Abstract

There is no consensus about whether relatively large mediastinal tumors (≥ 5.0 cm) are suitable for video-assisted thoracoscopic surgery (VATS). Therefore, this study aimed to compare the efficacy and safety of intercostal approach VATS for large-sized anterior mediastinal tumors (5.0–10.0 cm) with no invasion to the surrounding tissues and organs. A total of 129 patients with anterior mediastinal tumors who received surgery in our hospital between January 2018 and July 2022 were consecutively enrolled. Patients were divided into 2 groups based on mediastinal tumor diameter: Group A (tumor size between 1.0 and 4.9 cm) and Group B (tumor size between 5.0 and 10.0 cm). The primary endpoints were operation time, blood loss, and postoperative pain, and the secondary endpoints were the volume of drainage, drainage duration, postoperative hospital stay, and postoperative complications. Significant differences were found in the volume of drainage between the two groups (Group A: 218.4 ± 140.6, Group B: 398.9 ± 369.3, P < 0.001). However, no differences were found in operation time, blood loss, drainage duration, postoperative hospital stay and duration of postoperative oral analgesics (P > 0.05). In addition, there existed no significant differences in the postoperative complications. Intercostal approach VATS is regarded as a feasible and safe surgical method for large-sized anterior mediastinal tumors (5.0–10.0 cm) with no invasion to the surrounding tissues and organs.

Details

Title
Intercostal approach VATS is feasible for large-sized anterior mediastinal tumors
Author
Ke, Lei 1 ; Liu, Jiacong 1 ; Shuai, Yongfeng 2 ; Zhu, Linhai 1 ; He, Cheng 1 ; Huang, Xuhua 1 ; Lv, Wang 1 ; Wang, Luming 1 ; Hu, Jian 3 

 Zhejiang University School of Medicine, Department of Thoracic Surgery, The First Affiliated Hospital, Hangzhou, China (GRID:grid.452661.2) (ISNI:0000 0004 1803 6319) 
 The Second Hospital of Yinzhou, Department of Plastic Surgery, Ningbo, China (GRID:grid.452661.2) 
 Zhejiang University School of Medicine, Department of Thoracic Surgery, The First Affiliated Hospital, Hangzhou, China (GRID:grid.452661.2) (ISNI:0000 0004 1803 6319); Key Laboratory of Clinical Evaluation Technology for Medical Device of Zhejiang Province, Hangzhou, China (GRID:grid.452661.2) 
Pages
17227
Publication year
2024
Publication date
2024
Publisher
Nature Publishing Group
e-ISSN
20452322
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
3085059546
Copyright
© The Author(s) 2024. This work is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.