Korean J Thorac Cardiovasc Surg.  1998 Jan;31(1):40-45.

Video-assisted Thoracoscopic Surgery for Mediastinal Lesions

• Kim YS
• Kim KT
• Son HS
• Kim IH
• Lee IS
• Kim HM

Abstract

Recently, video-assisted thoracoscopic surgery for mediastinal lesions has been considered a new effective therapeutic method. From March, 1992 to April, 1997, 33 cases of video assisted thoracoscopic surgery for mediastinal lesions were performed. Gender distribution was 16 males and 17 females. Average age was 42 years old (ranged from 14 to 69). The locations of lesions were anterior mediastinum in 14 cases, middle mediastinum in 5 cases, posterior mediastinum in 11 cases, and superior mediastinum in 3 cases. These included 9 neurilemmomas, 5 benign cystic teratoma, 4 pericardial cysts, 2 ganglioneuroma, 2 thymus, 2 thymic cyst, 1 thymoma, 2 esophageal leiomyomas, 1 dermoid cyst, 1 lipoma, 1 malignant lymphoma, 1 bronchogenic cyst, 1 pericardial effusion, and 1 Boerhaave's disease with empyema. Working window was needed in 6 cases. We converted to open thoracotomy in 6 cases. Reasons of convertion to open thoracotomy were large sized mass (1), severe adhesion (3), and difficult location to approach (2). The average operation time was 116min (+/-56 min). The average chest tube drainage time was 4.7days. The average hospital stay was 8.7 days. Operative complications were atelectasis (2), empyema with mediastinitis (1), recurrent laryngeal nerve palsy (1), and plenic nerve palsy (1). In conclusion, VATS for mediastinal lesions were performed with shorter operation time and hospital stay, and lesser complications and pain than those of conventional thoracotomy.

Keyword

Thoracoscopy; Mediastinal disease

MeSH Terms

Adult
Bronchogenic Cyst
Chest Tubes
Dermoid Cyst
Drainage
Empyema
Female
Ganglioneuroma
Humans
Leiomyoma
Length of Stay
Lipoma
Lymphoma
Male
Mediastinal Cyst
Mediastinal Diseases
Mediastinitis
Mediastinum
Neurilemmoma
Paralysis
Pericardial Effusion
Pulmonary Atelectasis
Teratoma
Thoracic Surgery, Video-Assisted*
Thoracoscopy
Thoracotomy
Thymoma
Thymus Gland
Vocal Cord Paralysis