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• W2012090415 abstract "To the Editor:We read the article by Smythe and colleagues (August 1998)1Smythe WR Bavaria JE Kaiser LR Mediastinoscopic subtotal removal of mediastinal cysts.Chest. 1998; 114: 614-617Abstract Full Text Full Text PDF PubMed Scopus (11) Google Scholar with interest. Many surgeons have advocated a minimally invasive approach to mediastinal cysts, but thoracoscopic approaches are currently more popular than mediastinoscopy.2Ginsberg RJ Atkins RW Paulson DL A bronchogenic cyst successfully treated by mediastinoscopy.Ann Thorac Surg. 1972; 13: 266-268Abstract Full Text PDF PubMed Scopus (28) Google Scholar,3Hazelrigg SR Landreneau RJ Mack MJ et al.Thoracoscopic resection of mediastinal cysts.Ann Thorac Surg. 1993; 56: 659-660Abstract Full Text PDF PubMed Scopus (91) Google Scholar Although Smythe and coworkers have extensive experience with thoracoscopic surgery, they favor mediastinoscopy for mediastinal cysts. We share their enthusiasm for mediastinoscopic treatment of selected mediastinal cysts.4Urschel JD Horan TA Mediastinoscopic treatment of mediastinal cysts.Ann Thorac Surg. 1994; 54: 1698-1701Abstract Full Text PDF Scopus (30) Google ScholarMediastinal cysts in favorable locations can be almost completely excised, as reported by Smythe and coworkers and others.1Smythe WR Bavaria JE Kaiser LR Mediastinoscopic subtotal removal of mediastinal cysts.Chest. 1998; 114: 614-617Abstract Full Text Full Text PDF PubMed Scopus (11) Google Scholar,4Urschel JD Horan TA Mediastinoscopic treatment of mediastinal cysts.Ann Thorac Surg. 1994; 54: 1698-1701Abstract Full Text PDF Scopus (30) Google Scholar However, large cysts in the subcarinal region are intimately associated with vital structures; mediastinoscopic excision of these cysts can be hazardous. In such cases, we prefer to perform a mediastinoscopic cystotomy, and use intracavitary doxycycline for cyst sclerosis.4Urschel JD Horan TA Mediastinoscopic treatment of mediastinal cysts.Ann Thorac Surg. 1994; 54: 1698-1701Abstract Full Text PDF Scopus (30) Google Scholar,5Huang C Kitano M Shindo T et al.Mediastinal cyst treated by flexible fiberscope and induction of intra-cystic adhesions [in Japanese].J Jpn Assoc Chest Surg. 1995; 9: 115-159Crossref Google Scholar We agree with Smythe; mediastinoscopic treatment of selected mediastinal cysts is safe and effective. Surgeons treating mediastinal cysts with mediastinoscopy should be familiar with several treatment techniques and their limitations. To the Editor: We read the article by Smythe and colleagues (August 1998)1Smythe WR Bavaria JE Kaiser LR Mediastinoscopic subtotal removal of mediastinal cysts.Chest. 1998; 114: 614-617Abstract Full Text Full Text PDF PubMed Scopus (11) Google Scholar with interest. Many surgeons have advocated a minimally invasive approach to mediastinal cysts, but thoracoscopic approaches are currently more popular than mediastinoscopy.2Ginsberg RJ Atkins RW Paulson DL A bronchogenic cyst successfully treated by mediastinoscopy.Ann Thorac Surg. 1972; 13: 266-268Abstract Full Text PDF PubMed Scopus (28) Google Scholar,3Hazelrigg SR Landreneau RJ Mack MJ et al.Thoracoscopic resection of mediastinal cysts.Ann Thorac Surg. 1993; 56: 659-660Abstract Full Text PDF PubMed Scopus (91) Google Scholar Although Smythe and coworkers have extensive experience with thoracoscopic surgery, they favor mediastinoscopy for mediastinal cysts. We share their enthusiasm for mediastinoscopic treatment of selected mediastinal cysts.4Urschel JD Horan TA Mediastinoscopic treatment of mediastinal cysts.Ann Thorac Surg. 1994; 54: 1698-1701Abstract Full Text PDF Scopus (30) Google Scholar Mediastinal cysts in favorable locations can be almost completely excised, as reported by Smythe and coworkers and others.1Smythe WR Bavaria JE Kaiser LR Mediastinoscopic subtotal removal of mediastinal cysts.Chest. 1998; 114: 614-617Abstract Full Text Full Text PDF PubMed Scopus (11) Google Scholar,4Urschel JD Horan TA Mediastinoscopic treatment of mediastinal cysts.Ann Thorac Surg. 1994; 54: 1698-1701Abstract Full Text PDF Scopus (30) Google Scholar However, large cysts in the subcarinal region are intimately associated with vital structures; mediastinoscopic excision of these cysts can be hazardous. In such cases, we prefer to perform a mediastinoscopic cystotomy, and use intracavitary doxycycline for cyst sclerosis.4Urschel JD Horan TA Mediastinoscopic treatment of mediastinal cysts.Ann Thorac Surg. 1994; 54: 1698-1701Abstract Full Text PDF Scopus (30) Google Scholar,5Huang C Kitano M Shindo T et al.Mediastinal cyst treated by flexible fiberscope and induction of intra-cystic adhesions [in Japanese].J Jpn Assoc Chest Surg. 1995; 9: 115-159Crossref Google Scholar We agree with Smythe; mediastinoscopic treatment of selected mediastinal cysts is safe and effective. Surgeons treating mediastinal cysts with mediastinoscopy should be familiar with several treatment techniques and their limitations." @default.
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• W2012090415 title "Mediastinoscopic Treatment of Mediastinal Cysts" @default.
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