ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Roviaro, G.
Right arrow Articles by Scalambra, S. M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Roviaro, G.
Right arrow Articles by Scalambra, S. M.

Ann Thorac Surg 1994;58:1679-1683
© 1994 The Society of Thoracic Surgeons

Articles

Videothoracoscopic excision of mediastinal masses: Indications and technique

Giancarlo Roviaro, MD*, Carlo Rebuffat, MD, Federico Varoli, MD, Contardo Vergani, MD, Marco Maciocco, MD, Silvio Marco Scalambra, MD

Department of Surgery, S. Giuseppe Hospital, University of Milan, Milan, Italy

Accepted for publication May 31, 1994.

* Address reprint requests to Dr Roviaro, Divisione Chirurgia, Ospedale S. Giuseppe, Cattedra di Chirurgia Generale, Università di Mllano, Via S. Vittore, 12 20123 Milano, Italy.

Mediastinal masses are generally excised through wide thoracotomies or median sternotomies. These lesions are often benign, usually asymptomatic, discovered incidentally, and relatively easy to resect. For these reasons, a minimally invasive approach is appropriate. Videothoracoscopy allows an optimal exploration of the pleural cavity and a panoramic view of the mass. Dissection is usually easy to perform, and the mass can be extracted from the thorax through a trocar incision or through a limited "utility thoracotomy." To avoid possible tumor seeding, the mass is inserted in a plastic bag before extraction. From September 1991 to January 30, 1994, 20 mediastinal masses (6 thymomas, 2 thymic cysts, 1 hyperplastic thymus, 1 fibrous tumor of the mediastinum, 2 pleuropericardial cysts, 2 thoracic teratomas, 2 large thoracic lipomas, 3 neurogenic tumors, and 1 bronchogenic cyst) were removed through such a minimally invasive approach. Eighteen patients had an uneventful postoperative course. Two patients hemorrhaged in the immediate postoperative period, and repeat thoracoscopy was done. In 1 patient, electrocoagulation of a bleeding intercostal artery controlled the hemorrhage. In the other, the source of bleeding could not be found, and removal of the clots and irrigation of the cavity stopped the hemorrhage. Further data and long-term follow-up are necessary, but videothoracoscopy offers a new, less invasive approach for the management of noninvasive mediastinal masses.




This article has been cited by other articles:


Home page
 Eur J Cardiothorac SurgHome page
F. Melfi, O. Fanucchi, F. Davini, A. Viti, M. Lucchi, M. C. Ambrogi, and A. Mussi
Ten-year experience of mediastinal robotic surgery in a single referral centre
Eur J Cardiothorac Surg, February 8, 2012; (2012) ezr112v1.
[Abstract] [Full Text] [PDF]

Home page
 Eur J EndocrinolHome page
M. B. C C. Neto, M. C. Machado, F. Mesquita, N. R. de Castro Musolino, A. C. Toscanini, G. Ochman, V. A. S Cescato, R. Marino Jr, and M. J. Teixeira
Thymus hyperplasia after resolution of hypercortisolism in ACTH-dependent Cushing's syndrome: the importance of thymic vein catheterization.
Eur. J. Endocrinol., June 1, 2006; 154(6): 807 - 811.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
Y.-J. Cheng, E.-L. Kao, and S.-H. Chou
Videothoracoscopic Resection of Stage II Thymoma: Prospective Comparison of the Results Between Thoracoscopy and Open Methods
Chest, October 1, 2005; 128(4): 3010 - 3012.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
J. Bodner, H. Wykypiel, A. Greiner, W. Kirchmayr, M. C. Freund, R. Margreiter, and T. Schmid
Early experience with robot-assisted surgery for mediastinal masses
Ann. Thorac. Surg., July 1, 2004; 78(1): 259 - 265.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
A. Aubert, P. Chaffanjon, and P.-Y. Brichon
Video-assisted extended thymectomy in patients with thymoma by lifting the sternum: is it safe?
Ann. Thorac. Surg., May 1, 2004; 77(5): 1878 - 1878.
[Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
I. Yoshino, M. Hashizume, M. Shimada, M. Tomikawa, and K. Sugimachi
Video-assisted thoracoscopic extirpation of a posterior mediastinal mass using the da Vinci computer enhanced surgical system
Ann. Thorac. Surg., October 1, 2002; 74(4): 1235 - 1237.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
I. Yoshino, M. Hashizume, M. Shimada, M. Tomikawa, M. Tomiyasu, R. Suemitsu, and K. Sugimachi
Thoracoscopic thymomectomy with the da Vinci computer-enhanced surgical system
J. Thorac. Cardiovasc. Surg., October 1, 2001; 122(4): 783 - 785.
[Full Text] [PDF]

