Thoracoscopic Treatment of 27 Cases of Anterior Mediastinal Enterogenous Cysts in Children
10.3969/j.issn.1009-6604.2024.06.005
- VernacularTitle:胸腔镜手术治疗小儿纵隔前肠源性囊肿27例
- Author:
Huashan ZHAO
1
;
Yunpeng ZHAI
;
Rui GUO
;
Hongxiu XU
;
Sai HUANG
;
Longfei LV
;
Shisong ZHANG
Author Information
1. 山东大学附属儿童医院 济南市儿童医院胸外肿瘤外科,济南 250022
- Keywords:
Thoracoscopic surgery;
Children;
Anterior mediastinal enterogenous cyst
- From:
Chinese Journal of Minimally Invasive Surgery
2024;24(6):427-431
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the clinical experience of thoracoscopic treatment of anterior mediastinal enterogenous cysts.Methods From July 2019 to July 2023,27 children diagnosed as having anterior mediastinal enterogenous cysts were treated with total thoracoscopic surgery through the lateral thoracic approach(three port method)in our department.The patients were placed in a healthy lateral position.The observation hole was located in the 5th intercostal space under the scapula,and the other 2 operating holes were established based on the location of the lesion and the endoscopic diamond-shaped method,both of which were 5 mm trocars.The CO2 pneumothorax was established at a pressure of 6 mm Hg.The visceral pleura of the cyst was opened with an electric hook,the cyst was fixed and pulled by intestinal forceps,and the cyst was completely removed by forceps and electric hook separation alternately.Results No conversion to thoracotomy was required.Complete resection was performed in 26 cases,and residual cyst wall existed in 1 case.Esophageal muscular layer was opened in 9 cases.During the operation,cysts obstructed the surgical field of view in 5 cases,which was not conducive to observation.The cyst puncture and fluid extraction were performed.The operation time was 45-120 min(median,70 min).The amount of blood loss was 3-10 ml(median,5 ml).Postoperative hospitalization lasted for 2-5 d(median,3d).The 27 cases were followed up for 1-43 months(median,22 months),and there was no recurrence.The compressed trachea in 2 cases was all recovered,with emphysema fully recovered.Conclusions Thoracoscopic treatment of anterior mediastinal enterogenous cysts in children is safe and feasible.When the surrounding structure of the lesion is complex,it can be combined with bronchoscopic or gastroscopic surgery if necessary.
