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Vol. 44. Issue 4.
Pages 220-223 (January 2008)
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Vol. 44. Issue 4.
Pages 220-223 (January 2008)
Case Reports
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Resection of 8 Mediastinal Bronchogenic Cysts by Video-Assisted Thoracoscopy
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Rafael Jiménez Merchán, Miguel Congregado Loscertales, Gregorio Gallardo Valera, Javier Ayarra Jarne, Jesús Loscertales
Corresponding author
jloscert@us.es

Correspondence: Dr J. Loscertales Servicio de Cirugía General y Torácica, Hospital Universitario Virgen Macarena Avda. Dr. Fedriani, 1 41071 Sevilla, Spain
Thoracic Surgery Department, Hospital Universitario Virgen Macarena, Sevilla, Spain
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Mediastinal bronchogenic cysts are an uncommon entity and surgical experience of their removal by video-assisted thoracoscopy is limited. We present our patient outcomes and surgical technique in the treatment of bronchogenic cysts by video-assisted thoracoscopy. The study included 8 patients (4 females and 4 males between the ages of 4 and 52 years), 7 of whom presented clinical symptoms. The mean widest diameter of the cyst was 7.6 cm. In 5 patients the cyst was in the middle mediastinum and in 3, the posterior mediastinum. The intervention was performed using 3 or 4 entry points. Initial puncture of the cyst and removal of its contents greatly facilitated cyst manipulation and subsequent dissection of the cyst sac from the structures to which it was attached. In all 8 cases resection by video-assisted thoracoscopy was carried out with no intraoperative complications. The mean postoperative hospital stay was 3.3 days. During follow-up, which ranged from 4 months to 10 years, no patients presented late-onset or recurrent complications.

Key words:
Mediastinal tumor
Mediastinal cyst
Bronchogenic cyst
Thoracoscopy
Video-assisted thoracoscopy (VATS)

El quiste broncogénico de mediastino es una entidad poco frecuente y la experiencia quirúrgica de su extirpación por videotoracoscopia es limitada. Presentamos nuestros resultados y técnica quirúrgica en el tratamiento de los quistes broncogénicos por videotoracoscopia. El estudio incluye a 8 pacientes (4 mujeres y 4 varones, con un rango de edad comprendido entre los 4 y los 52 los años), de los que 7 presentaban síntomas clínicos. El tamaño medio del quiste en su diámetro mayor era de 7,6 cm. En 5 pacientes se localizaba en el mediastino medio y en 3 en el posterior. La intervención se realiza a través de 3-4 puertas de entrada, y la apertura y el vaciamiento del contenido del quiste desde el inicio constituye una maniobra que facilita enormemente la manipulación y posterior disección del saco quístico de las estructuras a las que se encuentra adherido. En los 8 casos se realizó la resección por videotoracoscopia sin complicaciones intraoperatorias. La estancia media postoperatoria fue de 3,3 días. Los pacientes no han presentado complicaciones tardías ni recidivas durante el seguimiento, que oscila entre los 4 meses y los 10 años.

Palabras clave:
Tumor mediastínico
Quiste mediastínico
Quiste broncogénico
Toracoscopia
VATS
Videotoracoscopia
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