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121016

Excision of Posterior Mediastinal Neurogenic Tumor: Video Assisted Thoracoscopic versus Thoracotomy

Article

Last updated: 03 Jan 2025

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Abstract

Background: The posterior mediastinal tumors represent different diseases. Most of them are detected incidentally. Regarding difficult anatomic access for mass in the mediastinum, surgical excision remains the best method for diagnosis and therapeutic result. Video-assisted thoracic surgery (VATS) is increasingly used for the management of posterior mediastinal mass. This study aimed at evaluation of the outcomes of VATS compared to conventional thoracotomy in treatment of posterior mediastinal tumors.
Patients and Methods: A retrospective analysis was performed of 22 patients who underwent surgery for posterior mediastinal neurogenic tumors at our Department in Security Force Hospital (SFH), Riyadh, KSA from September 2013 to January 2018. Nine tumors were excised via video‐ assisted thoracic surgery (VATS) and 13 tumors via surgical thoracotomy.
Results: When compared with the thoracotomy group, patients in the VATS group had a shorter operation time (95±33 min vs. 130±35 min, P=0.023), less blood loss ( mL vs. 180±95 mL, P=0.0005), and shorter time of hospital stay and discharge (2.5±0.7 days vs. 3.6±0.7 days, P = 0. ).
Conclusion: VATS is safer and more effective surgical procedure for excision posterior mediastinal neurogenic tumors with good outcomes than conventional thoracotomy.

DOI

10.21608/ejhm.2020.121016

Keywords

Neurogenic tumors, Posterior mediastinum, thoracotomy, Video assisted thoracoscopy

Authors

First Name

Rezk Zenhom

Last Name

Abogamela

MiddleName

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Affiliation

Department of Cardiothoracic Surgery, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt.

Email

rezkzenhom1969@gmail.com

City

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Orcid

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First Name

Elkahely

Last Name

Mohamed

MiddleName

-

Affiliation

Department of Cardiothoracic Surgery, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt.

Email

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City

-

Orcid

-

Volume

81

Article Issue

4

Related Issue

18005

Issue Date

2020-10-01

Receive Date

2020-11-01

Publish Date

2020-10-01

Page Start

1,884

Page End

1,889

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 81_Issue 4_Pages 1884-1889.pdf

PDF . 683.0kB

Link

https://ejhm.journals.ekb.eg/article_121016.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=121016

Order

26

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Excision of Posterior Mediastinal Neurogenic Tumor: Video Assisted Thoracoscopic versus Thoracotomy

Details

Type

Article

Created At

22 Jan 2023