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Date Published: 17/06/2022
Abstract Views: 266
Views PDF: 140
DOI: https://doi.org/10.51298/vmj.v513i2.2475
Issue
Vol. 513 No. 2 (2022)
Section
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How to Cite
Hữu Lư, P. ., & Trung Hiếu, D. . (2022). THE ROLE OF VIDEO-ASSISTED THORACOSCOPIC SURGERY IN THE TREATMENT OF POSTERIOR MEDIASTINAL TUMORS. Vietnam Medical Journal, 513(2). https://doi.org/10.51298/vmj.v513i2.2475

THE ROLE OF VIDEO-ASSISTED THORACOSCOPIC SURGERY IN THE TREATMENT OF POSTERIOR MEDIASTINAL TUMORS

Phạm Hữu Lư1,2,, Dương Trung Hiếu3
1 Hanoi Medical University
2 Vietnam-Germany Friendship Hospital
3 Bac Giang General Hospital

Main Article Content

Abstract

Background: Posterior mediastinal tumors which are the most common neurogenic tumors, are still the first choice in treatment, including video-assisted thoracoscopic surgery. Tumor selection with indications for video-assisted thoracoscopic surgery is always mentioned by the authors and this study aims to summarize this issue. Methods: A retrospective, cross-sectional descriptive study from January 2015 to December 2018, with parameters of cases with pre-operative diagnosis of posterior mediastinal tumor undergoing video-assisted thoracoscopic surgery at Vietduc University Hospital. Results: Including 41 patients, 18 men and 23 women. The average age was 38.7 ± 14.7 (8 – 68). There were 11 cases (26.8%) having preoperative biopsies under the guidance of computed tomography to evaluate preoperative pathology. There were 9 cases (22.0%) complete thoracoscopic surgery, 32 cases video-assisted thoracoscopic surgery (78.0%). The average tumor size is 5.59±1.95 cm (3-10). Tumors were resected successful in 100%, with 3 complications (1 pleural blood clot, 1 retained haemothorax, 1 thoracic duct fistula) being conservative cured. The operative time was 106.2±37.1 minutes (60-210). Conclusion: Thoracoscopic surgery is an effective and safe method in the treatment of posterior mediastinal tumors with a selected group of patients, bringing many advantages to patients.

Article Details

Keywords

posterior mediastinal tumor, video assisted thoracoscopic surgery, posterior neurogenic tumor

References

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