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Date Published: 24/10/2025
Abstract Views: 21
Views PDF: 5
DOI: 10.47972/vjcts.v53i.1555
Issue
Vol. 53
Section
Research Article
How to Cite
Doan, H. H., Phung, D. H. S., Pham, H. L., Nguyen, V. A., & Duong, D. H. (2025). Results of one-port endoscopic surgery Treatment of primary mediastatic tumor at Viet Duc University Hospital. The Vietnam Journal of Cardiovascular and Thoracic Surgery, 53, 143 - 155. https://doi.org/10.47972/vjcts.v53i.1555

Results of one-port endoscopic surgery Treatment of primary mediastatic tumor at Viet Duc University Hospital

Huu Hoat Doan1, Duy Hong Son Phung1,2, , Huu Lu Pham1,2, Viet Anh Nguyen, Duc Hung Duong1,2
1 Hanoi Medical University
2 Viet Duc Hospital

Main Article Content

Abstract

Background: With the advancement of medicine, the surgical treatment of mediastinal tumors has changed from classic open surgery to 3-port endoscopic surgery and now to single-port endoscopic surgery. At Viet Duc University Hospital, single-port endoscopic surgery to treat mediastinal tumors has been routinely performed. This study aims to evaluate the results of this surgery to further improve the technique, overcome shortcomings and increase patient satisfaction.


Patiens and methods: Prospective descriptive study of all patients with mediastinal tumors who underwent single-port endoscopic surgery at Viet Duc University Hospital from October 2023 to December 2024.


Results: 69 cases of mediastinal tumors were operated on, average age 51.5 ± 14 (12-78) years old, number of males/females: 35/34; 38 (55.1%) cases had chest pain, 10 (14.4%) cases had mild or moderate dyspnea, 6 (8.7%) had mild general weakness or ptosis. X-ray 76.8% of patients had abnormal signs on film, CT-Scanner average tumor size 5.4 ± 2.4 (2-14) cm, of which anterior mediastinal tumors accounted for the majority 44 (63.8%), there were 6 (8.7%) cases of myasthenia gravis, solid tumors 29 (42.1%). All (100%) cases were successfully operated with single-port endoscopy, most of the incisions were through the V intercostal space in 45/69 patients (65.2%), the average incision length was 3.52 ± 0.65 cm. The average surgical time was 79.6 ± 44 (25-195) minutes. Accidents and complications: 01 (1.4%) case of innominate vein rupture. Pathology: thymoma accounted for the largest number of 39.1%, of which Masaoka I stage accounted for the largest number (66.7%), type A and type AB thymoma (55.5%) were the two most common types. Postoperative results: 59 (85.5%) had mild or moderate pain (VAS scale) with an average pain score of 3.3 ± 0.8 points, average postoperative pain relief time of 2.9 ± 0.8 days; drainage removal time of 3.6 ± 1.2 days, postoperative hospitalization of 4.8 ± 1.4 (2-10) days; 85.5% of patients were pain-free 2 weeks after surgery: 69.6% returned to work and daily activities after 4 weeks; 60(87%) cases did not require any further treatment after surgery, 9(13%) cases required further radiotherapy. There were no deaths during the study period.


Conclusion: Single-port thoracoscopic surgery for primary mediastinal tumors at Viet Duc university hospital gives good early and mild-term results with low risk of complication.

Keywords

Single port laparoscopic surgery, mediastinal tumor, Viet Duc University Hospital

Article Details

References

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