Video-assisted thoracoscopic surgery is a safe and effective method to treat intrathoracic unicentric Castleman’s disease

2019 ◽  
Author(s):  
Yan-qing Wang ◽  
Shan-qing Li ◽  
Feng Guo
Keyword(s):  
Thoracoscopic Surgery ◽  
Tumor Resection ◽  
Castleman’S Disease ◽  
Maximum Diameter ◽  
Invasive Technique ◽  
Castleman's Disease ◽  
Video Assisted ◽  
Vascular Type ◽  
Complete Surgical Excision ◽  
Video Assisted Thoracoscopic Surgery

Abstract Background: Castleman's disease (CD) is a rare non-clonal lymphadenopathy. Application of video-assisted thoracoscopic surgery (VATs) in intrathoracic unicentric Castleman's disease (UCD) is rarely reported. This study is aimed to clarify the role of VATs for diagnosis and treatment in intrathoracic UCD. Methods: The authors reviewed and identified patients who had received a histologic diagnosis of CD through VATs at our hospital from January2010 to June 2018. Clinical and radiologic variables, histopathology, type of approach, complications, and long-term effect were analyzed to evaluate the safety and efficacy of VATs. Results: A total of 10 patients were included in this study, with 8 hyaline vascular type and 2 plasma cell type. The mean maximum diameter of the lesions was 4.66cm. Nine cases underwent complete surgical excision by VATs, and 1 case was converted to thoracotomy. All patients had no postoperative complications. With a median follow-up of 5 years (range: 1-9 years), no tumor recurrence was found in 9 patients receiving complete tumor resection, and 1 patient with incomplete tumor resection remained symptom free without clinical or radiographic progression. Conclusions: VATs is an acceptable, minimally invasive technique which results in excellent rates of cure in patients with intrathoracic UCD.

scholarly journals Successful Treatment of Mediastinal Unicentric Castleman’s Disease Using Video-Assisted Thoracoscopic Surgery with Preoperative Embolization

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Yosuke Amano ◽  
Daiya Takai ◽  
Nobuya Ohishi ◽  
Aya Shinozaki-Ushiku ◽  
Masashi Fukayama ◽  
...  
Keyword(s):  
Thoracoscopic Surgery ◽  
Castleman’S Disease ◽  
Preoperative Embolization ◽  
Castleman's Disease ◽  
Tumor Vascularity ◽  
Mediastinal Tumors ◽  
Video Assisted ◽  
Vascular Type ◽  
Hyaline Vascular Type ◽  
Video Assisted Thoracoscopic Surgery

Unicentric Castleman’s disease is a rare, benign lymphoproliferative disorder that is curable with surgical resection. However, significant bleeding often occurs during surgery because of tumor hypervascularity. We herein present a case of hyaline-vascular-type mediastinal unicentric Castleman’s disease, successfully resected using video-assisted thoracoscopic surgery with preoperative embolization. In the present case, tumor hypervascularity and feeding vessels were revealed by computed tomography (CT), which led us to perform preoperative angiography and embolization to the tumor feeding arteries to reduce intraoperative bleeding. Castleman’s disease should be considered in the differential diagnosis of hypervascular mediastinal tumors. Tumor vascularity should be assessed prior to surgery, and preoperative embolization should be considered.

scholarly journals Tubeless video-assisted thoracoscopic surgery in mediastinal tumor resection

Gland Surgery ◽  
2021 ◽  
Vol 10 (4) ◽  
pp. 1387-1396
Author(s):  
Weixue Cui ◽  
Danxia Huang ◽  
Hengrui Liang ◽  
Guilin Peng ◽  
Mengyang Liu ◽  
...  
Keyword(s):  
Mediastinal Tumor ◽  
Thoracoscopic Surgery ◽  
Tumor Resection ◽  
Video Assisted ◽  
Video Assisted Thoracoscopic Surgery

scholarly journals Robotic video-assisted thoracoscopic surgery using multiport triangular trocar configuration: initial experience at a single center

