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[Intrathoracic coelomic cysts].

D Manac'h1, M Riquet, B Kao

  • 1Service de Chirurgie Thoracique, Hôpital Laennec, Paris.

Revue De Pneumologie Clinique
|June 15, 1999
PubMed
Summary

Intrathoracic coelomic cysts, often benign, may require surveillance or surgery. Videothoracoscopy is recommended for diagnosis and excision of pleuropericardial cysts, while minimal thoracotomy aids ectopic mediastinal cyst removal.

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Area of Science:

  • Thoracic Surgery
  • Embryonic Tumors
  • Diagnostic Imaging

Context:

  • Intrathoracic coelomic cysts are benign embryonic tumors originating from mesothelial cells.
  • These cysts can present with varied localizations within the thorax, including pleuropericardial and mediastinal regions.
  • Management strategies range from surveillance to surgical intervention, depending on cyst type and clinical presentation.

Purpose:

  • To review the localizations, surgical indications, and minimally invasive techniques for intrathoracic coelomic cysts.
  • To evaluate the outcomes and recurrence rates following surgical management.
  • To compare the efficacy and sequelae of different surgical approaches.

Summary:

  • A retrospective review of 28 intrathoracic coelomic cysts (21 pleuropericardial, 7 ectopic mediastinal) was conducted.

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  • Surgical indications varied, with diagnosis being primary for ectopic cysts and clinical signs/volume for pleuropericardial cysts.
  • Videothoracoscopy demonstrated favorable outcomes with fewer sequelae compared to thoracotomy.

    • Impact:

    • Pleuropericardial cysts generally require surveillance unless symptomatic or increasing in size.
    • Ectopic mediastinal cysts typically necessitate surgical diagnosis and treatment.
    • Minimally invasive techniques, particularly videothoracoscopy, are preferred for managing these cysts due to improved outcomes and reduced complications.