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2007, Number 4

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Rev Inst Nal Enf Resp Mex 2007; 20 (4)

Mediastinal surgery at the National Institute of Respiratory Diseases Ismael Cosío Villegas during 2006

Céspedes MEE, Rueda VJP, Torres AR, Téllez BJL, Morales GJ

Language: Spanish
References: 37
Page: 255-258
PDF size: 64.31 Kb.


ABSTRACT

Introduction and objectives: Surgical management of mediastinal pathology, both diagnostic and therapeutic, should be done by a qualified thoracic surgeon. The purpose of this paper is to review the surgical procedures performed by thoracic surgeons in our service during 2006.
Materials and methods: Descriptive, retrospective, transversal and observational study. Chart review of the procedures performed during 2006 in patients with mediastinal pathology at the Department of Thoracic Surgery, National Institute of Respiratory Diseases Ismael Cosío Villegas. Gender, age, pathology, procedure, complications and mortality related to the procedure were registered and evaluated.
Results: Seventy one patients 1 to 88 years old, mean 50 years; 43 women. Twenty nine pericardial drainages, 24 mediastinoscopies-mediastinotomies, 9 drainages of the mediastinum for mediastinitis and 9 resecctions of mediastinal tumors were done. There were 8 complications: 3 seromas, 1 soft tissue infection, 2 transoperatory bleedings and 2 loculated empyemas; 7 (77%) of the 9 patients with mediastinitis died, the two survivors were reoperated due to loculated empyemas. There were no other deaths.
Conclusions: Mediastinal pathology is varied in a concentration hospital; the procedures for diagnosis and treatment executed by qualifed thoracic surgeons are performed with satisfactory mortality when patients arrive in a timely condition.


REFERENCES

  1. Prendergast BD. Pericardial disease. Medicine 2006;34:302-306.

  2. Tuon FF, Litvoc MN, Lopes MI. Adenosine deaminase and tuberculous pericarditis-a systematic review with meta-analysis. Acta Trop 2006;99:67-74.

  3. Pankuweit S, Ristic AD, Seferovic PM, Maisch B. Bacterial pericarditis: diagnosis and management. Am J Cardiovasc Drugs 2005;5:103-112.

  4. Campbell PT, van Trigt P, Wall TC, et al. Subxiphoid pericardiotomy in the diagnosis and management of large pericardial effusions associated with malignancy. Chest 1992;101:938-943.

  5. Malignant pericardial effusion. Accesible en Cancer web. http://cancerweb.ncl.ac.uk/cancernet/103860. html

  6. Cullinane CA, Paz IB, Smith D, Carter N, Grannis FW Jr. Prognostic factors in the surgical management of pericardial effusion in the patient with concurrent malignancy. Chest 2004;125:1328-1334.

  7. Ben-Horin S, Shinfeld A, Kachel E, Chetrit A, Livneh A. The composition of normal pericardial fluid and its implications for diagnosing pericardial effusions. Am J Med 2005;118:636-640.

  8. Burgess LJ, Reuter H, Taljaard JJ, Doubell AF. Role of biochemical tests in the diagnosis of large pericardial effusions. Chest 2002;121:495-499.

  9. Rienmüller R, Gröll R, Lipton MJ. CT and MR imaging of pericardial disease. Radiol Clin North Am 2004;42:587-601.

  10. Fontenelle LJ, Cuello L, Dooley BN. Subxiphoid pericardial window. A simple and safe method for diagnosing and treating acute and chronic pericardial effusions. J Thorac Cardiovasc Surg 1971;62:95-97.

  11. Liu HP, Chang CH, Lin PJ, Hsieh HC, Chang JP, Hsieh MJ. Thoracoscopic management of effusive pericardial disease: indications and technique. Ann Thorac Surg 1994;58:1695-1697.

  12. O’Brien PK, Kucharczuk JC, Marshall MB, et al. Comparative study of subxiphoid versus video-thoracoscopic pericardial "window". Ann Thorac Surg 2005;80: 2013-2019.

  13. Georghiou GP, Stamler A, Sharoni E, et al. Video-assisted thoracoscopic pericardial window for diagnosis and management of pericardial effusions. Ann Thorac Surg 2005;80:607-610.

  14. Flum DR, McGinn JJ Jr, Tyras DH. The role of the ‘pericardial window’ in AIDS. Chest 1995;107;1522-1525.

  15. Ponn RB, Federico JA. Mediastinoscopy and staging. In: Kaiser LR, Kron IL, Spray TL, editors. Mastery of cardiothoracic surgery. Philadelphia: Lippincott- Raven;1998.p.11-27.

