Evaluated the propability of mediastinoscopy in the patiet had superior vena cava syndrome
Main Article Content
Abstract
A retrospective study from 10/2010 to 02/2015 with compare 2 group : Group 1: 42 patients had not SVCS; Group 2: 39 patients had SVCS. We found that the sex was the same in 2 group, group 2 had the mean age higher (51.7 ± 12.6 vs 39.7 ± 17.9 , p=0.03). In chest Ctscan, group 2 had size of tumor bigger (8.67 ± 3.0 vs 3.77 ± 2.1, p=0.006), more invased strustures around (p=0.001) and unclear margin (p=0.001) than group 1. In the pathology, group 1 was a large of malignant and tuberculosis lymp nodes (32/42), beside that, group 2 was the most malignant thymoma (35/39). In the operation, we found that group 1 had the rate of completed biopsy more than group 2 (p=0.001), but the time of operation (p=0.27) and the blood loss (p=0.71) were the same. We recognized that there was no different significantly between 2 group in : the time of mechanical ventilation support (p=0.21), the days of hopitalized (p=0.83) and the rate of biopsy failure (p=0.51).*
Mediastinoscopy in the patient had SVCS were safe and efficiency. The rate of biopsy failure was the same another group.
Article Details
Keywords
nội soi trung thất, hội chứng chèn ép tĩnh mạch chủ trên
References
2. Ahmad U., Detterbeck C.F (2014), "Diagnostic Evaluation of Anterior Mediastinal Masses and Clinical and Surgical Approach to Thymic Tumors via Sternotomy". Mastery of Cardiothoracic Surgery, Lippincott Williams & Wilkin, Philadelphia, USA, pp. 124-33.
3. Porte H et al (1998), "The role of mediastinoscopy in the diagnosis of mediastinal lymphadenopathy". Eur J Cardiothorac Surg, 13 (2), pp. 196-9.
4. Lemaire A. et al (2006), "Nine-year single center experience with cervical mediastinoscopy: complications and false negative rate". Ann Thorac Surg,, 82 (4), pp. 1185-9.
5. Ngô Quốc Hưng, Vũ Hữu Vĩnh, Lê Nữ Thị Hòa Hiệp (2017), “Vai trò của nội soi trung thất từ đường cổ trong chẩn đoán bản chất các khối u và hạch vùng trung thất”, Tạp chí Phẫu Thuật Tim mạch và Lồng Ngực Việt Nam, (16), tr. 52-32
6. Trương Thanh Thiết, Nguyễn Hoài Nam (2016), "Vai trò hiện nay của nội soi trung thất chẩn đoán bệnh lý hạch trung thất". Y Học Thành Phố Hồ Chí Minh, 5(20), tr. 120-5.
7. Jahangiri M, Taggart DP, Goldstraw P (1993), "Role of mediastinoscopy in superior
vena cava obstruction". Cancer, 71 (10), pp. 3006-8
8. Dosios T. et al (2005), "Cervical Mediastinoscopy and anterior mediastinotomy in superior vena cava obstruction". Chest, 128 (3), pp. 1551-6.
9. Mineo T. C., Ambrogi V., Nofroni I., Pistolese C. (1999), "Mediastinoscopy in superior vena cava obstruction: analysis of 80 consecutive patients". The Annals of Thoracic Surgery, 68 (1), pp. 223-6.
10. Hujala K. T., Sipilä J. I., Grénman R. (2001), "Mediastinoscopy-its role and value today in the differential diagnosis of mediastinal pathology". Acta Oncologica, 40 (1), pp. 79-82.