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Date Published: 13/03/2022
Abstract Views: 202
Views PDF: 127
DOI: https://doi.org/10.51298/vmj.v510i2.2000
Issue
Vol. 510 No. 2 (2022)
Section
Các bài báo
How to Cite
Gia Khánh, N. ., Hữu Ước, N. ., & Trọng Kiểm, T. . (2022). CLINICAL AND PARACLINICAL CHARACTERISTICS OF PATIENTS WITH MEDIASTINAL TUMOR TREATED BY SINGLE-PORT VIDEO ASSISTED THORACIC SURGERY. Vietnam Medical Journal, 510(2). https://doi.org/10.51298/vmj.v510i2.2000

CLINICAL AND PARACLINICAL CHARACTERISTICS OF PATIENTS WITH MEDIASTINAL TUMOR TREATED BY SINGLE-PORT VIDEO ASSISTED THORACIC SURGERY

Ngô Gia Khánh1,, Nguyễn Hữu Ước2,3, Trần Trọng Kiểm4
1 Bach Mai Hospital
2 Vietnam-Germany Friendship Hospital
3 Hanoi Medical University
4 108 Military Central Hospital

Main Article Content

Abstract

Background: Single-port VATS has been applied in the treatment of many different thoracic diseases from simple to complex, including mediastinal tumor. For a technique will be suitable for selective patients. Objective: this report is to evaluate the clinical and paraclinical characteristics of patients with mediastinal tumor treated by single-port VATS. Subjects: Including 65 mediastinal tumor patients who were treated by single-port VATS (of which 59 were successfully performed) at the Department of Thoracic Surgery of Bach Mai Hospital from January, 2017 to December, 2020. Methods: Descriptive prospective study. Results: 22% asymptoms, the most common symptom was chest pain 45.8%. 28.8% could not be detected on chest X-ray, the most common shadow sign was 35.6%. The average tumor size is 5.1 ± 2.1 cm, mainly in the group of medium and large tumors. Tumor with solid in the anterior mediastinum is the most common type. Conclusion: Single-port can be successfully performed with different types of tumors and different locations, even with large tumors (the largest 12.5cm).

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References

1. Aroor A.R., Prakasha S. R., Seshadri S., et al. (2014). A Study of Clinical Characteristicsof Mediastinal Mass. J Clin Diagn Res JCDR, 8(2), 77–80.
2. Singh G., Amin Z., Wuryantoro null, et al. (2013). Profile and factors associated with mortality in mediastinal mass during hospitalization at Cipto Mangunkusumo Hospital, Jakarta. Acta Medica Indones, 45(1), 3–10.
3. Mai Văn Viện (2010). Ứng dụng phẫu thuật nội soi lồng ngực điều trị u trung thất tại bệnh viện 103. Y học TP Hồ Chí Minh. (14(4)), 529-535.
4. Mohammad Vaziri, Abdolreza Pazooki , and Leila Zahedi-Shoolami3 (2009). Mediastinal Masses: Review of 105 Cases. Acta Med Iran, (47(4)), 297-300.
5. JW Chung, HR Kim, DK Kim, MS Chun, YH Kim, S-I Park, S-R Kim, DH Lee (2012). Long-term Results of Thoracoscopic Thymectomy for Thymoma without Myasthenia Gravis. J Int Med Res, (40), 1973–1981.
6. Wu C.-F., Diego G.-R., Wen C.-T., et al. (2015). Single-port video-assisted thoracoscopic mediastinal tumour resection. Interact Cardiovasc Thorac Surg, 21(5), 644–649.
7. Demmy T.L., Krasna M.J., Detterbeck F.C., et al. (1998). Multicenter VATS experience with mediastinal tumors. Ann Thorac Surg, 66(1), 187–192.
8. Trần Trọng Kiểm (2017). Đánh giá kết quả cắt u trung thất bằng phương pháp nội soi. Tạp Chí Dược Lâm Sàng 108, (12), 89–96.
9. Refai M., Gonzalez-Rivas D., Guiducci G.M., et al. (2020). Uniportal video-assisted thoracoscopic thymectomy: the glove-port with carbon dioxide insufflation. Gland Surg, 9(4), 879–885.