Granato Felice, Luzzi Luca, Voltolini Luca, Gotti Giuseppe
Department of Cardio-Thoracic and Vascular Surgery, Thoracic Surgery Unit, University Hospital of Siena, Siena, Italy.
Interact Cardiovasc Thorac Surg. 2010 Sep;11(3):335-6. doi: 10.1510/icvts.2010.235242. Epub 2010 Jun 4.
The treatment of bronchogenic cysts (BCs) is still controversial. Many authors advocate the complete surgical excision of cysts [by video-assisted thoracoscopic surgery (VATS) or thoracotomy] to prevent their high rate of recurrence. Nevertheless, some recent works have attracted attention to a less invasive endoscopic management of benign mediastinal cysts. Here, we report a novel, safe, effective and minimally invasive mediastinoscopic technique used in the complete resection of two mediastinal BCs. We believe that this approach can be applied, with some restrictions: lesions located in the superior mediastinum, absence of severe adhesions, absence of infection, no previous mediastinal surgery. More experience of mediastinoscopic treatment of BCs is needed in order to better define its indications, contraindications, risks and complications.
支气管源性囊肿（BCs）的治疗仍存在争议。许多作者主张通过电视辅助胸腔镜手术（VATS）或开胸手术对囊肿进行完整的手术切除，以防止其高复发率。然而，最近的一些研究已引起人们对良性纵隔囊肿采用侵入性较小的内镜治疗的关注。在此，我们报告一种新颖、安全、有效且微创的纵隔镜技术，用于完整切除两例纵隔BCs。我们认为，这种方法在有一些限制条件下可以应用：病变位于上纵隔、无严重粘连、无感染、既往无纵隔手术史。为了更好地明确其适应证、禁忌证、风险和并发症，需要更多关于纵隔镜治疗BCs的经验。
