临床小儿外科杂志2025，Vol.24Issue(5)：410-414,5.DOI:10.3760/cma.j.cn101785-202503033-003
胸腔镜手术治疗儿童纵隔肿瘤经验总结
Clinical outcome of thoracoscopy for mediastinal tumors in children
摘要
Abstract
Objective To explore the clinical characteristics of mediastinal tumors and evaluate the effi-cacy and surgical techniques of thoracoscopy in children.Methods A retrospective analysis was conducted for the relevant clinical data of children with mediastinal tumors at Department of Pediatric Surgery,Sichuan People's Hospital,from January 2016 to January 2024.The study summarized tumor types,clinical manifesta-tions,surgical approaches and clinical outcomes.A total of 67 children with mediastinal tumors were recruited.There were 38 boys and 29 girls with a mean age range of 99(17-166)month.Results There were thymic hyperplasia(n=23),thymoma(n=3),Langerhans cell hyperplasia in thymus(n=2),neuroblastoma(n=10),lymphangioma(n=8),ganglionic neuroma(n=7),neurofibroma(n=5),teratoma(n=3),lymphoma(n=3),bronchogenic cyst(n=2)and esophageal duplicate malformation(n=1).Thymomas(n=8)and teratomas(n=3)were located in anterior mediastinum,lymphomas(n=3)and bronchogenic cysts(n=2)in mediastinum and the remainders in posterior mediastinum.Thoracoscopic resection of mediastinal tumor was performed.Four cases of neuroblastoma were converted into open surgery during operation.Two cases of incom-plete resection underwent biopsy.The remaining 65 children were completely resected.Average operative dura-tion was 55(35-145)min and average volume of blood loss 30(10-50)mL.Chest drainage tube was insert-ed for 2-5 days postoperatively.Hospitalization lasted for(7-10)day.Average time of hospital discharge was 6(5-8)day and average follow-up period 25(5-52)month.Three cases of neuroblastoma died after compre-hensive treatments,two cases of neuroblastoma recurred after surgery and continued chemotherapy and the re-mainders survived well.No wound or pleural infection occurred postoperatively.Conclusions Laparoscopy for mediastinal tumors in children is both safe and feasible with shorter operative duration and minimal trauma.Pre-operative CT imaging plays a crucial role in the assessment of mediastinal tumors.It provides detailed informa-tion regarding the nature of tumor and its relationship with surrounding structures.Such information is essential for optimizing surgical approaches.关键词
纵隔肿瘤/胸腔镜检查/外科手术/儿童Key words
Mediastinal Tumor/Thoracoscopy/Surgical Procedures,Operative/Child引用本文复制引用
马俊梅,蒋琴,何姿容,徐冰,刘文英..胸腔镜手术治疗儿童纵隔肿瘤经验总结[J].临床小儿外科杂志,2025,24(5):410-414,5.基金项目
四川省科技厅重点项目(2021YFS0381) （2021YFS0381）
成都市科技局课题(2024-YF05-01871-SN) Key Project of Sichuan Provincial Department of Science and Technology(2021YFS0381) （2024-YF05-01871-SN）
Project of Chengdu Municipal Science and Technology Bureau(2024-YF05-01871-SN) （2024-YF05-01871-SN）
