TITLE

Clinical characteristics and feasibility of thoracoscopic approach for congenital cystic adenomatoid malformation in adults

AUTHOR(S)
Kwon, Yong Soo; Koh, Won-Jung; Han, Joungho; Choi, Yong Soo; Kim, Kwhanmien; Kim, Jhingook; Shim, Young Mog
PUB. DATE
May 2007
SOURCE
European Journal of Cardio-Thoracic Surgery;May2007, Vol. 31 Issue 5, p798
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Abstract: Objective: Congenital cystic adenomatoid malformation (CCAM) in adults is very rare, and surgical resection is the treatment of choice. We evaluated the clinical characteristics and feasibility and safety of video-assisted thoracic surgery (VATS) in adult patients with CCAM. Methods: Retrospective analysis of nine consecutive adult patients with CCAM treated surgically between January 1995 and April 2006 at a single center. The clinical characteristics and surgical outcome were evaluated retrospectively. Results: The records of five men and four women were examined. The median age at diagnosis was 30.5 years (range 16–44 years). The most frequent symptoms were cough (n =4) and hemoptysis (n =2). Three patients had recurrent respiratory infections. Chest computed tomography (CT) was reviewed in all cases. The lesions were on the right side in six patients and on the left in three. All patients had lesions in a single lobe, except one patient who had multi-lobar lesions. The CCAM appeared as thin-walled multi-septated cystic lesions in six patients and as parenchymal consolidations in three patients. Four patients underwent VATS lobectomy and four underwent lobectomy through a conventional open thoracotomy. One patient had open pneumonectomy. The median operating time (160min in VATS lobectomy and 165min in open lobectomy), median duration of chest tube drainage (4 days in VATS lobectomy and 6.5 days in open lobectomy), and postoperative complications (one patient in each treatment group) were similar between the VATS and open lobectomy groups. The hospital stay was shorter in the VATS lobectomy group (median 5 days) than in the open lobectomy group (median 7.5 days). No postoperative or procedure-related mortality occurred. Conclusions: CCAM is rare in adults. Patients usually present with recurrent respiratory infections and thin-walled multi-septated cystic lesions. VATS is a feasible and safe technique to treat adult patients with CCAM.
ACCESSION #
24611821

 

Related Articles

  • Valgus and varus deformity after wide-local excision, brachytherapy and external beam irradiation in two children with lower extremity synovial cell sarcoma: case report. Fletcher, Daniel T.; Warner, William C.; Neel, Michael D.; Merchant, Thomas E. // BMC Cancer;2004, Vol. 4, p57 

    Background: Limb-salvage is a primary objective in the management of extremity soft-tissue sarcoma in adults and children. Wide-local excision combined with radiation therapy is effective in achieving local tumor control with acceptable morbidity and good functional outcomes for most patients....

  • Dorsal digital ganglia excision with the use of a local transposition flap. Nugent, Nora; Cronin, Kevin // European Journal of Plastic Surgery;Nov2012, Vol. 35 Issue 9, p667 

    Dorsal digital ganglia are ganglia arising out of the adjacent distal interphalangeal joint. They may be asymptomatic but can cause pain, leakage of mucous, and nail deformities. Multiple surgical and non-surgical techniques have been described for their treatment. The aim of this study was to...

  • Modified Incision Design for Submental Flap: An Excellent Design Method for the Reconstruction of a Defect after Head and Neck Tumor Resection. Liu, Fa-yu; Li, Rui-wu; Safdar, Jawad; Li, Zhen-ning; Guo, Nan; Xu, Zhong-fei; Ge, Shu-fen; Li, Jun-lin; Huang, Shao-hui; Tan, Xue-xin; Sun, Chang-fu // PLoS ONE;Sep2013, Vol. 8 Issue 9, p1 

    Background:The usage of submental flap is a good method for head and neck reconstruction, but it has some risk also, such as anatomical variations and surgical errors. In this article, we present a modified incision design for the submental flap. Methods:We designed a modified submental...

  • Thoracoscopic treatment of pulmonary sequestration Kestenholz, Peter B.; Schneiter, Didier; Hillinger, Sven; Lardinois, Didier; Weder, Walter // European Journal of Cardio-Thoracic Surgery;May2006, Vol. 29 Issue 5, p815 

    Abstract: Objective: Pulmonary sequestration is a rare congenital malformation and may be the cause of recurrent infections or hemoptysis. It has been shown in case reports that resection by video-assisted thoracic surgery (VATS) is feasible despite the possible technical difficulties due to...

  • The long-term result of slanted medial rectus resection in exotropia of the convergence insufficiency type. Choi, M. Y.; Hwang, J.-M. // Eye;Nov2006, Vol. 20 Issue 11, p1279 

    PurposeTo evaluate the long-term results of slanted medial rectus (MR) resection for intermittent exotropia (X(T)) of the convergence insufficiency type.MethodsIn all, 10 patients with an X(T) greater at near than at distance by 10 prism diopters (PD) or more were included in this prospective...

  • Wide-excision RP shows lower positive margin rates. O'Malley, Anne // Urology Times;Apr2003, Vol. 31 Issue 4, p31 

    Discusses a study showing that using a wide-excision technique for radical prostatectomy provides lower positive margin rates than a statistically similar series of non-wide excision nerve-sparing and non-nerve-sparing procedures. Selected use of the wide-excision prostatectomy in high-risk or...

  • Primary Leiomyosarcoma of the Proximal Tibia. Kitay, Alison; Rybak, Leon; Desai, Parma; Villalobos, Camilo E.; Wittig, James C. // Bulletin of the NYU Hospital for Joint Diseases;2008, Vol. 66 Issue 1, p49 

    The article discusses the case of a 42-year old female who was diagnosed with primary leiomyosarcoma of the proximal tibia. It says that surgical resection with wide, tumor-free margins is the surgical treatment that can be applied with the neoplasm. It states that the patient did not experience...

  • Congenital familial bilateral branchial tracts: A rare case. Vent, Julia; Grier, Candace G.; Leopold, Donald A.; Heywood, Barbara B. // ENT: Ear, Nose & Throat Journal;Jan2008, Vol. 87 Issue 1, p48 

    The embryologic development of the head and neck is directed by an ensemble of numerous genes. Embryologic malformations of the head and neck are rare. When they do occur, the most common are thyroglossal duct cysts and branchial anomalies. Most malformations are apparent at birth. Complete...

  • The effect of costal cartilage resection on the chest wall development: a morphometric evaluation. Calik, Mustafa; Aribas, Olgun Kadir; Kanat, Fikret // European Journal of Cardio-Thoracic Surgery;Nov2007, Vol. 32 Issue 5, p756 

    Abstract: Objective: In repair of thoracic wall deformities, there is a debate in the literature regarding the optimal age and the type and number of costal cartilage resections. We evaluated the effect of costal cartilage resections on the chest wall development in young rabbits. Methods: Fifty...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics