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  • 1
    Electronic Resource
    Electronic Resource
    Video-assisted thoracoscopic management of anterior mediastinal masses (1995)
    Springer
    Surgical endoscopy and other interventional techniques 9 (1995), S. 1184-1188 
    Details
    ISSN: 1432-2218
    Keywords: Video-assisted thoracoscopic surgery ; Anterior mediastinal masses ; VATS ; Resections
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The author reports his personal experience on the management of anterior mediastinal masses using video-assisted thoracoscopic surgery (VATS) at a single institution. From August 1993 to March 1995, 24 patients (14 males and 10 females ranging in age from 9 to 76 years old) with anterior mediastinal masses were diagnosed or treated by VATS. This consisted of 11 biopsies and 13 resections (11 thymectomies and 2 thymic cystectomies). Seven biopsies were performed for primary histological diagnosis (four non-Hodgkin's lymphoma, two metastatic carcinoma, one yolk sac tumor) and four biopsies were performed to detect residual tumors following chemotherapy. Complete thymectomy was accomplished in all 11 cases by examination of the thymic bed and resected specimen. We have reserved this approach for resection of benign masses only. Adequate biopsy for histological diagnosis was obtained in all 11 cases to guide further management. There was no surgical mortality or intraoperative complications. The median postoperative hospital stay for the entire group was 3 days. We conclude that VATS for resection or biopsy of an anterior mediastinal mass is technically feasible and provides an alternative to the conventional approaches in selected patients.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00210924
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Thoracoscopic surgery in the elderly population (1996)
    Springer
    Surgical endoscopy and other interventional techniques 10 (1996), S. 880-882 
    Details
    ISSN: 1432-2218
    Keywords: Key words: Elderly — Thoracoscopic surgery — VATS
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Background: We review our experience in video-assisted thoracoscopic surgery (VATS) on patients over 75 years of age from a single institution. Methods: From September 1992 to November 1995, 22 patients (13 males and 9 females with mean age of 78.1 years) underwent the following procedures: pleural biopsies with or without drainage and decortication (5), drainage of empyema (2), wedge lung biopsy (3), bullectomy and talc insufflation (1), major lung resections (5), mediastinal biopsy (1), pericardiectomy (3), and thymectomy (2). Pulmonary function tests of the entire group showed the mean forced expiratory volume in 1 s (FEV1) to be 1.46 l (range 0.63–2.11) and forced vital capacity (FVC) to be 2.04 (range 0.98–3.55) l. Results: There was no mortality. Morbidity included prolonged chest drainage over 7 days in two patients (9.1%), one of whom was discharged with a drainage bag. Particularly of note was the lack of postoperative pulmonary complications. Conclusions: We conclude that VATS in the elderly population is safe. Age alone should not be a contraindication for major lung or mediastinal surgery.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s004649900188
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
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