Inada Hidehiro, Maeda Junichi, Tanaka Motomu, Ito Tetsushi, Ikeda Norihiko
Department of Thoracic Surgery, Ageo Central General Hospital, Ageo, Japan.
Kyobu Geka. 2019 Nov;72(12):989-992.
Mediastinal enteric cysts are very rare among in adults and usually asymptomatic. A 54-year-old male was referred to our hospital due to an abnormal shadow incidentally found on a chest X-ray at health check. Chest computed tomography scan revealed a cystic mass in the posterior and inferior mediastinum surrounded by diaphragm, inferior vena cava, and esophagus. Based on many reports of thoracoscopic esophagectomy in the prone position in recent years, we chose thoracoscopic resection of the mediastinal tumor in the prone position with artificial pneumothorax. The prone position with artificial pneumothorax provided much better exposure of the operating field and the surgery was performed successfully.
纵隔肠囊肿在成年人中非常罕见,通常无症状。一名54岁男性因健康检查时胸部X线偶然发现异常阴影而转诊至我院。胸部计算机断层扫描显示后下纵隔有一个囊性肿块,被膈肌、下腔静脉和食管包围。基于近年来许多关于俯卧位胸腔镜食管切除术的报道,我们选择在人工气胸下俯卧位胸腔镜切除纵隔肿瘤。人工气胸下的俯卧位提供了更好的手术视野暴露,手术顺利完成。