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№1' 2022


International Medical Journal, Vol. 28., Iss. 1, 2022, P. 21−24.



Usenko O. Yu., Sydiuk A. V., Sydiuk O. Ye., Klimas A. S., Savenko G. Yu., Teslia O. T.

A. A. Shalimov National Institute of Surgery and Transplantology, National Academy of Medical Sciences of Ukraine, Kyiv, Ukraine

Mediastinal neoplasms are a key problem in the practice of thoracic surgeons. An asymptomatic course is the feature of these formations. The most common manifestations of the disease are the tumor large size, resulting in a compression of vital structures that are located in the mediastinum. The question arises on the use of minimally invasive surgical methods in the resection of large tumors of the mediastinum. The advantages of thoracoscopic access over open surgery are less painful and traumatic, better cosmetic effect, faster rehabilitation period, especially in the elderly patients and those with pathology of the cardiopulmonary system. This study is based on the materials of clinical examination and surgical treatment of 40 patients treated at the Shalimov National Institute of Surgery and Transplantology in 2019−2021. All the patients underwent computed tomography or magnetic resonance imaging of the chest and abdomen, fibrogastroduodenoscopy. The great variability of the location of neoplasms in the mediastinum requires an individual approach in the diagnosis and supervision of patients. The treatment of large (diameter > 5 cm), small (diameter < 5 cm) and invasive mediastinal tumors, which were removed by thoracoscopic method, was analyzed. These studies indicate the safety of treatment of large mediastinal tumors with thoracoscopic access, as the length of stay of patients after surgery in the hospital was minimal, and the number of complications was insignificant. According to the analysis results, it was concluded that thoracoscopic interventions for large and invasive mediastinal tumors did not significantly prolong the duration of surgery, its post−recovery. Evidence of the safety and reliability of thoracoscopic surgery is the absence of significant complications.

Key words: mediastinal tumors, thoracoscopic surgery, histological structure of neoplasms.


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