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Vu Huu Vinh ◽  
Nguyen Viet Dang Quang ◽  
Dang Dinh Minh Thanh ◽  
Truong Van Le Phong
Keyword(s):  
Hospital Stay ◽  
Mediastinal Tumor ◽  
Thoracoscopic Surgery ◽  
Tumor Resection ◽  
Initial Experience ◽  
Single Center ◽  
Video Assisted ◽  
Duration Of Surgery ◽  
Video Assisted Thoracoscopic Surgery ◽  
Surgical Operations

Abstract Background Recent developments in robotic technology have brought significant changes in robotic video-assisted thoracoscopic surgery (r-VATS) worldwide, particularly including the treatment in the thorax for the mediastinal, esophagus, and pulmonary lesions. Currently, there are only a few reports describing the procedural experience and outcomes with r-VATS. The objective of this study is to provide our initial experience using r-VATS at a single center, with specific attention to safety, efficacy, and procedural details. Methods We retrospectively reviewed patients who underwent a newly modified r-VATS procedure for various surgical operations at the thoracic department of our hospital, from July 2018 to January 2020. Multiport trocars were placed in the classic triangular arrangement as in conventional VATS (c-VATS) but with modifications based on the type of surgery. The peri- and postoperative outcomes such as duration of surgery, complications, and duration of hospital stay for these patients were reported. Results Overall, 142 patients underwent r-VATS for lobectomy (66), wedge resection (15), thymectomy (22), mediastinal tumor resection (30), pneumonectomy (4), transthoracic esophagectomy (1), esophageal tumor resection or esophageal diverticulum repair (2), diaphragm plication (1), and mediastinal tumor resection plus thymectomy (1). For the entire cohort, the median operative time was 110 min, and the median length of hospital stay was 5 days. Conversion to open thoracic surgery was reported only in a total of 3 (2.1%) patients of pneumonectomy (1.4%) and mediastinal tumor resection (0.70%). All our patients were managed successfully with no postoperative complications and mortality. Conclusion Our method of r-VATS was found to be safe and effective and may be applied to different surgical operations. Adequate and proper training of thoracic surgeons is immediately needed for the transition from c-VATS to r-VATS. The utility and advantages of triangular trocar configuration for r-VATS require further refinement and research before it can be routinely adopted in clinical practice. Trial registration Retrospectively registered.

scholarly journals Localized Castleman’s Disease in Retroperitoneum Mimicking Broad Ligament Leiomyoma – a Diagnostic Challenge

2016 ◽  
Vol 10 (2) ◽  
pp. 57-59
Author(s):  
S Gon ◽  
D Mallik ◽  
A Bhattacharya ◽  
B Majumdar ◽  
M Sengupta
Keyword(s):  
Broad Ligament ◽  
Castleman’S Disease ◽  
Surgical Excision ◽  
Young Female ◽  
Castleman Disease ◽  
Castleman's Disease ◽  
Diagnostic Challenge ◽  
Diagnostic Dilemma ◽  
Vascular Type ◽  
Complete Surgical Excision

Primary retroperitoneal tumours pose a diagnostic dilemma and therapeutic challenges because of their location and late detection. Localized Castleman Disease (CD) in retroperitoneal location is a rare occurrence, with incidence of only 4% cases occurring in diverse locations like retroperitoneum. A rare case of unicentric localized Castleman Disease localized in broad ligament is hereby reported which was clinically & radiologically suspected as broad ligament leiomyoma but finally diagnosed as Castleman’s Disease, hyaline vascular type in a young female posing a diagnostic challenge both for the pathologist and clinician. Definite diagnosis is essential as complete surgical excision in case of unicentric Castleman’s Disease has good prognosis after resection.   

scholarly journals Transdiaphragmatic Single-Port Video-Assisted Thoracoscopic Surgery; a Novel Approach for Pulmonary Metastasectomy through Laparotomy Incision – Case Series