Home page
 The OncologistHome page
S. B. Johnson, T. Y. Eng, G. Giaccone, and C. R. Thomas Jr.
Thymoma: Update for the New Millenium
Oncologist, June 1, 2001; 6(3): 239 - 246.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
L. M. I. Cirino, J. R. Milanez de Campos, A. Fernandez, M. N. Samano, P. P. Fernandez, L. T. B. Filomeno, and F. B. Jatene
Diagnosis and Treatment of Mediastinal Tumors by Thoracoscopy
Chest, June 1, 2000; 117(6): 1787 - 1792.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
G. Roviaro, F. Varoli, O. Nucca, C. Vergani, and M. Maciocco
Videothoracoscopic Approach to Primary Mediastinal Pathology
Chest, April 1, 2000; 117(4): 1179 - 1183.
[Abstract] [Full Text] [PDF]

Home page
 JCOHome page
C. R. Thomas, C. D. Wright, and P. J. Loehrer
Thymoma: State of the Art
J. Clin. Oncol., July 1, 1999; 17(7): 2280 - 2280.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
D.-G. Cho and M.-S. Kwack
Video-Assisted Thoracoscopic Closure of the Delayed Bronchial Rupture After Thoracoscopic Resection of Mediastinal Bronchogenic Cyst
Chest, January 1, 1999; 115(1): 257 - 259.
[Abstract] [Full Text] [PDF]

Home page
 Eur J Cardiothorac SurgHome page
P. Guillem, H. Porte, M.-C. Copin, and D. Chevallier
A case of giant chondrosarcoma of the cricoid cartilage presenting as a superior mediastinal tumour
Eur J Cardiothorac Surg, November 1, 1998; 14(5): 520 - 522.
[Abstract] [Full Text] [PDF]

Home page
 Eur J Cardiothorac SurgHome page
L. Solaini, P. Bagioni, A. Campanini, and B. D. Poddie
Diagnostic role of videothoracoscopy in mediastinal diseases
Eur J Cardiothorac Surg, May 1, 1998; 13(5): 491 - 493.
[Abstract] [Full Text] [PDF]

Home page
 ThoraxHome page
G C Roviaro, M Maciocco, F Varoli, C Rebuffat, C Vergani, and A Scarduelli
Videothoracoscopic treatment of oesophageal leiomyoma
Thorax, March 1, 1998; 53(3): 190 - 192.
[Abstract] [Full Text]

Home page
 SURG INNOVHome page
G. Roviaro, F. Varoli, C. Vergani, M. Maciocco, B. Crespi, and A. Battilana
Thoracoscopic Thymectomy
Surgical Innovation, December 1, 1997; 4(4): 219 - 222.
[Abstract] [PDF]

Home page
 SURG INNOVHome page
M. Mack and R. Landreneau
Thoracoscopy for the Diseases of the Mediastinum Including Thymectomy for Myasthenia Gravis
Surgical Innovation, December 1, 1996; 3(4): 245 - 252.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
M. Riquet, J. Mouroux, F. Pons, D. Debrosse, A. Dujon, M. Dahan, and R. Jancovici
Videothoracoscopic excision of thoracic neurogenic tumors
Ann. Thorac. Surg., October 1, 1995; 60(4): 943 - 946.
[Abstract] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1994 by The Society of Thoracic Surgeons.