Thoracoscopic resection of mediastinal tumors.

  • Shomura Yu
    Department of Thoracic and Cardiovascular Surgery, Mie University School of Medicine
  • Kimura Makoto
    Department of Thoracic and Cardiovascular Surgery, Mie University School of Medicine
  • Hioki Iwao
    Department of Thoracic and Cardiovascular Surgery, Mie University School of Medicine
  • Inoue Takafumi
    Department of Thoracic and Cardiovascular Surgery, Mie University School of Medicine
  • Onoda Koji
    Department of Thoracic and Cardiovascular Surgery, Mie University School of Medicine
  • Takao Motoshi
    Department of Thoracic and Cardiovascular Surgery, Mie University School of Medicine
  • Tani Kazuhiro
    Department of Thoracic and Cardiovascular Surgery, Mie University School of Medicine
  • Namikawa Shoji
    Department of Thoracic and Cardiovascular Surgery, Mie University School of Medicine
  • Yada Isao
    Department of Thoracic and Cardiovascular Surgery, Mie University School of Medicine

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Other Title
  • 縦隔腫ように対する胸腔鏡下手術

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Abstract

Thoracoscopic surgery was performed in 5 patients with mediastinal tumors. 2 men and 3 women, aged 29 to 78 years, (mean 51 years). Two patients had cystic tumors and 3 had solid tumors. One tumor was located in the superior mediastinum, 3 in the posterior mediastinum and 1 in the middle mediastinum. The average operation time was 112 minutes and the average bleeding volume was only 20 ml. The average duration of pleural drainage was 1.6 days and that of postoperative hospitalization was 6.3 days in 4 patients, (19 days in the 5th). Thoracoscopic resection for mediastinal tumors is a minimally invasive and effective procedure.<BR>Following these experiences, preoperative images and operative impressions in 57 patients with benign mediastinal tumor from among patients with 121 mediastinal tumors operated on in our department during the past 13 years were analyzed to determine whether they would have been suitable candidates for thoracoscopic resection. The results of this study suggest that 68.8% of cystic tumors and 65.0% of neurogenic tumors were suitable candidates. We suggest that recent advances in operative techniques and instrumentation should permit the expansion of indications for thoracoscopic surgery.

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Details 詳細情報について

  • CRID
    1390282679338150528
  • NII Article ID
    10007714945
  • NII Book ID
    AN10467885
  • DOI
    10.2995/jacsurg.9.678
  • ISSN
    18814158
    09190945
  • Text Lang
    ja
  • Data Source
    • JaLC
    • Crossref
    • CiNii Articles
  • Abstract License Flag
    Disallowed

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