Surgery for bronchogenic cysts: always easy?

Asian Cardiovascular & Thoracic Annals
Felice GranatoGiuseppe Gotti

Abstract

A few cases of major complications after surgery for bronchogenic cyst have been reported. The purpose of this study was to analyze the complicated and unusual cases among 30 consecutive patients with bronchogenic cysts treated surgically at our institution between 1975 and 2007. There were 3 cases of mediastinal bronchogenic cyst characterized by significant surgical complications or very unusual pathological findings. The operations were performed through a thoracotomy in 25 patients, and by video-assisted thoracoscopic surgery in 5. Two patients suffered iatrogenic injury of the contralateral main bronchus during excision of a mediastinal cyst; in one of them, late development of foreign body granuloma was related to migration towards the bronchial wall of cyanoacrylate used to reinforce suturing of the bronchial tear. Histological examination of one resected specimen showed a large-cell anaplastic carcinoma arising from the wall of a mediastinal bronchogenic cyst. Bronchogenic cysts should be excised before they become symptomatic or infected, which leads to more difficult surgery and complications. The small risk of developing malignancy within a bronchogenic cyst also justifies early intervention.

References

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Citations

Jun 4, 2013·European Annals of Otorhinolaryngology, Head and Neck Diseases·S PopC Stirbu
Jun 22, 2011·Journal of Cardiothoracic Surgery·Andrea ImperatoriLorenzo Dominioni
Sep 28, 2012·Journal of Cardiothoracic Surgery·Wuping WangQingshu Cheng
Mar 11, 2011·Interactive Cardiovascular and Thoracic Surgery·Jan LesafferDirk Van Raemdonck
Dec 28, 2012·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Takuya OnukiMasaharu Inagaki
Jun 8, 2010·Interactive Cardiovascular and Thoracic Surgery·Felice GranatoGiuseppe Gotti
Aug 17, 2010·Interactive Cardiovascular and Thoracic Surgery·Bilal KirmaniFranco Sogliani
Nov 20, 2020·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Cemal AkerLevent Cansever

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