Clinical features and management of bronchogenic cysts: Report of 17 cases

Yukihide Kanemitsu, Haruhiko Nakayama, Hisao Asamura, Haruhiko Kondo, Ryosuke Tsuchiya, Tsuguo Naruke

研究成果: Article

62 引用 (Scopus)

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
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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Bronchogenic Cyst
Video-Assisted Thoracic Surgery
Mediastinal Cyst
Magnetic Resonance Imaging
Cancer Care Facilities
Electrocoagulation
Mediastinum
Thoracotomy
Trachea
Cysts
Thorax
Recurrence

ASJC Scopus subject areas

  • Surgery

これを引用

Kanemitsu, Y., Nakayama, H., Asamura, H., Kondo, H., Tsuchiya, R., & Naruke, T. (1999). Clinical features and management of bronchogenic cysts: Report of 17 cases. Surgery Today, 29(11), 1201-1205. https://doi.org/10.1007/s005950050567

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

Kanemitsu, Y, Nakayama, H, Asamura, H, Kondo, H, Tsuchiya, R & Naruke, T 1999, 'Clinical features and management of bronchogenic cysts: Report of 17 cases', Surgery Today, 巻. 29, 番号 11, pp. 1201-1205. https://doi.org/10.1007/s005950050567
Kanemitsu, Yukihide ; Nakayama, Haruhiko ; Asamura, Hisao ; Kondo, Haruhiko ; Tsuchiya, Ryosuke ; Naruke, Tsuguo. / Clinical features and management of bronchogenic cysts : Report of 17 cases. :: Surgery Today. 1999 ; 巻 29, 番号 11. pp. 1201-1205.
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