  16. Ginsberg RJ, Rice TW, Goldberg M, Waters PF, Schmocker BJ. Extended cervical mediastinoscopy. A single staging procedure for bronchogenic carcinoma of the left upper lobe. J Thorac Cardiovasc Surg 1987;94:673-678.

  17. Alifano M, Charpentier MC, Perrotin C, et al. Perioperative analysis of biopsies issued from mediastinoscopy. Surg Endosc 2005;19:1456-1459.

  18. Serna DL, Aryan HE, Chang KJ, Brenner M, Tran LM, Chen JC. An early comparison between endoscopic ultrasound-guided fine-needle aspiration and mediastinoscopy for diagnosis of mediastinal malignancy. Am Surg 1998;64:1014-1018.

  19. Annema JT, Versteegh MI, Veselic M, et al. Endoscopic ultrasound added to mediastinoscopy for preoperative staging of patients with lung cancer. JAMA 2005;294:931-936.

  20. Gummert JF, Barten MJ, Hans C, et al. Mediastinitis and cardiac surgery-an updated risk factor analysis in 10,373 consecutive adult patients. Thorac Cardiovasc Surg 2002;50:87-91.

  21. Mora R, Jankowska B, Catrambone U, et al. Descending necrotizing mediastinitis: ten years’ experience. Ear Nose Throat J 2004;83:774-780.

  22. Cárdenas-Malta KR, Cortés-Flores AO, Fuentes-Orozco C, Martínez-Oropeza LC, López-Ramírez MKL, González-Ojeda A. Mediastinitis purulenta en infecciones profundas de cuello. Cir Ciruj 2005;73:263-267.

  23. Kono T, Kohno A, Kuwashima S, et al. CT findings of descending necrotizing mediastinitis via the carotid space ("Lincoln Highway"). Pediatr Radiol 2001; 31:84-86.

  24. Cai XY, Zhang WJ, Zhang ZY, Yang C, Zhou LN, Chen ZM. Cervical infection with descending mediastinitis: a review of six cases. Int J Oral Maxillofac Surg 2006;35:1021-1025.

  25. Bulut M, Balci V, Akköse S, Armaan E. Fatal descending necrotizing mediastinitis. Emerg Med J 2004;21: 122-123.

  26. Exarhos DN, Malagari K, Tsatalou EG, et al. Acute mediastinitis: spectrum of computed tomography findings. Eur Radiol 2005;15:1569-1574.

  27. Brook I. The role of anaerobic bacteria in mediastinitis. Drugs 2006;66:315-320.

  28. Lavini C, Natali P, Morandi U, Dallari S, Bergamini G. Descending necrotizing mediastinitis. Diagnosis and surgical treatment. J Cardiovasc Surg (Torino) 2003; 44:655-660.

  29. Roberts JR, Smythe WR, Weber RW, Lanutti M, Rosengard BR, Kaiser LR. Thoracoscopic management of descending necrotizing mediastinitis. Chest 1997;112:850-854.

  30. Navarro RF, Pérez-Romo A, de la Escosura-Romero G, Green L, Ibarra-Pérez C. Absceso dentario, cervicotomías y sepsis. Rev Inst Nal Enf Resp Mex 2005;18:221-223.

  31. Pérez-Romo A, Cueto-RG, de la Escosura-Romero G, Cicero-Sabido R. Mediastinitis necrosante descendente. Resultados de tratamiento médico-quirúrgico en 17 casos. Gac Med Mex 2003;139:199-204.

  32. Franco A, Mody NS, Meza MP. Imaging evaluation of pediatric mediastinal masses. Radiol Clin North Am 2005;43:325-353.

  33. Wright CD, Mathisen DJ. Mediastinal tumors: diagnosis and treatment. World J Surg 2001;25:204-209.

  34. Duwe BV, Sterman DH, Musani AI. Tumors of the mediastinum. Chest 2005;128:2893-2909.

  35. Strollo DC, Rosado de Christenson ML, Jett JR. Primary mediastinal tumors. Part 1: Tumors of the anterior mediastinum. Chest 1997;112:511-522.

  36. Strollo DC, Rosado de Christenson ML, Jett JR. Primary mediastinal tumors. Part II: Tumors of the middle and posterior mediastinum. Chest 1997;112: 1344-1357.

  37. Takeda S, Miyoshi S, Minami M, Ohta M, Masaoka A, Matsuda H. Clinical spectrum of mediastinal cysts. Chest 2003;124:125-132.




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