2024 World Conference on Lung Cancer (WCLC) - ePosters-EP.14C.04 Micro Neck Incision Combined with VATS for Resection of Superior Mediastinal Neoplasms

EP.14C.04 Micro Neck Incision Combined with VATS for Resection of Superior Mediastinal Neoplasms

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The document outlines a study on the use of a micro neck incision combined with video-assisted thoracoscopic surgery (VATS) for the resection of superior mediastinal neoplasms. The author, Jingyu Mao, describes a minimally invasive technique targeting patients with large mediastinal masses who have been extensively examined to rule out metastasis. The choice of incision is tailored to the tumor's primary location, opting for either a necklace or collar incision for the neck approach, and either intercostal or subxiphoid thoracoscopy for the thoracoscopic approach.<br /><br />The study reported on nine cases involving various pathological types of high mediastinal tumors, including aggressive fibroma, goiter, thymoma, angioma, teratoma, and paraganglioma. Importantly, there were no conversions to open surgery. The procedure was successful without complications often associated with more invasive surgeries, such as Horner syndrome, injuries to the vagus nerve, recurrent laryngeal nerve, phrenic nerve, brachial plexus, or major blood vessels. All patients were reportedly well in short-term follow-up assessments.<br /><br />The study concludes that the combined use of cervical microincision and thoracoscopic surgery is a safe and effective approach to treating high mediastinal tumors. This technique helps to avoid the need for thoracotomy, especially when tumors are difficult to expose, offering a less invasive alternative for patients requiring surgical intervention in the upper mediastinal region.

Asset Subtitle

Jingyu Mao

Meta Tag

Speaker Jingyu Mao

Topic Mesothelioma, Thymoma, and Other Thoracic Tumors

Keywords

micro neck incision

video-assisted thoracoscopic surgery

superior mediastinal neoplasms

minimally invasive technique

mediastinal masses

thoracoscopic approach

high mediastinal tumors

cervical microincision

thoracotomy alternative

upper mediastinal surgery