Thoracoscopic management of posterior mediastinal neurogenic tumours
Background: This study describes the surgical technique of thoracoscopic resection of posterior mediastinal neurogenic tumours and reporting the surgical outcomes. Methods: This is a retrospective analysis of 21 patients operated over 7 years in a dedicated thoracic surgery centre. The demographic a...
Main Authors: | , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Wolters Kluwer Medknow Publications
2022-01-01
|
Series: | Journal of Minimal Access Surgery |
Subjects: | |
Online Access: | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2022;volume=18;issue=3;spage=366;epage=371;aulast=Bishnoi |
_version_ | 1818509732635213824 |
---|---|
author | Sukhram Bishnoi Belal Bin Asaf Harsh Vardhan Puri Mohan Venkatesh Pulle Manan Bharatkumar Parikh Reena Kumar Arvind Kumar |
author_facet | Sukhram Bishnoi Belal Bin Asaf Harsh Vardhan Puri Mohan Venkatesh Pulle Manan Bharatkumar Parikh Reena Kumar Arvind Kumar |
author_sort | Sukhram Bishnoi |
collection | DOAJ |
description | Background: This study describes the surgical technique of thoracoscopic resection of posterior mediastinal neurogenic tumours and reporting the surgical outcomes.
Methods: This is a retrospective analysis of 21 patients operated over 7 years in a dedicated thoracic surgery centre. The demographic and post-operative parameters along with complications were recorded and analysed.
Results: Twelve patients had right-sided tumours, while 9 had left-sided lesions, and 9 were on the left side. The most common diagnosis was schwannoma (n = 15, 71.42%), followed by neurofibroma (n = 4, 19.04%). The average surgery duration was 104 min (85–135 min), and the mean blood loss was 120 ml (25 ml–250 ml). The average lesion size was 4.8 cm (2 cm–7 cm). Conversion to open procedure was required in one patient. Two patients (14.2%) developed complications. One patient developed Horner's Syndrome and the other developed post-operative lung atelectasis. The median follow-up was 36 months (6–90 months). No recurrence was observed during the follow-up period.
Conclusions: Thoracoscopic approach to posterior mediastinal neurogenic tumours is feasible and allows for low morbidity, short hospital stay and superior cosmesis. |
first_indexed | 2024-12-10T22:49:26Z |
format | Article |
id | doaj.art-4766462d7e1a4d53b7c0dbc3676027ab |
institution | Directory Open Access Journal |
issn | 0972-9941 1998-3921 |
language | English |
last_indexed | 2024-12-10T22:49:26Z |
publishDate | 2022-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Journal of Minimal Access Surgery |
spelling | doaj.art-4766462d7e1a4d53b7c0dbc3676027ab2022-12-22T01:30:28ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212022-01-0118336637110.4103/jmas.JMAS_234_20Thoracoscopic management of posterior mediastinal neurogenic tumoursSukhram BishnoiBelal Bin AsafHarsh Vardhan PuriMohan Venkatesh PulleManan Bharatkumar ParikhReena KumarArvind KumarBackground: This study describes the surgical technique of thoracoscopic resection of posterior mediastinal neurogenic tumours and reporting the surgical outcomes. Methods: This is a retrospective analysis of 21 patients operated over 7 years in a dedicated thoracic surgery centre. The demographic and post-operative parameters along with complications were recorded and analysed. Results: Twelve patients had right-sided tumours, while 9 had left-sided lesions, and 9 were on the left side. The most common diagnosis was schwannoma (n = 15, 71.42%), followed by neurofibroma (n = 4, 19.04%). The average surgery duration was 104 min (85–135 min), and the mean blood loss was 120 ml (25 ml–250 ml). The average lesion size was 4.8 cm (2 cm–7 cm). Conversion to open procedure was required in one patient. Two patients (14.2%) developed complications. One patient developed Horner's Syndrome and the other developed post-operative lung atelectasis. The median follow-up was 36 months (6–90 months). No recurrence was observed during the follow-up period. Conclusions: Thoracoscopic approach to posterior mediastinal neurogenic tumours is feasible and allows for low morbidity, short hospital stay and superior cosmesis.http://www.journalofmas.com/article.asp?issn=0972-9941;year=2022;volume=18;issue=3;spage=366;epage=371;aulast=Bishnoiposterior mediastinal tumoursurgical outcomethoracoscopic |
spellingShingle | Sukhram Bishnoi Belal Bin Asaf Harsh Vardhan Puri Mohan Venkatesh Pulle Manan Bharatkumar Parikh Reena Kumar Arvind Kumar Thoracoscopic management of posterior mediastinal neurogenic tumours Journal of Minimal Access Surgery posterior mediastinal tumour surgical outcome thoracoscopic |
title | Thoracoscopic management of posterior mediastinal neurogenic tumours |
title_full | Thoracoscopic management of posterior mediastinal neurogenic tumours |
title_fullStr | Thoracoscopic management of posterior mediastinal neurogenic tumours |
title_full_unstemmed | Thoracoscopic management of posterior mediastinal neurogenic tumours |
title_short | Thoracoscopic management of posterior mediastinal neurogenic tumours |
title_sort | thoracoscopic management of posterior mediastinal neurogenic tumours |
topic | posterior mediastinal tumour surgical outcome thoracoscopic |
url | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2022;volume=18;issue=3;spage=366;epage=371;aulast=Bishnoi |
work_keys_str_mv | AT sukhrambishnoi thoracoscopicmanagementofposteriormediastinalneurogenictumours AT belalbinasaf thoracoscopicmanagementofposteriormediastinalneurogenictumours AT harshvardhanpuri thoracoscopicmanagementofposteriormediastinalneurogenictumours AT mohanvenkateshpulle thoracoscopicmanagementofposteriormediastinalneurogenictumours AT mananbharatkumarparikh thoracoscopicmanagementofposteriormediastinalneurogenictumours AT reenakumar thoracoscopicmanagementofposteriormediastinalneurogenictumours AT arvindkumar thoracoscopicmanagementofposteriormediastinalneurogenictumours |