Evidence map›Paper›PMID 41578337›Full record

ArticleJournal of cardiothoracic surgery2026

Management of large anterior mediastinal mass by video-assisted thoracoscopic surgery.

Fahmi Hussein Kakamad, Kaiwan Talib Saeed, Shyar Mohammed Ibrahim, Shad Awat Ghafur

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Article in Journal of cardiothoracic surgery, 2026. 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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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Fahmi Hussein KakamadScientific Affairs Department, Smart Health Tower, Madam Mitterrand Street, Sulaymaniyah, 46001, Iraq. fahmi.hussein@univsul.edu.iq.
Kaiwan Talib SaeedCollege of Medicine, University of Sulaimani, Madam Mitterrand Street, Doctor City, Building 11, Apartment 50, Shorsh Street, Sulaymaniyah, 46001, Iraq.
Shyar Mohammed IbrahimCollege of Medicine, University of Sulaimani, Madam Mitterrand Street, Doctor City, Building 11, Apartment 50, Shorsh Street, Sulaymaniyah, 46001, Iraq.
Shad Awat GhafurCollege of Medicine, University of Sulaimani, Madam Mitterrand Street, Doctor City, Building 11, Apartment 50, Shorsh Street, Sulaymaniyah, 46001, Iraq.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere are controversies regarding managing anterior mediastinal mass greater than 5 cm by video-assisted thoracoscopic surgery (VATS). This study aims to present a single-center experience in using VATS to resect large anterior mediastinal masses using either unilateral or bilateral approach.

methodsThis is a retrospective case series, including consecutive patients referred for surgical management of anterior mediastinal mass, provided the mass was equal to or larger than five centimeters. Only phase I (unilateral VATS) was performed for those with a single approach, while phase one and phase II (bilateral VATS) were performed for those with dual approach.

resultsThe study included eight cases; 4 (50%) were male, and 4 (50%) were female. All of the cases had features of myasthenia gravis. The average diameter of the mass on the computed tomography scan was 7 cm, ranging from 5 to 12 cm. Dual VATS was utilized in three (37.5%) cases, which showed both left and right extension. The average blood loss was 180 ml, ranging from 130 to 250 ml. All of the cases were thymoma. Complete resection was achieved in all cases with R0. Neither mortality nor recurrence was reported in the follow-up period (14 months average ranging from 6 to 36 months).

conclusionsVATS is a safe and effective approach for large anterior mediastinal masses, with satisfactory operative outcomes, minimal morbidity, and promising oncological results. Dual VATS may be particularly useful for lesions with significant bilateral extension.

Indexed as

Mediastinal NeoplasmsThoracic Surgery, Video-AssistedThymomaAdultAgedFemaleHumansMaleMiddle AgedRetrospective StudiesTomography, X-Ray ComputedTreatment OutcomeDual approachGiant mediastinal massMinimally invasive surgeryVATS

Identifiers

PMID41578337
PMCPMC12910749

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