Rothermel Luke, Gilkeson Robert, Markowitz Alan H, Schröder Carsten
Division of Thoracic and Esophageal Surgery, University Hospitals Case Medical Center, Cleveland, OH 44106-5011, USA.
Interact Cardiovasc Thorac Surg. 2013 Sep;17(3):594-7. doi: 10.1093/icvts/ivt225. Epub 2013 May 23.
A 26-year old female had an incidental finding of a cystic mediastinal mass (10.8 × 9.4 × 10.0 cm) in the inferior-anterior mediastinum. It had compressed the superior vena cava, right atrium and right ventricle, and additional imaging studies could not exclude right heart involvement. She underwent exploration via right thoracoscopy (video-assisted thoracoscopy), and the right groin vessels were isolated for bypass, if needed. Examination of the mass revealed its extrapericardial origin from the thymus. Complete resection was achieved with minimally invasive techniques through a 2.5-cm incision using a three-port approach. She was discharged on postoperative day one. The interdisciplinary planning and cooperation in this case avoided thoracotomy or sternotomy and allowed for a safe and complete minimally invasive resection.
一名26岁女性偶然发现前下纵隔有一个囊性纵隔肿块（10.8×9.4×10.0厘米）。它压迫了上腔静脉、右心房和右心室，进一步的影像学检查不能排除右心受累。她接受了右胸腔镜检查（电视辅助胸腔镜检查），并分离了右腹股沟血管以备必要时进行搭桥。对肿块的检查显示其起源于胸腺的心包外。通过三孔入路，经2.5厘米切口采用微创技术实现了完整切除。她术后第一天出院。该病例中的多学科规划与合作避免了开胸手术或胸骨切开术，实现了安全、完整的微创切除。
