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Podobed A.V.

N.N. Alexandrov Republican Research and Practical Center for Oncology and Medical Radiology

Minimally invasive surgery for cervico-mediastinal tumors: the choice of surgical approach

Authors:

Podobed A.V.

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Journal: Pirogov Russian Journal of Surgery. 2021;(11): 47‑55

DOI: 10.17116/hirurgia202111147

Read: 1841 times

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Table of contents

MINIMALLY INVASIVE SURGERY FOR CERVICO-MEDIASTINAL TUMORS: THE CHOICE OF SURGICAL APPROACH
MINIMALLY INVASIVE SURGERY FOR CERVICO-MEDIASTINAL TUMORS: THE CHOICE OF SURGICAL APPROACH

To cite this article:

Podobed AV. Minimally invasive surgery for cervico-mediastinal tumors: the choice of surgical approach. Pirogov Russian Journal of Surgery. 2021;(11):47‑55. (In Russ.)
https://doi.org/10.17116/hirurgia202111147

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To improve postoperative outcomes in patients with cervico-mediastinal tumors using minimally invasive surgical approaches.

MATERIAL AND METHODS

A retrospective analysis included 67 patients with cervico-mediastinal tumors who underwent surgery between 2002 and 2020. Outcomes of conventional surgeries (n=29), VATS (n=17), supraclavicular approach (n=19) and their combination were analyzed.

RESULTS

Minimally invasive approaches were characterized by significantly less blood loss (p<0.001), complication rate (p<0.001), duration of postoperative drainage (p<0.001) and hospital-stay (p<0.001). There was no postoperative mortality. No patient had tumor recurrence throughout the follow-up period (median 35 months).

CONCLUSION

VATS is advisable for tumors <6 cm localized predominantly in the mediastinum (>50% of volume). Supraclavicular approach is preferred mainly for cervical tumors. Minimally invasive surgical approaches are followed by more favorable early postoperative outcomes in patients with cervico-mediastinal tumor compared to traditional technique.

Keywords:

thoracic inlet
video-assisted thoracoscopy
supraclavicular approach
cervico-mediastinal tumor

Authors:

Podobed A.V.

N.N. Alexandrov Republican Research and Practical Center for Oncology and Medical Radiology

Received:

19.11.2020

Accepted:

25.12.2020

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