Document Detail

Thoracoscopic resection of mediastinal bronchogenic cysts in adults.
MedLine Citation:
PMID:  21515207     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: The aim of this study was to discuss the diagnosis and determine the optimal thoracoscopic surgical treatment of mediastinal bronchogenic cysts.
METHODS: From May 1996 to April 2008, 13 consecutive patients with mediastinal bronchogenic cysts underwent thoracoscopic surgery at our institution. There were eight men and five women aged 16-74 years (mean age, 41.5 years).
RESULTS: In the majority of patients (69.2%), there were no clinical symptoms and the lesions were found incidentally by chest radiography that was performed as part of physical screening. Lesions were found in the posterior mediastinum in five patients (38.5%) and in the upper mediastinum in four (30.8%). In the histopathological examinations, ciliary epithelium was observed in 13 patients (100.0%), bronchial cartilage in 7 patients (53.8%), bronchial glands in 6 patients (46.2%), and smooth muscle in 5 patients (38.5%). No serious postoperative complications were observed. In 3 patients (23.1%), conversion to open thoracotomy was necessary due to major pleural adhesions and intraoperative vascular injury.
CONCLUSION: Thoracoscopic resection of mediastinal bronchogenic cyst is minimally invasive and has no serious postoperative complications, and should therefore be considered as the primary therapeutic option.
Takashi Muramatsu; Mie Shimamura; Motohiko Furuichi; Shinji Takeshita; Hiroaki Morooka; Yoko Tanaka; Chiyoshi Yagasaki; Kazumitsu Ohmori; Motomi Shiono
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Asian journal of surgery / Asian Surgical Association     Volume:  34     ISSN:  0219-3108     ISO Abbreviation:  Asian J Surg     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-04-25     Completed Date:  2011-09-16     Revised Date:  2013-06-11    
Medline Journal Info:
Nlm Unique ID:  8900600     Medline TA:  Asian J Surg     Country:  China    
Other Details:
Languages:  eng     Pagination:  11-4     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Asian Surgical Association. Published by Elsevier B.V. All rights reserved.
Division of Respiratory Surgery, Department of Surgery, Nihon University School of Medicine, Tokyo, Japan.
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MeSH Terms
Bronchogenic Cyst / diagnosis,  pathology,  surgery*
Incidental Findings
Mediastinum / pathology,  surgery
Middle Aged
Muscle, Smooth / pathology
Thoracoscopy / methods*
Tomography, X-Ray Computed
Young Adult

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