抄録
Between 1966 and 1996, 17 patients, comprising 1 child and 16 adults, underwent surgical treatment for bronchogenic cysts at the National Cancer Center Hospital. The bronchogenic cysts were located in the mediastinum in 11 patients and in the pulmonary parenchyma in 6. Of the 17 patients, 5 (29.4%) manifested symptoms, being more frequently seen in those with intrapulmonary cysts than in those with mediastinal cysts. Chest radiographs were ineffective for accurate preoperative diagnosis, but accurate diagnosis was possible with 69.2% of computed tomograpy (CT) scans and 100% of magnetic resonance imaging (MRI) scans. MRI also proved very useful for qualitatively diagnosing the mediastinal tumors as cystic or solid. Surgery was performed through a thoracotomy in 14 patients and by video-assisted thoracic surgery (VATS) in 3 patients, achieving complete resection in 16 patients. In one patient, a mediastinal bronchogenic cyst was excised by VATS and incompletely resected because of tight adhesion to the membranous part of the trachea; however, no late complication or recurrence developed after the residual cystic wall had been ablated by electrocautery. VATS, which is an easy procedure to perform with only minimal surgical invasion, may be indicated for bronchogenic cysts if patients who undergo incomplete resection can be followed up carefully. Recent advances in imaging techniques have made it unnecessary to perform surgical excision for diagnostic confirmation, but we recommend surgery for most patients to relieve symptoms and prevent complications.
| 元の言語 | English |
|---|---|
| ページ（範囲） | 1201-1205 |
| ページ数 | 5 |
| ジャーナル | Surgery Today |
| 巻 | 29 |
| 発行部数 | 11 |
| DOI | |
| 出版物ステータス | Published - 1999 |
| 外部発表 | Yes |
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ASJC Scopus subject areas
- Surgery
これを引用
Clinical features and management of bronchogenic cysts : Report of 17 cases. / Kanemitsu, Yukihide; Nakayama, Haruhiko; Asamura, Hisao; Kondo, Haruhiko; Tsuchiya, Ryosuke; Naruke, Tsuguo.
：: Surgery Today, 巻 29, 番号 11, 1999, p. 1201-1205.研究成果: Article
}
TY - JOUR
T1 - Clinical features and management of bronchogenic cysts
T2 - Report of 17 cases
AU - Kanemitsu, Yukihide
AU - Nakayama, Haruhiko
AU - Asamura, Hisao
AU - Kondo, Haruhiko
AU - Tsuchiya, Ryosuke
AU - Naruke, Tsuguo
PY - 1999
Y1 - 1999
N2 - Between 1966 and 1996, 17 patients, comprising 1 child and 16 adults, underwent surgical treatment for bronchogenic cysts at the National Cancer Center Hospital. The bronchogenic cysts were located in the mediastinum in 11 patients and in the pulmonary parenchyma in 6. Of the 17 patients, 5 (29.4%) manifested symptoms, being more frequently seen in those with intrapulmonary cysts than in those with mediastinal cysts. Chest radiographs were ineffective for accurate preoperative diagnosis, but accurate diagnosis was possible with 69.2% of computed tomograpy (CT) scans and 100% of magnetic resonance imaging (MRI) scans. MRI also proved very useful for qualitatively diagnosing the mediastinal tumors as cystic or solid. Surgery was performed through a thoracotomy in 14 patients and by video-assisted thoracic surgery (VATS) in 3 patients, achieving complete resection in 16 patients. In one patient, a mediastinal bronchogenic cyst was excised by VATS and incompletely resected because of tight adhesion to the membranous part of the trachea; however, no late complication or recurrence developed after the residual cystic wall had been ablated by electrocautery. VATS, which is an easy procedure to perform with only minimal surgical invasion, may be indicated for bronchogenic cysts if patients who undergo incomplete resection can be followed up carefully. Recent advances in imaging techniques have made it unnecessary to perform surgical excision for diagnostic confirmation, but we recommend surgery for most patients to relieve symptoms and prevent complications.
AB - Between 1966 and 1996, 17 patients, comprising 1 child and 16 adults, underwent surgical treatment for bronchogenic cysts at the National Cancer Center Hospital. The bronchogenic cysts were located in the mediastinum in 11 patients and in the pulmonary parenchyma in 6. Of the 17 patients, 5 (29.4%) manifested symptoms, being more frequently seen in those with intrapulmonary cysts than in those with mediastinal cysts. Chest radiographs were ineffective for accurate preoperative diagnosis, but accurate diagnosis was possible with 69.2% of computed tomograpy (CT) scans and 100% of magnetic resonance imaging (MRI) scans. MRI also proved very useful for qualitatively diagnosing the mediastinal tumors as cystic or solid. Surgery was performed through a thoracotomy in 14 patients and by video-assisted thoracic surgery (VATS) in 3 patients, achieving complete resection in 16 patients. In one patient, a mediastinal bronchogenic cyst was excised by VATS and incompletely resected because of tight adhesion to the membranous part of the trachea; however, no late complication or recurrence developed after the residual cystic wall had been ablated by electrocautery. VATS, which is an easy procedure to perform with only minimal surgical invasion, may be indicated for bronchogenic cysts if patients who undergo incomplete resection can be followed up carefully. Recent advances in imaging techniques have made it unnecessary to perform surgical excision for diagnostic confirmation, but we recommend surgery for most patients to relieve symptoms and prevent complications.
KW - Bronchogenic cyst
KW - Computed tomography
KW - Magnetic resonance imaging
KW - Mediastinal cyst
KW - Video-assisted thoracic surgery
UR - http://www.scopus.com/inward/record.url?scp=0032707292&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0032707292&partnerID=8YFLogxK
U2 - 10.1007/s005950050567
DO - 10.1007/s005950050567
M3 - Article
C2 - 10552342
AN - SCOPUS:0032707292
VL - 29
SP - 1201
EP - 1205
JO - Surgery Today
JF - Surgery Today
SN - 0941-1291
IS - 11
ER -