Kermenli Tayfun, Azar Cebrail
Thoracic Surgery Clinic, Medicalpark Elazığ Hospital, Elazığ, Turkey.
Chest Diseases Clinics, Medicalpark Elazığ Hospital, Elazığ, Turkey.
Kardiochir Torakochirurgia Pol. 2019 Oct;16(3):109-113. doi: 10.5114/kitp.2019.88597. Epub 2019 Oct 28.
In this study, we aimed to evaluate the results of our patients with a primary mediastinal mass and the surgical techniques applied in our clinic retrospectively.
Between March 2015 and March 2019, the results and treatment protocols of 32 patients with a primary mediastinal mass or cysts who were followed up and treated in our clinic were evaluated retrospectively. Twenty-six patients who underwent surgery for biopsy or resection were included in the study.
Sixteen of our patients were male and 10 were female. The mean age was 39 years. 80.2% of our patients were symptomatic and 19.2% were asymptomatic and a mediastinal mass was incidentally detected in these asymptomatic patients. The most common symptom was dyspnea with frequency of 38.4%. In terms of localization, the mass was lateralized on the right side in 7 patients, on the left side in 5 patients. In 13 patients, the tumor was located in the posterior mediastinum. 8 patients underwent anterior mediastinotomy and 1 patient underwent biopsy with video-assisted thoracoscopic surgery (VATS). Most commonly a thymus-derived mass was seen. Fifteen patients underwent excision with VATS, 3 thoracotomy, 2 sternotomy and in 1 patient VATS assisted anterior minithoracotomy was performed.
Mediastinal tumors and cysts have different histopathological features. Robotic surgery and VATS-assisted surgery are increasingly used in surgical excision.
在本研究中，我们旨在回顾性评估我院原发性纵隔肿物患者的治疗结果及所应用的手术技术。
回顾性评估2015年3月至2019年3月期间在我院接受随访和治疗的32例原发性纵隔肿物或囊肿患者的治疗结果及治疗方案。纳入26例行活检或切除术的患者进行研究。
患者中男性16例，女性10例。平均年龄39岁。80.2%的患者有症状，19.2%的患者无症状，这些无症状患者的纵隔肿物为偶然发现。最常见的症状是呼吸困难，发生率为38.4%。就肿物位置而言，7例患者肿物位于右侧，5例位于左侧。13例患者的肿瘤位于后纵隔。8例患者行前纵隔切开术，1例患者通过电视辅助胸腔镜手术（VATS）进行活检。最常见的是胸腺来源的肿物。15例患者通过VATS切除，3例开胸手术，2例胸骨切开术，1例患者进行了VATS辅助前侧小切口开胸手术。
纵隔肿瘤和囊肿具有不同的组织病理学特征。机器人手术和VATS辅助手术在手术切除中的应用越来越多。
