title: Thoracoscopic excision of mediastinal bronchogenic cysts: results in 20 cases.
abstract: BACKGROUND
  We present our experience with thoracoscopic resection of mediastinal bronchogenic cysts in adults.
  
  
  METHODS
  From November 1990 to September 1993, 20 patients with mediastinal bronchogenic cysts were operated on by thoracoscopy. The average cyst size was 4.9 cm, and the largest diameter was 10 cm. Ten cysts were located in the middle mediastinum and 10 in the posterior mediastinum. Two cysts were complicated.
  
  
  RESULTS
  Thirteen bronchogenic cysts were resected completely by thoracoscopy. We had to convert thoracoscopy into thoracotomy because of bleeding in two cases and because of major adhesions to vital structures in five cases. There were no operative deaths and no postoperative complications. Mean hospital stay was significantly less in the completely thoracoscopically treated group. Long-term follow-up (range, 4.5 to 7.5 years) showed no late complications and no recurrence.
  
  
  CONCLUSIONS
  Preoperative complications, intraoperative injuries, and major adhesions to vital structures seem to be the only unfavorable conditions to thoracoscopic treatment of bronchogenic cysts. This study found encouraging results for thoracoscopic excision of mediastinal bronchogenic cysts in selected patients.
authors.affiliation: Department of Thoracic and Vascular Surgery, Avicenne Hospital, Bobigny, Paris, France.
authors.forename: E
authors.initials: E
authors.lastname: Martinod
authors.forename: F
authors.initials: F
authors.lastname: Pons
authors.forename: J
authors.initials: J
authors.lastname: Azorin
authors.forename: J
authors.initials: J
authors.lastname: Mouroux
authors.forename: M
authors.initials: M
authors.lastname: Dahan
authors.forename: J M
authors.initials: JM
authors.lastname: Faillon
authors.forename: A
authors.initials: A
authors.lastname: Dujon
authors.forename: P S
authors.initials: PS
authors.lastname: Lajos
authors.forename: M
authors.initials: M
authors.lastname: Riquet
authors.forename: R
authors.initials: R
authors.lastname: Jancovici
mesh_terms: D000328:Adult; D000368:Aged; D001994:Bronchogenic Cyst / Q000473:pathology / Q000601:surgery*; D004724:Endoscopy; D005260:Female; D006801:Humans; D008297:Male; D008482:Mediastinum / Q000473:pathology; D008875:Middle Aged; D013906:Thoracoscopy; D016896:Treatment Outcome