关键词: Bronchogenic cyst Case report Mediastinal cyst Minimally invasive surgery VATS

来  源:   DOI:10.1016/j.ijscr.2023.108527   PDF(Pubmed)

Abstract:
BACKGROUND: Abnormalities in the development of the ventral foregut may result in bronchogenic cysts. Depending on the extent of aberrant budding, the location of a bronchogenic cyst might vary. The location and, more crucially, the size of the mass determine the onset of symptoms in individuals with bronchogenic cysts. Mediastinal bronchogenic cysts are mostly asymptomatic mediastinal masses discovered incidentally in adults. With the recent advancements in thoracoscopy, the removal can now be performed without the need for thoracotomies.
METHODS: We reported the case of incidental findings of an asymptomatic mediastinal bronchogenic cyst and opted for single-incision video-assisted thoracic surgery. The patient required no postoperative intensive care and discharged on third day after surgery with no complications.
CONCLUSIONS: Single-incision video-assisted thoracic surgery, also known as uniportal VATS, has swept the field of thoracic surgery in recent years, allowing us to execute challenging surgeries with a small single incision, avoiding the inherent morbidity of the standard open thoracotomy. We were able to remove mediastinal bronchogenic cysts using uniportal VATS completely. This method eliminates the need for post-operative critical care, reducing scarring and shortening hospital stays.
CONCLUSIONS: Bronchogenic cysts are uncommon mediastinal masses necessary for surgical therapy when discovered. The advancement of minimally invasive techniques offers surgeons safe new alternatives.
摘要:
背景:腹侧前肠发育异常可能导致支气管囊肿。根据异常萌芽的程度,支气管囊肿的位置可能会有所不同。位置和,更关键的是,肿块的大小决定了支气管囊肿患者症状的发作。纵隔支气管囊肿主要是在成人中偶然发现的无症状纵隔肿块。随着胸腔镜的最新进展,现在可以在不需要开胸手术的情况下进行切除。
方法:我们报告了无症状纵隔支气管囊肿的偶然发现,并选择了单切口电视胸腔镜手术。患者不需要术后重症监护,术后第3天出院,无并发症。
结论:单切口胸腔镜手术,也被称为单机电视,近年来席卷了胸外科领域,允许我们用一个小切口进行具有挑战性的手术,避免标准开胸手术的固有发病率。我们能够使用单通道VATS完全清除纵隔支气管囊肿。这种方法消除了对术后重症监护的需要,减少疤痕和缩短住院时间。
结论:支气管源性囊肿在发现时是不常见的纵隔肿块,需要手术治疗。微创技术的进步为外科医生提供了安全的新选择。
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