title: Complete extirpation of a bronchogenic cyst causing recurrent laryngeal nerve palsy by thoracoscopy: report of a case.
abstract: We excised a bronchogenic cyst causing recurrent laryngeal nerve palsy using thoracoscopic surgery. A 28-year-old woman presented after the sudden onset of hoarseness, and laryngoscopic examination showed left vocal cord palsy. Computed tomography and magnetic resonance imaging showed a cystic mass, 4 cm in diameter, in the aortopulmonary window. Thoracoscopic examination revealed that the mass was adhered to the recurrent laryngeal nerve below the aortic arch. We extirpated the cyst via thoracoscopy without any injury to the nerves or major blood vessels. This case illustrates the benefits of thoracoscopic surgery for providing good visualization of the perineural structures and as a safe surgical treatment for a cystic mass in the aortopulmonary window.
authors.affiliation: Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higasi-ku, Fukuoka 812-8582, Japan.
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Koga
authors.forename: Akihiko
authors.initials: A
authors.lastname: Uchiyama
authors.forename: Hirokazu
authors.initials: H
authors.lastname: Noshiro
authors.forename: Masae
authors.initials: M
authors.lastname: Rai
authors.forename: Eiji
authors.initials: E
authors.lastname: Miyatake
authors.forename: Shuji
authors.initials: S
authors.lastname: Shimizu
authors.forename: Masao
authors.initials: M
authors.lastname: Tanaka
mesh_terms: D000328:Adult; D001994:Bronchogenic Cyst / Q000150:complications* / Q000601:surgery*; D005260:Female; D006801:Humans; D013906:Thoracoscopy / Q000379:methods*; D014826:Vocal Cord Paralysis / Q000209:etiology*