Results of video-assisted thoracoscopic surgery approach to mediastinal tumor at Viet Duc hospital
Nội dung chính của bài viết
Tóm tắt
Objective: The application of endoscopic surgical treatment of thoracic disease are beginning to flourish in Vietnam. The study aimed to evaluate the results of endoscopic thoracic surgical treatment of mediastinal tumors in Viet Duc Hospital. Methods: The retrospective study describes 50 patients mediastinal tumors were treated with endoscopic thoracic surgery from 12/2007 to 8/2012, of the parameters before, during and after surgery and the anatomy pathological results. Results: of 25 male and 25 female. Mean age 44.76 ± 16.52 (13-78). The main symptom is chest pain on admission (74%). Tumor size 5.893 ± 1.686 cm (2.7 to 11.0). Surgery time 100 ± 24.82 minutes (60-180). There is a case conversed to classical surgery (2%). Number of hospital days 4.48 ± 1.5 days (3-12). No mortality and major complications after surgery. Anatomy-pathological results: 49 cases of benign, 01 malignant cases of stage I (Masaoka). Conclusion: Treatment of mediastinal tumors by endoscopic thoracic surgery is a method of safe and feasible, bring good results after surgery.
Chi tiết bài viết
Từ khóa
u trung thất, phẫu thuật nội soi lồng ngực (VATS)
Tài liệu tham khảo
2. Alberto de Hoyos, Amit Patel, Ricardo S. Santos, and Rodney J. Landreneau (2005), "Video – assisted thoracic surgery for mediastinal tumors and other diseases within the mediastinum", General Thoracic Surg; 2: 2455 – 2476.
3. Beau V. Duwe, Daniel H. Sterman and Ali I. Musani (2005), “Tumors of the Mediastinum”, Chest 128; 2893-2909
4. Bousamra M., Haasler GB., Patterson GA. and Roper CL. (1996), “Comparative study of thoracoscopic vs open removal of benign neurogenic mediastinal tumors”, Chest 109; 1461-1465.
5. Chanin Glinjongol, Wiroj Pengpol (2005), “Video – assisted thoracoscopic surgery (VATS) in the diagnosis and treatment of intrathoracic diseases at Ratchburi hospital”, J Med Assoc Thai; 88(6): 734 – 742.
6. Chetty G.K., Khan O.A., Onyeaka C.V.P., Ahmad F., Rajesh P.B., Waller D.A. (2004), “Experience with video-assisted surgery for suspected mediastinal tumours”, EJSO30,776–780.
7. David A. Partrickand, Steven S. Rothenberg (2004), “Thoracoscopic Resection of Mediastinal Masses in Infants and Children: An Evaluation of Technique and Results”, JournalofPediatricSurgery,Vol36, No 8 (August): pp 1165-1167.
8. Dewan Ravindra Kumar (2001), "Complications and limitations of video assisted thoracic surgery", Current Medical Trends; 5: 946 – 950.
9. Giancarlo Roviaro, Federico Varoli, Ombretta Nucca, Contardo Vergani and Marco Maciocco (2000), “Videothoracoscopic Approach to Premary Mediastinal Pathology”, Chest 117;1179 - 1183.
10. Hiu – Ping Liu, APC. Yim, Jiu Wan, Hongyi Chen, Yi – Cheng Wu, Yun – Hen Liu, Pyng Jing Lin and Chau – Hsiung Chang (2000), “Thoracoscopic removal of intrathoracic neurogenic tumors: a combined Chinese experience”, Annals of Surgery Vol 232, No 2,
187 – 190.
11. Ian D. Conacher (2002), “Anaesthesia for thoracoscopic surgery”, Best Practice & Research Clinical Anaesthesiology; 16(1): 53 – 62
12. Masato Sasaki, Seiya Hirai, Masakazu Kawabe, Takahiko Uesaka, Kouichi Morioka, Akio Ihaya, Kuniyoshi Tanaka (2005), “Triagle target principle for the placement of trocars during video – assisted thoracic surgery”, European Journal of Cardio – Thoracic Surgery; 27: 307 – 312.
13. Robert James Cerfolio, Ayesha S. Bryant, Todd M. Sheils, Cynthia S. Bass, Alfred A. Bartolucci (2004), "Video – assisted thoracoscopic surgery using single – lumen endotracheal tube anesthesia", Chest; 126: 281 – 285.
14. Shin – ichi Takeda, Shinichiro Miyoshi, Masato Minami, Mitsunori Ohta, Akira Masaoka and Hikaru Matsuda (2003), “Clinical Spectrum of mediastinal cysts”, Chest 124; 125 – 132.