背景心包囊肿是罕见的病变。其中大多数是在调查无关疾病期间无症状和偶然发现的。当它们有症状时,他们大部分时间都是良性的临床过程。然而,治疗有时是必要的。除了(临时)经皮抽吸治疗,有手术作为明确的治疗方法。本文的目的是激发单孔视频辅助胸腔镜(UVATS)切除(巨大)心包囊肿的安全性和有效性,并描述其(围)手术技术。方法在这篇回顾性研究中,基于单中心的案例系列,我们报告了所有在2022年3月至2023年4月期间接受单孔胸腔镜手术(UVATS)手术切除的心包囊肿病例.详细的患者特征,操作详细信息,收集住院时间和随访数据.结果4例患者行UVATS心包囊肿切除术。随访10~20个月。心包囊肿的平均直径为124mm。中位手术时间为94分钟。没有发生围手术期和术后并发症。术后住院时间中位数为2天。所有患者均表现出术前症状的临床相关改善。结论单通道VATS切除术治疗心包囊肿是一种安全有效的手术方法,症状缓解效果良好。不过,我们敦促未来的比较研究阐明其在其他治疗方案中的价值.
UNASSIGNED: Pericardial cysts are infrequent lesions. Most of these are asymptomatic and incidental findings during investigations for unrelated conditions. When they are symptomatic, they demonstrate most of the time a benign clinical course. Yet, treatment is sometimes necessary. Besides a (temporary) treatment as percutaneous aspiration, there is surgery as a definite treatment. The aim of the paper is to motivate the safety and efficacy of uniportal video assisted thoracoscopy (UVATS) for the excision of (giant) pericardial cysts and describe their (peri-)operative technique.
UNASSIGNED: In this retrospective, single center-based case series, we report all cases with a pericardial cyst who underwent a surgical excision by uniportal VATS (UVATS) between March 2022 and April 2023. Detailed patient characteristics, operation details, hospital length of stay and follow-up data were collected.
UNASSIGNED: A total of 4 patients underwent excision of a pericardial cyst by UVATS. The follow-up ranged from 10 to 20 months. The mean diameter of the pericardial cyst was 124 mm. Median procedure time was 94 min. No per- and postoperative complications occurred. The median length of postoperative hospital stay was 2 days. All patients showed a clinically relevant improvement of the pre-operative symptoms.
UNASSIGNED: Uniportal VATS excision for pericardial cysts is a safe and effective surgical procedure with good outcomes on symptom relief. Though, future comparative studies are urged to elucidate its value among other treatment options.