Journal of Minimal Access Surgery

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Year : 2007  |  Volume : 3  |  Issue : 4  |  Page : 123--126

Thoracoscopic excision of mediastinal cysts in children

Prashant Jain, Beejal Sanghvi, Hemanshi Shah, SV Parelkar, SS Borwankar 
 Department of Pediatric Surgery, KEM Hospital Mumbai, India

Correspondence Address:
Prashant Jain
Department of Pediatric Surgery, KEM Hospital, Parel, Mumbai

Aim: Thoracoscopy offers great advantages when compared with open surgery in terms of postoperative pain and pulmonary complications. Considering the benign nature of most of the mediastinal cysts, thoracoscopy is safe and feasible with minimal morbidity. The purpose of this article is to review our experience with four cases of mediastinal cysts resected successfully within a period of one year by thoracoscopy. Materials and Methods:The cases of mediastinal cysts operated by thoracoscopic excision in K.E.M. Hospital, Mumbai from November 2005 to December 2006 were reviewed. The age varied from six months to 10 years. The patients presented with respiratory distress or recurrent lower respiratory tract infection. All patients underwent Chest X-ray and CT scan thorax to delineate the location of the cyst and its relationship with adjacent vital structures. Two patients had anterior and two had posterior mediastinal cyst. The ports were placed depending on the location of the cyst on the CT scan, following the principles of triangularization. The cysts were excised mainly by blunt dissection. Results: All the patients were successfully managed by thoracoscopic surgery. None of them had intraoperative complications. Dissection in patient with history of recurrent respiratory tract infection was difficult because of adhesions. Intercostal drain was removed within 48hrs and the patients were discharged on the fourth postoperative day. Conclusions: Thoracoscopy in mediastinal cysts is a safe and effective procedure with low morbidity and a shorter hospital stay.

How to cite this article:
Jain P, Sanghvi B, Shah H, Parelkar S V, Borwankar S S. Thoracoscopic excision of mediastinal cysts in children.J Min Access Surg 2007;3:123-126

How to cite this URL:
Jain P, Sanghvi B, Shah H, Parelkar S V, Borwankar S S. Thoracoscopic excision of mediastinal cysts in children. J Min Access Surg [serial online] 2007 [cited 2021 Oct 19 ];3:123-126
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