Video-assisted Thoracoscopic Excision of Mediastinal Masses / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery
;
: 807-811, 2002.
Article
in Korean
| WPRIM
| ID: wpr-127458
ABSTRACT
BACKGROUND:
Due to its less invasive nature and superior visual field, video-assisted thoracoscopic excision of mediastinal mass is thought to be comparable to open thoracotomy. MATERIAL ANDMETHOD:
From January 1995 to August 2001, the medical records of 38 patients who underwent video-assisted thoracoscopic excision of mediastinal mass was retrospectively analyzed. The outcome of these patients were compared with 5 patients who converted to thoracotomy.RESULT:
Male to female ratio was 13(34.2%) 25(65.8%), and mean age was 39.2 +/-35.4 years. Regarding the pathology, there were 8 neurilemmomas(21.1%), 6 thymic cysts (15.8%), 5 teratomas(13.2%), 5 ganglioneuromas(13.2%), 4 bronchogenic cysts(10.5%), 3 pericardial cysts(7.9%), 3 thymomas(7.9%), and 2 lymphangiomas(5.3%). The mean operation time was 110.6+/-7.0 minutes, mean postoperative tube stay was 4.2+/-0.4 days, mean postoperative hospital stay was 5.2+/-0.4 days, and mean number of injection of analgesics was 1.9+/-0.4 times. Although the mean values for the above indices were less than those of the thoracotomy conversion cases, they were statistically insignificant. Postoperative complications of video- assisted thoracoscopic excision included chylothorax, prolonged air leakage, and unilateral phrenic nerve palsy, all of which recovered before patient discharge. There was, however, permanent unilateral ptosis in one patient.CONCLUSION:
As video-assisted thoracoscopic excision of mediastinal mass is safe, less painful, conducive to earlier recovery and cosmetically more appealing, a more active application of this technique is recommeded.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Paralysis
/
Pathology
/
Patient Discharge
/
Phrenic Nerve
/
Postoperative Complications
/
Thoracoscopy
/
Thoracotomy
/
Visual Fields
/
Medical Records
/
Retrospective Studies
Type of study:
Observational study
Limits:
Female
/
Humans
/
Male
Language:
Korean
Journal:
The Korean Journal of Thoracic and Cardiovascular Surgery
Year:
2002
Type:
Article
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