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首页> 外文期刊>Journal of International Medical Research >A multidisciplinary collaborative model based on single-port thoracoscopy for the treatment of giant mediastinal lymph node hyperplasia: a case report
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A multidisciplinary collaborative model based on single-port thoracoscopy for the treatment of giant mediastinal lymph node hyperplasia: a case report

机译：基于单端口胸腔镜检查治疗巨型淋巴结增生的多学科协作模型：案例报告

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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.
机译：纵隔Unicentric Castleman疾病（UCD）经常表现为超增强淋巴结质量，通常是手术可固化的。然而，由于对重要的周围结构的过度血管激活和粘附，手术通常与严重的出血有关，通常难以控制胸腔镜。因此，胸廓切开术通常是优选的，这增加了患者的创伤并影响术后恢复。在这里，我们描述了一个30岁的男性患者，具有大型上纵隔淋巴结（7？×5？5？×4厘米），这是压缩他的高级腔静脉。详细分析了质量营养动脉的分布，并且在手术前栓塞主要分支。在术前异维血液筛查的帮助下，我们通过单端口胸镜检查完成切除，只有轻微的出血，使患者能够迅速恢复。该多学科协作模型基于单端口胸镜手术，可能对纵隔UCD的治疗非常实际使用。

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