Mediastinal Cyst Involving the Oesophagus: Diagnosis and Results of Surgical Treatment

Luigi Bonavina, Maurizio Pavanello, Alessandro Baisi, Carlo Castoro, Ermanno Ancona, Alberto Peracchia

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To describe our experience with mediastinal cysts involving the oesophagus. Design: Retrospective study. Setting: University hospital, Italy. Subjects: 11 patients who presented to our department with a mediastinal cyst from 1976-1994. Interventions: Excision of the mass through a posterolateral thoracotomy (n = 10) or by video-assisted thoracoscopy. Main outcome measures: Morbidity and mortality. Results: 8 patients presented with retrosternal or epigastric pain, three of whom had mild dysphagia. In the remaining 3 the tumour was asymptomatic and an incidental finding on a chest radiograph. Endoscopic ultrasonography and computed tomography (CT) allowed preoperative diagnosis of an extramucosal cyst in 5 of the 7 patients investigated by both tests. Masses were excised through a formal thoracotomy (n = 10) or by video-assisted thoracoscopy. Histological examination confirmed a benign cyst in all cases. There was no operative morbidity and nine patients are free of symptoms after a median follow-up of 2.3 years. Conclusion: Excision, preferably by thoracoscopy, is the treatment of choice for mediastinal cysts that involve the oesophagus. Special attention should be paid to the vagal nerves, and as many as possible of the muscular layers of the oesophagus should be preserved.

Original languageEnglish
Pages (from-to)703-707
Number of pages5
JournalEuropean Journal of Surgery, Acta Chirurgica
Volume162
Issue number9
Publication statusPublished - 1996

Keywords

  • 24-hour oesophageal pH-monitoring
  • Bronchogenic cyst
  • Endoscopic ultrasonography
  • Gastroenteric cyst
  • Oesophageal reduplication cyst
  • Oesophagitis
  • Oesophagus
  • Video assisted thoracic surgery

ASJC Scopus subject areas

  • Surgery
  • Medicine(all)

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