Wang Yuanxiang,Zheng Fengnan,Ti Yunxing,et al.Clinical characteristics and surgical strategies of cystic mediastinal lesions in children:a single-center retrospective experience[J].Journal of Clinical Pediatric Surgery,2025,(05):424-428.[doi:10.3760/cma.j.cn101785-202502045-006]
Clinical characteristics and surgical strategies of cystic mediastinal lesions in children:a single-center retrospective experience
- Keywords:
- Mediastinum; Lymphangioma; Teratoma; Bronchogenic Cysts; Signs and Symptoms; Surgical Procedures; Operative; Child
- Abstract:
- Objective To explore the clinical manifestations and surgical strategies of mediastinal cystic lesions in children. Methods A retrospective analysis was conducted for the relevant clinical data of 52 children of mediastinal cystic lesions operated from January 2019 to October 2024.This cohort included 35 boys and 17 girls with a mean age of 5.17 years (10 days-14.17 years).The outcome measures included age,operative duration,intraoperative volume of blood loss,postoperative volume of drainage,length of hospitalization stay,absence or presence of complications and intraoperative conversion into thoracotomy. Results The procedures included thoracoscopy (n=48),conversion into open thoracotomy (n=3) and median sternotomy (n=1).All cases were confirmed by postoperative pathological examination.There were 26 cases of foregut cysts (operative duration 99.35±66.15 min,intraoperative volume of blood loss 4.40±10.00 mL,postoperative volume of drainage 62.80±69.90 mL and hospitalization stay of 8.50±4.70 day),14 cases of teratoma (operative duration 207.57±136.13 min,intraoperative volume of blood loss 96.00±217.00 mL,postoperative volume of drainage 215.40±215.50 mL and hospitalization stay 11.57±8.27 day),10 cases of lymphangioma (operative duration 190.70±97.70 min,intraoperative volume of blood loss 18.00±33.00 mL,postoperative volume of drainage 366.90±807.10 mL and hospitalization stay 13.60±15.48 day) and 2 cases of thymic cyst (operative duration 190.00±183.85 min,intraoperative volume of blood loss 50.50±70.00 mL,postoperative volume of drainage 232.50±314.70 mL and hospitalization stay 8.00±2.83 day).Perioperative complications occurred (n=5),including intraoperative hemorrhage (n=3),diaphragmatic eventration (n=1) and recurrent lymphangioma (n=1).It stabilized after interventional treatment.There was no mortality. Conclusions Pediatric mediastinal cystic lesions may have diverse pathological types.Early diagnosis and evaluation of appropriate treatments based upon imaging characteristics are critical.Thoracoscopic resection is a primary treatment for mediastinal cystic lesions in children.
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Memo
收稿日期:2025-2-23。
基金项目:深圳市医学重点学科建设经费资助(SZXK00036)
通讯作者:王元祥,Email:Yuanxiangw@126.com