title: [Surgical treatment for mediastinal cysts].
abstract: BACKGROUND
  Since most of mediastinal cysts are benign tumors, video-assisted thoracic surgery (VATS) is optimal surgical procedure in recent years. It is important to select an appropriate approach accordance with the various locations of the cysts.
  
  
  METHODS
  This is a retrospective review between 2005 and 2011 included 42 cases who had been undergone surgery for mediastinal cysts at the department.
  
  
  RESULTS
  There were 19 males and 23 females, mean-age 58.9±11.8 year. The cysts in superior portion of the mediastinum, anterior and middle mediastinum were 2, 31, and 9 patients, respectively. Operative procedures included 3 or 4 ports in 11, mini-thoracotomy and 2 or 3 ports in 28, cervical incision and mini-thoracotomy and 2 ports in 1, median sternotomy in 2. Mean operative time was 128.8±62.8 minutes. The mean postoperative stay was 5.6±2.1 days. There was hardly a perioperative complication, excepting only 1 case of intraoperative hemorrhage.
  
  
  CONCLUSIONS
  VATS allows various surgical approach to each location of mediastinal cysts, and less invasive procedure.
authors.affiliation: Department of Thoracic Surgery, Tokyo Women's Medical University, Tokyo, Japan.
authors.forename: Hideyuki
authors.initials: H
authors.lastname: Maeda
authors.forename: Masato
authors.initials: M
authors.lastname: Kanzaki
authors.forename: Kei
authors.initials: K
authors.lastname: Sakamoto
authors.forename: Takehito
authors.initials: T
authors.lastname: Yoshiya
authors.forename: Naoko
authors.initials: N
authors.lastname: Wachi
authors.forename: Takuma
authors.initials: T
authors.lastname: Kikkawa
authors.forename: Tamami
authors.initials: T
authors.lastname: Isaka
authors.forename: Toshihide
authors.initials: T
authors.lastname: Shimizu
authors.forename: Kunihiro
authors.initials: K
authors.lastname: Oyama
authors.forename: Masahide
authors.initials: M
authors.lastname: Murasugi
authors.forename: Takamasa
authors.initials: T
authors.lastname: Onuki
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D008476:Mediastinal Cyst / Q000601:surgery*; D008875:Middle Aged; D061646:Operative Time; D012189:Retrospective Studies; D020775:Thoracic Surgery, Video-Assisted; D013908:Thoracotomy / Q000379:methods