Eur J Pediatr Surg 2012; 22(04): 318-320
DOI: 10.1055/s-0032-1308697
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Thoracoscopic Removal of a Bulky Cystic Mediastinal Mature Teratoma in a 4-Year-Old Child: Report of One Case and Few Surgical Tricks

Daniela Codrich
1   Institute for Maternal and Child Health, IRCCS Burlo Garofolo, Trieste, Italy
,
Maria Antonietta Lembo
1   Institute for Maternal and Child Health, IRCCS Burlo Garofolo, Trieste, Italy
,
Jurgen Schleef
1   Institute for Maternal and Child Health, IRCCS Burlo Garofolo, Trieste, Italy
› Author Affiliations
Further Information

Publication History

28 September 2011

09 January 2012

Publication Date:
10 May 2012 (online)

Background

In the past decade, thoracoscopy has gained acceptance as the treatment of choice to perform increasingly complex procedures both for diagnostic and therapeutic purposes in the management of thoracic and mediastinal disease.[1] However, even if in the adult literature there is wide documentation of thoracoscopic removal of bulky mediastinal masses by the thoracoscopic approach, fewer reports are present in the pediatric literature concerning removal of bulky mediastinal mature teratomas.[2] [3] [4]

In children the mediastinum is the fourth most common site for teratomas, after the ovary, sacrococcygeal region and testis and the great majority of teratomas is mature benign neoplasm.

The purpose of this article is to report about the feasibility of thoracoscopic removal of one large cystic mediastinal teratoma in a 4-year-old child.

 
  • References

  • 1 Rothenberg SS. Thoracoscopy in infants and children. Semin Pediatr Surg 1998; 7 (4) 194-201
  • 2 Partrick DA, Rothenberg SS. Thoracoscopic resection of mediastinal masses in infants and children: an evaluation of technique and results. J Pediatr Surg 2001; 36 (8) 1165-1167
  • 3 López Díaz M, Cano Novillo I, Cabezalí Barbancho D, Tejedor Sánchez R. [Anterior mediastinal cystic teratoma: thoracoscopic approach]. An Pediatr (Barc) 2007; 67 (1) 78-79
  • 4 Nakajima K, Fukuzawa M, Minami M , et al. Videothoracoscopic resection of anterior mediastinal teratoma in a child. Report of a case. Surg Endosc 1998; 12 (1) 54-56
  • 5 Halkic N, Zeini S, Henchoz L. Soft-tissue images. Pleuropericardial cyst. Can J Surg 2002; 45 (3) 201
  • 6 Hermens FHW, Visser FJ, Termeer A, Barendregt WB, Janssen JP. Video assisted thoracoscopic treatment of pleuropericardial cysts. Diagn Ther Endosc 2001; 7 (2) 47-53
  • 7 Schneider CR, Gauderer MW, Blackhurst D, Chandler JC, Abrams RS. Video-assisted thoracoscopic surgery as a primary intervention in pediatric parapneumonic effusion and empyema. Am Surg 2010; 76 (9) 957-961
  • 8 van der Zee DC, Bax KN. Thoracoscopic treatment of esophageal atresia with distal fistula and of tracheomalacia. Semin Pediatr Surg 2007; 16 (4) 224-230
  • 9 Nakano T, Endo S, Tsubochi H , et al. [Video-assisted thoracoscopic removal for mediastinal mature teratoma following extraction of cystic components]. Kyobu Geka 2009; 62 (5) 358-361
  • 10 Takayasu H, Kitano Y, Kuroda T , et al. Successful management of a large fetal mediastinal teratoma complicated by hydrops fetalis. J Pediatr Surg 2010; 45 (12) e21-e24
  • 11 Takahashi M, Okumura N, Matsuoka T, Yamashina A, Nakano J, Kameyama K. Teratoma with naturally occurring malignant transformation in a child. Ann Thorac Cardiovasc Surg 2011; 17 (6) 588-590