Thoracoscopic resection of foregut duplication cysts

Shinjiro Hirose, Matthew S. Clifton, Barbara Bratton, Michael R. Harrison, Diana L Farmer, Kerilyn K. Nobuhara, Hanmin Lee

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

Background: Foregut duplications are rare entities that include both esophageal and bronchogenic cysts. The diagnosis of foregut duplication cyst is made most often from an incidental finding on chest radiograph, or due to respiratory compromise due to mass effect or infection. Treatment consists of complete resection. Recurrences are associated with incomplete resection. Six cases of foregut duplication cysts are presented that were resected thoracoscopically. Materials and Methods: From May 1998 to April 2003, six patients underwent thoracoscopy for resection of foregut duplication cyst. One patient required conversion to open thoracotomy due to esophageal perforation. The distribution of cysts was 4 on the left and 2 on the right; all procedures were performed with three or four ports. Single lung ventilation was used in three patients. The masses were removed via a port site after intrathoracic decompression. Chest tubes were placed in all patients, and most were removed within 12 hours. Results: Five of six cases underwent successful thoracoscopic resection. Pathology demonstrated esophageal duplication cyst in three patients and bronchogenic cyst in the other three patients. Average hospital stay was 5.5 days. Complications included aspiration pneumonia and chest tube dislodgment There were no deaths, and no recurrences. Conclusion: Thoracoscopic resection is a safe and effective method of treating foregut duplications. Outcomes have been good with little short-term morbidity and no mortality. Morbidity and cosmesis are improved by avoiding thoracotomy. Thoracoscopic resection should be considered the first-line therapy for these benign masses.

Original languageEnglish (US)
Pages (from-to)526-529
Number of pages4
JournalJournal of Laparoendoscopic and Advanced Surgical Techniques
Volume16
Issue number5
DOIs
StatePublished - Oct 2006

Fingerprint

Cysts
Esophageal Cyst
Bronchogenic Cyst
Chest Tubes
Thoracotomy
One-Lung Ventilation
Esophageal Perforation
Morbidity
Aspiration Pneumonia
Recurrence
Thoracoscopy
Incidental Findings
Decompression
Length of Stay
Thorax
Pathology
Mortality
Therapeutics
Infection

ASJC Scopus subject areas

  • Surgery

Cite this

Thoracoscopic resection of foregut duplication cysts. / Hirose, Shinjiro; Clifton, Matthew S.; Bratton, Barbara; Harrison, Michael R.; Farmer, Diana L; Nobuhara, Kerilyn K.; Lee, Hanmin.

In: Journal of Laparoendoscopic and Advanced Surgical Techniques, Vol. 16, No. 5, 10.2006, p. 526-529.

Research output: Contribution to journalArticle

Hirose, Shinjiro ; Clifton, Matthew S. ; Bratton, Barbara ; Harrison, Michael R. ; Farmer, Diana L ; Nobuhara, Kerilyn K. ; Lee, Hanmin. / Thoracoscopic resection of foregut duplication cysts. In: Journal of Laparoendoscopic and Advanced Surgical Techniques. 2006 ; Vol. 16, No. 5. pp. 526-529.
@article{85e03d96b0784e81a1aa74d671931154,
title = "Thoracoscopic resection of foregut duplication cysts",
abstract = "Background: Foregut duplications are rare entities that include both esophageal and bronchogenic cysts. The diagnosis of foregut duplication cyst is made most often from an incidental finding on chest radiograph, or due to respiratory compromise due to mass effect or infection. Treatment consists of complete resection. Recurrences are associated with incomplete resection. Six cases of foregut duplication cysts are presented that were resected thoracoscopically. Materials and Methods: From May 1998 to April 2003, six patients underwent thoracoscopy for resection of foregut duplication cyst. One patient required conversion to open thoracotomy due to esophageal perforation. The distribution of cysts was 4 on the left and 2 on the right; all procedures were performed with three or four ports. Single lung ventilation was used in three patients. The masses were removed via a port site after intrathoracic decompression. Chest tubes were placed in all patients, and most were removed within 12 hours. Results: Five of six cases underwent successful thoracoscopic resection. Pathology demonstrated esophageal duplication cyst in three patients and bronchogenic cyst in the other three patients. Average hospital stay was 5.5 days. Complications included aspiration pneumonia and chest tube dislodgment There were no deaths, and no recurrences. Conclusion: Thoracoscopic resection is a safe and effective method of treating foregut duplications. Outcomes have been good with little short-term morbidity and no mortality. Morbidity and cosmesis are improved by avoiding thoracotomy. Thoracoscopic resection should be considered the first-line therapy for these benign masses.",
author = "Shinjiro Hirose and Clifton, {Matthew S.} and Barbara Bratton and Harrison, {Michael R.} and Farmer, {Diana L} and Nobuhara, {Kerilyn K.} and Hanmin Lee",
year = "2006",
month = "10",
doi = "10.1089/lap.2006.16.526",
language = "English (US)",
volume = "16",
pages = "526--529",
journal = "Journal of Laparoendoscopic and Advanced Surgical Techniques",
issn = "1092-6429",
publisher = "Mary Ann Liebert Inc.",
number = "5",

