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Abstract：
Introduction Pericardial cysts (PCs) are infrequent, non-malignant, and congenital abnormalities. The identification and treatment of PCs remain a significant challenge, with limited research on surgical management. Methods We performed a retrospective study of patients with PCs who underwent surgical intervention at the First Affiliated Hospital of Xinjiang Medical University from February 2002 to December 2022. Results A total of 55 patients underwent surgery due to PCs during the study period. Thirty-one were females and 24 were males. The average age of the patients was 44.7 ± 12.9 (six to 63 years old). PCs were located in the right hemithorax in 50 (90.9%) patients and left hemithorax in five (9.1%) patients. Approach methods were video-assisted thoracoscopic surgery (VATS) in 43 (78.2%) cases; thoracotomy in 11 (20%) cases, and median sternotomy in one (1.8%) cases. The average postoperative hospitalization period was 5.6 days (two to 14 days). Three patients developed postoperative complications (two pleural effusion, one pneumonia), whereas no mortality was observed in any patient due to the operation. Forty-one patients (74.5%) were followed up for three months to eight years postoperatively, during which no recurrent cysts were detected. Conclusion In this single-center retrospective study, we demonstrated that pericardial cyst cure is an appropriate operation according to cyst characteristics. VATS has been shown to be highly effective and safe in patients with PCs, offering the advantage of reducing postoperative morbidity efficiently.
摘要：
介绍心包囊肿（PC）很少见，非恶性,和先天性异常。PC的识别和治疗仍然是一个重大挑战，对手术管理的研究有限。方法回顾性分析2002年2月至2022年12月在新疆医科大学第一附属医院接受手术治疗的PC患者。结果在研究期间，共有55例患者因PC而接受了手术治疗。31名女性，24名男性。患者的平均年龄为44.7±12.9（6至63岁）。在50例（90.9％）患者中，PC位于右半胸，在5例（9.1％）患者中，PC位于左半胸。方法采用电视胸腔镜手术(VATS)43例(78.2%),开胸手术11例(20%),1例（1.8%）胸骨正中切开术。术后平均住院时间为5.6天（2至14天）。3例患者出现术后并发症（2例胸腔积液，一种肺炎)，而没有观察到任何患者因手术而死亡。41例(74.5%)患者术后随访3个月至8年,在此期间没有发现复发性囊肿。结论在这项单中心回顾性研究中，根据囊肿的特点，我们证明了心包囊肿的治疗是一种合适的手术。VATS已被证明对患有PC的患者非常有效和安全，提供有效降低术后发病率的优势。
