Abstract
In this study we aimed to assess the clinical outcomes of performing video-assisted thoracic surgery (VATS) to treat primary mediastinal cysts (PMCs) and investigate the clinical factors which increase the difficulties associated with VATS. The medical records of all consecutive PMC patients, who underwent surgical resection from April 2001 to July 2016, were reviewed and 282 patients were included. Clinical characteristics, imaging features, and surgical outcomes were analyzed. Follow-up data were successfully obtained from 230 PMC patients by telephone or outpatient clinic annually. The latest follow-up was July 2019. VATS was performed in 278 patients and four patients were converted into thoracotomy. The mean operation time and intraoperative bleeding were 102.4 ± 40.9 minutes (range 25-360 minutes) and 52.4 ± 75.1 mL (range 5-600 mL), respectively. The intra- and postoperative complication rates were 2.8 and 5.7%, respectively. Seven patients with bronchogenic cysts showed severe cyst adhesion to vital mediastinal structures and thus had incomplete resection. Multivariable logistic analysis revealed that a maximal cyst diameter greater than 5 cm was significantly associated with increased risks of operation time extension ...Continue Reading
References
Jul 1, 1994·Chest·S R PatelT W Rice
Nov 4, 2000·Radiology·H P McAdamsS Matsumoto
Oct 12, 2002·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Mi-Young JeungCatherine Roy
Jul 11, 2003·Chest·Shin-Ichi TakedaHikaru Matsuda
Nov 21, 2007·European Journal of Radiology·Noriyuki TomiyamaHironobu Nakamura
Aug 17, 2010·Interactive Cardiovascular and Thoracic Surgery·Bilal KirmaniFranco Sogliani
Apr 3, 2012·World Journal of Gastroenterology : WJG·Anna Wiechowska-KozłowskaPiotr Milkiewicz
Aug 14, 2012·The Annals of Thoracic Surgery·Lucile FievetPascal De Lagausie
Apr 30, 2013·Journal of Minimal Access Surgery·Sophie MaurinPascal De Lagausie
Nov 10, 2013·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Yoshiki KozuKazuya Takamochi
May 16, 2014·Clinical Radiology·T ArakiM Nishino
Jun 9, 2016·Nuclear Medicine and Molecular Imaging·Jin-Suk Kim, Eun Jung Cha
Oct 18, 2016·Journal of Thoracic Disease·Chenglin GuoLunxu Liu
Jan 10, 2018·Journal of Thoracic Disease·Xun WangJun Wang
May 23, 2018·World Journal of Surgery·Xun WangJun Wang