centre and a review of literature

et al. 2021

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Background: Oesophageal duplication cysts (ODC) are rare in adults. Complete surgical excision is the ideal treatment. Conventionally, it is performed through a thoracotomy. We aimed to study the feasibility and safety of minimally invasive surgery (MIS) in the management of ODC and briefly reviewed the available literature. Materials and Methods: A retrospective study of all adult patients with ODC diagnosed and treated at our tertiary care centre, from 2015 to 2019, was done. All patients were operated on by MIS. Their demographic, clinicopathological, radiological and surgical details and outcomes were analysed. Results: A total of six patients (four females and two males) were diagnosed to have ODC by contrast-enhanced computed tomography. The mean age was 38 ± 4.4 years. The most common presenting complaint was chest pain (50%). Upper gastrointestinal endoscopy was normal in four patients. Endoscopic ultrasound was performed in five patients. In four patients, the cyst was located in the distal third of the oesophagus. The mean size of the cysts was 5.7 ± 2.02 cm. All the patients were operated upon by video-assisted thoracoscopic surgery (VATS). There was no conversion to open surgery. The resection was complete in all but one patient. The mean duration of surgery was 143.3 ± 35 min, and the average blood loss was 58.33 ± 20.4 mL. One patient had an oesophageal staple line leak on the 9 th post-operative day. There was no mortality. The median duration of hospital stay was 7.5 days (range: 3–25 days). Conclusion: MIS is feasible and safe in the management of adult ODC.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Minimally invasive surgery for adult oesophageal duplication cysts: Clinical profile and outcomes of treatment from a tertiary care centre and a review of literature

et al. 2021

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Esophageal Duplication Cyst Mimicking Giant Hydatid Cyst in an Asymptomatic Adult

Aydin,

Ulas,

Sener

et al. 2024

Indian J Surg

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Resection of esophageal duplication cyst in a 6-month child: a surgical challenge by video-assisted thoracoscopic surgery VATS

Essa

Ahmed

Bapir

et al. 2021

International Journal of Surgery: Global Health

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Introduction and importance: Esophageal duplication cysts (EDCs) are rare congenital entities, with an incidence of 1:100,00. The majority of patients are asymptomatic and lesions are usually found incidentally on imaging. However, these cysts were removed via open surgery. Nowadays, video-assisted thoracoscopy surgery (VATS) is an alternative safe method to remove ECDs. Case presentation: Here we present a 6-month-child male complaining of shortness of breath, stridor associated with cough, repeated vomiting, and fever. Furthermore, laboratory test results are within normal limits. Chest x-ray showed well-defined soft tissue density on the right upper and middle lobe with normal lung field, and computed tomography scan revealed that cystic lesion measuring 7×3 cm extended from the thyroid cartilage downward to the posterior mediastinum and toward the right side of the chest causing compression of the trachea, esophagus, and right mainstem bronchus. Finally, the patient was diagnosed with an EDC by histopathologic examination. The patient underwent surgery under general anesthesia by uni-portal VATS through the right fourth intercostal space was performed. The cyst was resected, and an esophageal tear occurred because of the wall of the esophagus as part of the cyst. The patient was discharged on day 11 postoperative. Conclusion: EDC is an exceedingly rare entity. VATS is a less invasive procedure, effective, safe, and has a good clinical outcome compared with open surgical resection. We conclude that EDC should be maintained in the differential diagnosis of unexplained stridor, wheeze, and recurrent chest infection in children.

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Video‐assisted thoracoscopic excision of esophageal duplication cyst in an adult

Abstract: Esophageal duplication cysts are rarely encountered in adult patients. Complete cyst resection is achievable employing video‐assisted thoracoscopic surgical techniques, with low morbidity and excellent cosmesis.

Cited by 3 publications

References 7 publications

Minimally invasive surgery for adult oesophageal duplication cysts: Clinical profile and outcomes of treatment from a tertiary care centre and a review of literature

Minimally invasive surgery for adult oesophageal duplication cysts: Clinical profile and outcomes of treatment from a tertiary care centre and a review of literature

Esophageal Duplication Cyst Mimicking Giant Hydatid Cyst in an Asymptomatic Adult

Resection of esophageal duplication cyst in a 6-month child: a surgical challenge by video-assisted thoracoscopic surgery VATS

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