}

TY - JOUR

T1 - Thoracoscopic resection of foregut duplication cysts

AU - Hirose, Shinjiro

AU - Clifton, Matthew S.

AU - Bratton, Barbara

AU - Harrison, Michael R.

AU - Farmer, Diana L

AU - Nobuhara, Kerilyn K.

AU - Lee, Hanmin

PY - 2006/10

Y1 - 2006/10

N2 - Background: Foregut duplications are rare entities that include both esophageal and bronchogenic cysts. The diagnosis of foregut duplication cyst is made most often from an incidental finding on chest radiograph, or due to respiratory compromise due to mass effect or infection. Treatment consists of complete resection. Recurrences are associated with incomplete resection. Six cases of foregut duplication cysts are presented that were resected thoracoscopically. Materials and Methods: From May 1998 to April 2003, six patients underwent thoracoscopy for resection of foregut duplication cyst. One patient required conversion to open thoracotomy due to esophageal perforation. The distribution of cysts was 4 on the left and 2 on the right; all procedures were performed with three or four ports. Single lung ventilation was used in three patients. The masses were removed via a port site after intrathoracic decompression. Chest tubes were placed in all patients, and most were removed within 12 hours. Results: Five of six cases underwent successful thoracoscopic resection. Pathology demonstrated esophageal duplication cyst in three patients and bronchogenic cyst in the other three patients. Average hospital stay was 5.5 days. Complications included aspiration pneumonia and chest tube dislodgment There were no deaths, and no recurrences. Conclusion: Thoracoscopic resection is a safe and effective method of treating foregut duplications. Outcomes have been good with little short-term morbidity and no mortality. Morbidity and cosmesis are improved by avoiding thoracotomy. Thoracoscopic resection should be considered the first-line therapy for these benign masses.

AB - Background: Foregut duplications are rare entities that include both esophageal and bronchogenic cysts. The diagnosis of foregut duplication cyst is made most often from an incidental finding on chest radiograph, or due to respiratory compromise due to mass effect or infection. Treatment consists of complete resection. Recurrences are associated with incomplete resection. Six cases of foregut duplication cysts are presented that were resected thoracoscopically. Materials and Methods: From May 1998 to April 2003, six patients underwent thoracoscopy for resection of foregut duplication cyst. One patient required conversion to open thoracotomy due to esophageal perforation. The distribution of cysts was 4 on the left and 2 on the right; all procedures were performed with three or four ports. Single lung ventilation was used in three patients. The masses were removed via a port site after intrathoracic decompression. Chest tubes were placed in all patients, and most were removed within 12 hours. Results: Five of six cases underwent successful thoracoscopic resection. Pathology demonstrated esophageal duplication cyst in three patients and bronchogenic cyst in the other three patients. Average hospital stay was 5.5 days. Complications included aspiration pneumonia and chest tube dislodgment There were no deaths, and no recurrences. Conclusion: Thoracoscopic resection is a safe and effective method of treating foregut duplications. Outcomes have been good with little short-term morbidity and no mortality. Morbidity and cosmesis are improved by avoiding thoracotomy. Thoracoscopic resection should be considered the first-line therapy for these benign masses.

UR - http://www.scopus.com/inward/record.url?scp=33947694711&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33947694711&partnerID=8YFLogxK

U2 - 10.1089/lap.2006.16.526

DO - 10.1089/lap.2006.16.526

M3 - Article

C2 - 17004883

AN - SCOPUS:33947694711

VL - 16

SP - 526

EP - 529

JO - Journal of Laparoendoscopic and Advanced Surgical Techniques

JF - Journal of Laparoendoscopic and Advanced Surgical Techniques

SN - 1092-6429

IS - 5

ER -