Limits...
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

Aspiration of the cyst
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC2749194&req=5

Figure 0003: Aspiration of the cyst

Mentions: A six-month-old male child presented with breathlessness since seven days. Patient had history of three episodes of lower respiratory tract infection. Skiagram chest revealed a right mediastinal mass with mediastinal shift to the opposite side. CT scan showed a posterior mediastinal cyst with coronal clefting of the seventh thoracic vertebra suggesting a neuroenteric cyst. MRI spine revealed no intraspinal communication. Cyst was initially aspirated [Figure 2]. It was densely adherent to the spine but there was no intraspinal communication. Histopathology showed cyst wall lined by columnar epithelium with gastric mucosa at places suggestive of enteric duplication cyst.


Thoracoscopic excision of mediastinal cysts in children.

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

Aspiration of the cyst
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 0003: Aspiration of the cyst
Mentions: A six-month-old male child presented with breathlessness since seven days. Patient had history of three episodes of lower respiratory tract infection. Skiagram chest revealed a right mediastinal mass with mediastinal shift to the opposite side. CT scan showed a posterior mediastinal cyst with coronal clefting of the seventh thoracic vertebra suggesting a neuroenteric cyst. MRI spine revealed no intraspinal communication. Cyst was initially aspirated [Figure 2]. It was densely adherent to the spine but there was no intraspinal communication. Histopathology showed cyst wall lined by columnar epithelium with gastric mucosa at places suggestive of enteric duplication 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