Experience of videothoracoscopy using in the diagnosis and treatment of patients with mediastinal neoplasms

Authors

  • V. V. Malovanyy I. Gorbachevskyi Ternopil State Medical University, Ukraine, Ukraine
  • L. E. Viytovych I. Gorbachevskyi Ternopil State Medical University, Ukraine, Ukraine

DOI:

https://doi.org/10.15574/PS.2018.60.38

Keywords:

mediastinal neoplasms, videotoracoscopy

Abstract

The current level of video-assisted surgery allows successfully using this technology in the diagnosis and treatment for the majority of surgical diseases of the thoracic organs.

Objective: to analyse the experience of using videotracoscopic interventions in management of patients with mediastinal neoplasms.

Materials and methods. During the period of 2015–2018, in total 23 patients with mediastinal neoplasms were screened and operated in the Thoracic Department of the Ternopil University Hospital.

Results. In 10 patients, videotoracoscopy was used only for diagnostic purposes, for morphological verification of diagnosis in sarcoidosis, malignant neoplasms. Videotracoscopic intervention for therapeutic purposes in our department is used in patients with coelomic pericardial cysts, lipomas, fibromas, neurenomas of the posterior mediastinum. The mean length of hospital stay after the videocatocoscopic operations was 5 days.

Conclusions. Videotoracoscopy in the diagnosis and management of patients with mediastinal neoplasms is a procedure that, in association with the sufficient experience of the operating surgeon, allows providing minimally invasive interventions with low risk of complications and minimum length of hospital stay, along with the maximum diagnostic and therapeutic effects.

References

Augustinovich AV, Zavyalov AA, Afanasyev SG, Volkov MYu. (2006). Videotoracoscopy in diagnostics and treatment neoplasms of the thoracic cavity. Medicine in the Kuzbass. 3: 13-15.

Afanasyev SG., Augustinovich AV, Volkov MYu. (2010). Videotoracoscopy as a method of differential diagnosis of intrathoracic. Siberian Cancer Journal. 2: 9-10.

Yablonsky PK, Pyschyk VG. (2003). Place of video examination in the modern thoracic clinic. Bulletin of Surgery. 1: 110-114.

Cirino L.M., Milanez de Campos JR, Fernandez A., Samano M.N., Fernandez P.P., Filomeno L.T., Jatene F.B. (2000). Diagnosis and treatment of mediastinal tumors by thoracoscopy. Chest. 117(6):1787–1792. https://doi.org/10.1378/chest.117.6.1787; PMid:10858417

Duwe B.V., Sterman D.H., Musani A.I. (2005, Oct.). Tumors of the mediastinum. Chest. 128 (4):2893–2909. https://doi.org/10.1378/chest.128.4.2893; PMid:16236967

Macchiarini P., Ostertag H. (2004). Uncommon primary mediastinal tumours. Lancet Oncolоgy. 5:107–118.

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Issue

No. 3(60) (2018): Paediatric Surgery. Ukraine

Section

Original articles. Thoracic surgery

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