Thoracoscopic procedures in children with anterior mediastinal tumors [Çocuklarda ön mediasten tümörlerinde torakoskopik girişimler]
Küçük Resim Yok
Tarih
2005
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Aim: Thoracoscopy is frequently performed in pediatric patients for the diagnosis or treatment of mediastinal masses. In this study, we present our experience with thoracoscopic surgery in patients with anterior mediastinal tumors. Method: A total of 7 thoracoscopic procedures were performed in 6 children. Mean age of patients was 11.3 (7-14) years. Selective intubation of contralateral main bronchus, obliteration of ipsilateral main bronchus by a Fogarty catheter or CO2 insufflation into the pleural space with 5-8 mmHg pressure were the methods used to collapse the ipsilateral lung. Three trocars and 5 mm 0-degree telescope were used in all procedures. After 6 procedures, a chest tube was inserted through one of the trocar tracts while no drain was used after 1 procedure. Results: The biopsies (4 insicional, 2 excisional) were performed for a primary histologic diagnosis in 4 children and for the assessment of residual masses persisted after therapy in the remaining 2 patients. A second thoracoscopy and total resection of the mass was performed in a patient biopsied previously, and whose tumour shriked but not completely disappeared after chemotherapy. Conversion to thoracotomy was not required in any of the procedures and no postoperative complication was observed. The mean number of chest tube days was 1.6 (1-3). The histologic diagnosis of the tumors biopsied for a primary diagnosis were undifferentiated small round cell malign tumor (n=1) and Hodgkin Lymphoma (n=3). The pathologic examination revealed benign histology in residual tumors persisted after cessation of therapy (n=3). Conclusion: Thoracoscopic surgery in the treatment of children with anterior mediastinal tumors can be efficacious and safe. Mediastinal masses can be biopsied and resected by thoracoscopy alone.
Açıklama
Anahtar Kelimeler
Child, Mass, Mediastinum, Thoracoscopy
Kaynak
Cocuk Cerrahisi Dergisi
WoS Q Değeri
Scopus Q Değeri
Q4
Cilt
19
Sayı
2
