A multidisciplinary collaborative model based on single-port thoracoscopy for the treatment of giant mediastinal lymph node hyperplasia: a case report.

Haihua Gu, Tianshu Liu, Ling Zhu, Lufeng Zhao, Junqiang Fan

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Article in The Journal of international medical research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 authors at 1 institution in 1 country.

Haihua GuDepartment of Thoracic Surgery, The Second Affiliated Hospital, School of Medicine, 12377Zhejiang University, Zhejiang University, Hangzhou, P.R. China.

Tianshu LiuDepartment of Thoracic Surgery, The Second Affiliated Hospital, School of Medicine, 12377Zhejiang University, Zhejiang University, Hangzhou, P.R. China.

Ling ZhuDepartment of Thoracic Surgery, The Second Affiliated Hospital, School of Medicine, 12377Zhejiang University, Zhejiang University, Hangzhou, P.R. China.

Lufeng ZhaoDepartment of Thoracic Surgery, The Second Affiliated Hospital, School of Medicine, 12377Zhejiang University, Zhejiang University, Hangzhou, P.R. China.

Junqiang FanDepartment of Thoracic Surgery, The Second Affiliated Hospital, School of Medicine, 12377Zhejiang University, Zhejiang University, Hangzhou, P.R. China.ORCID https://orcid.org/0000-0002-2734-3789

Second Affiliated Hospital of Zhejiang University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mediastinal unicentric Castleman disease (UCD) frequently manifests as a hyper-enhancing lymph node mass and is often surgically curable. However, because of excessive vascularisation and adhesion to important surrounding structures, surgery is often associated with severe haemorrhage that is often difficult to control thoracoscopically. Therefore, thoracotomy is often preferred, which increases the trauma to the patient and affects postoperative recovery. Here, we describe the case of a 30-year-old male patient with a large upper mediastinal lymph node (7 × 5 × 4 cm) that was compressing his superior vena cava. The distribution of nutritive arteries of the mass was analysed in detail, and the main branches were embolised prior to surgery. With the assistance of preoperative isovolumetric haemodilution, we achieved complete resection through single-port thoracoscopy, with only minor haemorrhage, which enabled the patient to recover rapidly. This multidisciplinary collaborative model, based on single-port thoracoscopic surgery, may be of wide practical use for the treatment of mediastinal UCD.

Indexed as

Castleman DiseaseAdultHumansHyperplasiaLymph NodesThoracoscopyVena Cava, Superiorembolisationlymph nodeMediastinal massmultidisciplinary treatmentnutritive arterysingle port thoracoscopic surgerythoracotomyunicentric Castleman disease

Identifiers

PMID34918977

DOI10.1177/03000605211062780

PMCPMC8725231

OpenAlexW4200575987

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LicenceCC BY-NC

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.