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...

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Main Authors: Sukhram Bishnoi, Belal Bin Asaf, Harsh Vardhan Puri, Mohan Venkatesh Pulle, Manan Bharatkumar Parikh, Reena Kumar, Arvind Kumar
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
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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.
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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
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AT mohanvenkateshpulle thoracoscopicmanagementofposteriormediastinalneurogenictumours
AT mananbharatkumarparikh thoracoscopicmanagementofposteriormediastinalneurogenictumours
AT reenakumar thoracoscopicmanagementofposteriormediastinalneurogenictumours
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