TY - JOUR
T1 - Presentation and surgical management of bronchogenic and esophageal duplication cysts in adults
AU - Cioffi, Ugo
AU - Bonavina, Luigi
AU - De Simone, Matilde
AU - Santambrogio, Luigi
AU - Pavoni, Gianni
AU - Testori, Alberto
AU - Peracchia, Alberto
PY - 1998
Y1 - 1998
N2 - Objective: Bronchogenic and esophageal duplication cysts are congenital anomalies of the tracheobronchial tree and foregut that are often asymptomatic at initial presentation in adults. Surgery is always recommended, even for patients with asymptomatic disease, because of the possible development of symptoms and complications during the natural course of the disease and because definitive diagnosis can be established only on surgical specimen. Methods: Twenty-seven patients with bronchogenic and esophageal duplication cysts were treated in our institution over the last 2 decades. Ten patients (37%) were asymptomatic at initial presentation. Chest pain and dysphagia were the most common complaints in symptomatic patients affected by bronchogenic and duplication cysts, respectively. Results: A complete excision of the cyst was performed in 26 cases, whereas one patient with intrapulmonary cyst underwent a right upper pulmonary lobectomy. A posterolateral thoracotomy was performed in 23 patients, and a video-assisted thoracoscopy using a three-port technique was performed in the last 4 patients. No postoperative morbidity was recorded. All patients, except one, were asymptomatic at a median follow-up time of 4 years. Conclusions: Surgery is the treatment of choice for bronchogenic and esophageal duplication cysts. Video-assisted thoracoscopy should represent the first-line approach in these patients.
AB - Objective: Bronchogenic and esophageal duplication cysts are congenital anomalies of the tracheobronchial tree and foregut that are often asymptomatic at initial presentation in adults. Surgery is always recommended, even for patients with asymptomatic disease, because of the possible development of symptoms and complications during the natural course of the disease and because definitive diagnosis can be established only on surgical specimen. Methods: Twenty-seven patients with bronchogenic and esophageal duplication cysts were treated in our institution over the last 2 decades. Ten patients (37%) were asymptomatic at initial presentation. Chest pain and dysphagia were the most common complaints in symptomatic patients affected by bronchogenic and duplication cysts, respectively. Results: A complete excision of the cyst was performed in 26 cases, whereas one patient with intrapulmonary cyst underwent a right upper pulmonary lobectomy. A posterolateral thoracotomy was performed in 23 patients, and a video-assisted thoracoscopy using a three-port technique was performed in the last 4 patients. No postoperative morbidity was recorded. All patients, except one, were asymptomatic at a median follow-up time of 4 years. Conclusions: Surgery is the treatment of choice for bronchogenic and esophageal duplication cysts. Video-assisted thoracoscopy should represent the first-line approach in these patients.
KW - Bronchogenic cyst
KW - Esophageal duplication cyst
KW - Video-assisted thoracic surgery
UR - http://www.scopus.com/inward/record.url?scp=0031780568&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0031780568&partnerID=8YFLogxK
M3 - Article
C2 - 9631783
AN - SCOPUS:0031780568
VL - 113
SP - 1492
EP - 1496
JO - Chest
JF - Chest
SN - 0012-3692
IS - 6
ER -