Article Sidebar

PDF
Date Published: 31/07/2022
Abstract Views: 261
Views PDF: 103
DOI: https://doi.org/10.51298/vmj.v516i2.3095
Issue
Vol. 516 No. 2 (2022)
Section
Các bài báo
How to Cite
Hữu Lư, P. ., & Văn Nam, N. . (2022). RESULTS OF SURGICAL TREATMENT FOR BENIGN MEDIASTINAL TERATOMAS AT VIET DUC UNIVERSITY HOSPITAL IN THE PERIOD OF 2015 - 2021. Vietnam Medical Journal, 516(2). https://doi.org/10.51298/vmj.v516i2.3095

RESULTS OF SURGICAL TREATMENT FOR BENIGN MEDIASTINAL TERATOMAS AT VIET DUC UNIVERSITY HOSPITAL IN THE PERIOD OF 2015 - 2021

Phạm Hữu Lư1,, Ngô Văn Nam2
1 Cardiovascular and Thoracic Center, Vietnam-Germany Friendship Hospital
2 Thanh Hoa Oncology Hospital

Main Article Content

Abstract

Objective: To evaluate the surgical results of benign mediastinal teratomas at Viet Duc University Hospital in the period 2015 - 2021. Methods: A retrospective, cross-sectional descriptive study with all cases diagnosed as benign mediastinal teratomas operated at Viet Duc University Hospital from January 2015 to December 2021. Results: 46 patients, 15 men and 31 women. Mean age 28.98 ± 12.51. Chest pain was the most common symptom (80.43%). All tumors were located in the anterior mediastinum with an average tumor size of 8.4 ± 3.8 cm. There were 22 cases of sternotomy or thoracotomy (47.83%) and 24 cases of video-assisted thoracoscopic surgery (52.17%). All patients had complete resection, of which 08 patients (17.39%) had complete tumor resection with partial removal of surrounding tissue (pericardium, pleura, etc.) due to thickening. The average surgical time was 112.85 ± 40.44 minutes (50 – 210 minutes). The average postoperative drainage time was 5.25 ± 6.46 days, the postoperative hospital stay was 7.33±6.65days. Video-assisted thoracoscopic surgery had a shorter hospital stay than sternotomy and thoracotomy (p = 0.05). Conclusion: Patients with benign mediastinal teratoma have a good result after surgical treatment. During surgery it is necessary to pay attention to the problems of adhesion, bleeding and damage to adjacent organs. Video-assisted thoracoscopic surgery has been shown to be less painful, more esthetic, and has a short hospital stay in the indicated patient population.

Article Details

References

1. Tian Z, Liu H, Li S, et al. Surgical treatment of benign mediastinal teratoma: summary of experience of 108 cases. J Cardiothorac Surg. 2020;15.
2. Allen MS, Trastek VF, Pairolero PC. Benign Germ Cell Tumors of the Mediastinum. In: Shields TW, Joseph L, Reed CE, Fein RH, editors. General Thoracic Surgery. 2009;p:2266-2510.
3. Pham LH, Trinh DK, Nguyen AV, et al. Thoracoscopic surgery approach to mediastinal mature teratomas: a single-center experience. J Cardiothorac Surg. 2020;15.
4. Lewis BD, Hurt RD, Payne WS, Farrow GM, Knapp RH, Muhm JR. Benign teratomas of the mediastinum. J Thorac Cardiovasc Surg. 1983;86(5):727-731.
5. Hwang SK, Park SI, Kim YH, Kim HR, Choi SH, Kim DK. Clinical results of surgical resection of mediastinal teratoma: efficacy of video-assisted thoracic surgery. Surg Endosc. 2016;30(9):4065-4068.
6. Bousamra M, Haasler GB, Patterson GA, Roper CL. A comparative study of thoracoscopic vs open removal of benign neurogenic mediastinal tumors. Chest. 1996;109(6):1461-1465.
7. Wu CY, Heish MJ, Wu CF. Single port VATS mediastinal tumor resection: Taiwan experience. Ann Cardiothorac Surg. 2016;5(2):107-111.
8. Demmy TL, Krasna MJ, Detterbeck FC, et al. Multicenter VATS experience with mediastinal tumors. Ann Thorac Surg. 1998;66(1):187-192.
9. Tsubochi H, Endo S, Nakano T, Minegishi K, Tetsuka K, Hasegawa T. Extraction of mediastinal teratoma contents for complete thoracoscopic resection. Asian Cardiovasc Thorac Ann. 2015;23(1):42-45.