Abogamela, R., Mohamed, E. (2020). Excision of Posterior Mediastinal Neurogenic Tumor: Video Assisted Thoracoscopic versus Thoracotomy. The Egyptian Journal of Hospital Medicine, 81(4), 1884-1889. doi: 10.21608/ejhm.2020.121016
Rezk Zenhom Abogamela; Elkahely Mohamed. "Excision of Posterior Mediastinal Neurogenic Tumor: Video Assisted Thoracoscopic versus Thoracotomy". The Egyptian Journal of Hospital Medicine, 81, 4, 2020, 1884-1889. doi: 10.21608/ejhm.2020.121016
Abogamela, R., Mohamed, E. (2020). 'Excision of Posterior Mediastinal Neurogenic Tumor: Video Assisted Thoracoscopic versus Thoracotomy', The Egyptian Journal of Hospital Medicine, 81(4), pp. 1884-1889. doi: 10.21608/ejhm.2020.121016
Abogamela, R., Mohamed, E. Excision of Posterior Mediastinal Neurogenic Tumor: Video Assisted Thoracoscopic versus Thoracotomy. The Egyptian Journal of Hospital Medicine, 2020; 81(4): 1884-1889. doi: 10.21608/ejhm.2020.121016
Excision of Posterior Mediastinal Neurogenic Tumor: Video Assisted Thoracoscopic versus Thoracotomy
Department of Cardiothoracic Surgery, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt.
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.
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