2020 ◽  
Author(s):  
Riad Abdel Jalil ◽  
Mohamad K. Abou Chaar ◽  
Omar M. Shihadeh ◽  
Obada Al-Qudah ◽  
Azza Gharaibeh ◽  
...  
Keyword(s):  
Single Port ◽  
Thoracoscopic Surgery ◽  
Treatment Options ◽  
Tumor Resection ◽  
Germ Cell Tumors ◽  
Case Series ◽  
Pulmonary Metastasectomy ◽  
Abdominal Tumor ◽  
Video Assisted ◽  
Video Assisted Thoracoscopic Surgery

Abstract Background: Pulmonary metastasectomy was performed in the early twentieth century and ever since, it has evolved to be one of the main treatment options for certain metastatic malignancies. The advancement of minimally invasive procedures enabled new techniques to minimize morbidity and improve patient quality of care and overall outcome. Cases presentation: Herein we present three patients, aged 53, 48, and 27 years, known to have sigmoid, rectal, and non-seminomatous germ cell tumors respectively. All patients were diagnosed to have metastatic lung nodules and underwent laparotomy to excise abdominal tumors followed by trans-diaphragmatic single-port video-assisted thoracoscopic pulmonary metastasectomy. All patients achieved complete surgical tumor excision, and none had pulmonary related complications on follow-up.Conclusion: Our prescribed novel trans-diaphragmatic single-port video-assisted thoracoscopic surgery (VATS) technique for synchronous pulmonary metastasectomy and intra-abdominal tumor resection is safe and can achieve complete resection with negative margins.

scholarly journals A case of metastatic rib tumor resection using video-assisted thoracoscopic surgery (VATS)

2011 ◽  
Vol 25 (6) ◽  
pp. 621-625
Author(s):  
Tomohiro Nakajima ◽  
Atsushi Watanabe ◽  
Takuro Obama ◽  
Masahiro Miyajima ◽  
Jyunji Nakazawa ◽  
...  
Keyword(s):  
Thoracoscopic Surgery ◽  
Tumor Resection ◽  
Video Assisted ◽  
Rib Tumor ◽  
Video Assisted Thoracoscopic Surgery

scholarly journals Transdiaphragmatic single-port video-assisted thoracoscopic surgery; a novel approach for pulmonary metastasectomy through laparotomy incision – case series

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Riad Abdel Jalil ◽  
Mohamad K. Abou Chaar ◽  
Omar M. Shihadeh ◽  
Obada Al-Qudah ◽  
Azza Gharaibeh ◽  
...  
Keyword(s):  
Single Port ◽  
Thoracoscopic Surgery ◽  
Treatment Options ◽  
Tumor Resection ◽  
Germ Cell Tumors ◽  
Case Series ◽  
Pulmonary Metastasectomy ◽  
Abdominal Tumor ◽  
Video Assisted ◽  
Video Assisted Thoracoscopic Surgery

Abstract Background Pulmonary metastasectomy was performed in the early twentieth century and ever since, it has evolved to be one of the main treatment options for certain metastatic malignancies. The advancement of minimally invasive procedures enabled new techniques to minimize morbidity and improve patient quality of care and overall outcome. Cases presentation Herein we present three patients, aged 53, 48, and 27 years, known to have sigmoid, rectal, and non-seminomatous germ cell tumors respectively. All patients were diagnosed to have metastatic lung nodules and underwent laparotomy to excise abdominal tumors followed by trans-diaphragmatic single-port video-assisted thoracoscopic pulmonary metastasectomy. All patients achieved complete surgical tumor excision, and none had pulmonary related complications on follow-up. Conclusion Our prescribed novel trans-diaphragmatic single-port video-assisted thoracoscopic surgery (VATS) technique for synchronous pulmonary metastasectomy and intra-abdominal tumor resection is safe and can achieve complete resection with negative margins.

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