Clinical characteristics and feasibility of thoracoscopic approach for XXXX in adults.

@entity1 @entity2977 @entity1729 @entity5409
OBJECTIVE: @entity2977 ( @entity2977 ) in adults is very rare, and surgical resection is the treatment of choice. We evaluated the clinical characteristics and feasibility and safety of video-assisted thoracic surgery (VATS) in adult @entity1 with @entity2977 . METHODS: Retrospective analysis of nine consecutive adult @entity1 with @entity2977 treated surgically between January 1995 and April 2006 at a single center. The clinical characteristics and surgical outcome were evaluated retrospectively. RESULTS: The records of five @entity1 and four @entity1 were examined. The median age at diagnosis was 30.5 years (range 16-44 years). The most frequent symptoms were cough (n=4) and hemoptysis (n=2). Three @entity1 had recurrent @entity1729 . Chest computed tomography (CT) was reviewed in all cases. The lesions were on the right side in six @entity1 and on the left in three. All @entity1 had lesions in a single lobe, except one @entity1 who had multi-lobar lesions. The @entity2977 appeared as thin-walled multi-septated @entity5409 in six @entity1 and as parenchymal consolidations in three @entity1 . Four @entity1 underwent VATS lobectomy and four underwent lobectomy through a conventional open thoracotomy. One @entity1 had open pneumonectomy. The median operating time (160 min in VATS lobectomy and 165 min in open lobectomy), median duration of chest tube drainage (4 days in VATS lobectomy and 6.5 days in open lobectomy), and postoperative complications (one @entity1 in each treatment group) were similar between the VATS and open lobectomy groups. The hospital stay was shorter in the VATS lobectomy group (median 5 days) than in the open lobectomy group (median 7.5 days). No postoperative or procedure-related mortality occurred. CONCLUSIONS: @entity2977 is rare in adults. @entity1 usually present with recurrent @entity1729 and thin-walled multi-septated @entity5409 . VATS is a feasible and safe technique to treat adult @entity1 with @entity2977 .
