Results of video assisted thoracoscopic surgery approach to posterior mediastinal tumor at Viet Duc University Hospital

Duong Trung Hieu , Pham Huu Lu

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Abstract

Retrospective descriptive analysis, of the parameters before, during and after surgery and the anatomy-pathological results for all postoperative diagnosis of posterior mediastinal tumors were treated with endoscopic thoracic surgery  at  Viet  Duc  University  hospital  from 01/2015 to 12/2018. There were 41 subjects, 18 male  and  23  female.  Mean age  38,7±14,7  (8- 68). Occasional cases were detected in 14 cases (34,1%).  Of the 27  cases  with symptoms, the most  common  are  chest  pain  (53.7%).  Result CT and MRI have a high diagnostic value (100%), but there were 34 chest x-rays (82,9%) saw  shore  of  the  tumor.  There  are  9  cases (22,0%) of complete thoracoscopic surgery and 32  cases  (78,0%)  of  video  assisted thoracoscopic surgery. Mean tumor size is 5,59 ± 1,95  cm  (3  -10).  The  incidence  of  benign tumors is 100%. Successful tumor removal in 100% of cases, with 3 complications (1blood clotted of pleura,1 empyema, 1 thoracic duct fistula) were    treated.    Surgical    time    is 106,2 ± 37,1minutes  (60-210).  Time  to  pleural drain stay is 4,5 ±1,8 days (2-12). The length of hospital stay after surgery was 6,1 ± 1,9 days (4- 13).    Video    assisted    thoracoscopic   surgery excision of posterior mediastinal tumors is a method of safe, feasible and bring good results after surgery with the indicated tumors.

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