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Thoracoscopic excision of mediastinal cysts in children.

Jain P, Sanghvi B, Shah H, Parelkar SV, Borwankar SS - J Minim Access Surg (2007)

Bottom Line: All the patients were successfully managed by thoracoscopic surgery.None of them had intraoperative complications.Intercostal drain was removed within 48hrs and the patients were discharged on the fourth postoperative day.

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatric Surgery, KEM Hospital Mumbai, India.

ABSTRACT

Aim: Thoracoscopy offers great advantages when compared with open surgery in terms of postoperative pain and pulmonary complications. Considering the benign nature of most of the mediastinal cysts, thoracoscopy is safe and feasible with minimal morbidity. The purpose of this article is to review our experience with four cases of mediastinal cysts resected successfully within a period of one year by thoracoscopy.

Materials and methods: The cases of mediastinal cysts operated by thoracoscopic excision in K.E.M. Hospital, Mumbai from November 2005 to December 2006 were reviewed. The age varied from six months to 10 years. The patients presented with respiratory distress or recurrent lower respiratory tract infection. All patients underwent Chest X-ray and CT scan thorax to delineate the location of the cyst and its relationship with adjacent vital structures. Two patients had anterior and two had posterior mediastinal cyst. The ports were placed depending on the location of the cyst on the CT scan, following the principles of triangularization. The cysts were excised mainly by blunt dissection.

Results: All the patients were successfully managed by thoracoscopic surgery. None of them had intraoperative complications. Dissection in patient with history of recurrent respiratory tract infection was difficult because of adhesions. Intercostal drain was removed within 48hrs and the patients were discharged on the fourth postoperative day.

Conclusions: Thoracoscopy in mediastinal cysts is a safe and effective procedure with low morbidity and a shorter hospital stay.

No MeSH data available.


Related in: MedlinePlus

CT scan chest showing well defined posterior mediastinal cyst
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Figure 0001: CT scan chest showing well defined posterior mediastinal cyst

Mentions: A five-year-old male child was investigated for persistent breathlessness and cough of two years duration. Patient received treatment for open pulmonary tuberculosis one year back. He also had evidence of rickets with rachitic rosary. Skiagram chest showed persistent haziness in the right upper hemithorax. CT scan [Figure 1A] revealed a well-defined posterior mediastinal cyst separate from the pericardium and bronchi. Thoracoscopy showed a well-defined cyst in the posterior mediastinum [Figure 1B], which could be removed completely. Histopathology showed cyst wall lined by ciliated columnar epithelium suggestive of bronchogenic cyst.


Thoracoscopic excision of mediastinal cysts in children.

Jain P, Sanghvi B, Shah H, Parelkar SV, Borwankar SS - J Minim Access Surg (2007)

CT scan chest showing well defined posterior mediastinal cyst
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2749194&req=5

Figure 0001: CT scan chest showing well defined posterior mediastinal cyst
Mentions: A five-year-old male child was investigated for persistent breathlessness and cough of two years duration. Patient received treatment for open pulmonary tuberculosis one year back. He also had evidence of rickets with rachitic rosary. Skiagram chest showed persistent haziness in the right upper hemithorax. CT scan [Figure 1A] revealed a well-defined posterior mediastinal cyst separate from the pericardium and bronchi. Thoracoscopy showed a well-defined cyst in the posterior mediastinum [Figure 1B], which could be removed completely. Histopathology showed cyst wall lined by ciliated columnar epithelium suggestive of bronchogenic cyst.

Bottom Line: All the patients were successfully managed by thoracoscopic surgery.None of them had intraoperative complications.Intercostal drain was removed within 48hrs and the patients were discharged on the fourth postoperative day.

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatric Surgery, KEM Hospital Mumbai, India.

ABSTRACT

Aim: Thoracoscopy offers great advantages when compared with open surgery in terms of postoperative pain and pulmonary complications. Considering the benign nature of most of the mediastinal cysts, thoracoscopy is safe and feasible with minimal morbidity. The purpose of this article is to review our experience with four cases of mediastinal cysts resected successfully within a period of one year by thoracoscopy.

Materials and methods: The cases of mediastinal cysts operated by thoracoscopic excision in K.E.M. Hospital, Mumbai from November 2005 to December 2006 were reviewed. The age varied from six months to 10 years. The patients presented with respiratory distress or recurrent lower respiratory tract infection. All patients underwent Chest X-ray and CT scan thorax to delineate the location of the cyst and its relationship with adjacent vital structures. Two patients had anterior and two had posterior mediastinal cyst. The ports were placed depending on the location of the cyst on the CT scan, following the principles of triangularization. The cysts were excised mainly by blunt dissection.

Results: All the patients were successfully managed by thoracoscopic surgery. None of them had intraoperative complications. Dissection in patient with history of recurrent respiratory tract infection was difficult because of adhesions. Intercostal drain was removed within 48hrs and the patients were discharged on the fourth postoperative day.

Conclusions: Thoracoscopy in mediastinal cysts is a safe and effective procedure with low morbidity and a shorter hospital stay.

No MeSH data available.


Related in: MedlinePlus