Omori K, Ohata M, Irako M, Kitamura K, Namiki Y, Muramatsu T, Nagasaka F, Nishimura O, Sezai Y, Yoshinobu T
Second Department of Surgery, Nihon University School of Medicine.
Kyobu Geka. 1992 Mar;45(3):217-21.
Thoracoscopic therapy was carried out on two cases of pericardial cyst. The first patient was a 24-year-old male. An abnormal shadow on a chest X-ray was pointed out at a regular checkup. Thoracoscopy was carried out under the local anesthesia and a thin-walled cyst was discovered. The cyst was punctured and serous fluid was aspirated. Then, several biopsy specimens were obtained from the cyst wall, a pathological diagnosis of the cyst was made as a pericardial cyst. One year after the thoracoscopy, no abnormal shadow is observed on chest X-ray. The second patient was a 26-year-old male. It was also discovered that he had an abnormal shadow on a chest X-ray at a regular medical checkup. Since a solid mass couldn't be completely denied, thoracoscopy was carried out in preparing for thoracotomy under the general anesthesia. The cyst observed between SVC and the azygos vein, and serous fluid was aspirated form the cyst. Following this, the cyst wall was biopsied and opened. Since no cases of malignant pericardial cysts have been reported, an operation is not usually required for these patients. We suggest that thoracoscopy is very useful tool for the final diagnosis and therapy of pericardial cyst because this method is easily carried out under local anesthesia.
对两例心包囊肿患者实施了胸腔镜治疗。首例患者为一名24岁男性。在一次常规体检中，胸部X光片显示有异常阴影。在局部麻醉下进行胸腔镜检查，发现一个薄壁囊肿。对囊肿进行穿刺并抽出浆液性液体。然后，从囊肿壁获取了几块活检标本，囊肿的病理诊断为心包囊肿。胸腔镜检查一年后，胸部X光片未观察到异常阴影。第二例患者为一名26岁男性。在一次常规体检中同样发现其胸部X光片有异常阴影。由于不能完全排除实性肿块，在全身麻醉下为准备开胸手术而进行了胸腔镜检查。在SVC和奇静脉之间观察到囊肿，并从囊肿中抽出浆液性液体。随后，对囊肿壁进行活检并切开。由于尚未报道过恶性心包囊肿病例，这些患者通常不需要手术。我们认为胸腔镜是心包囊肿最终诊断和治疗的非常有用的工具，因为该方法易于在局部麻醉下实施。
