Video-assisted Thoracoscopic Surgery for 27 Adults Patients with Mediastinal Lymph Node Tuberculosis_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

ZUOTao ¹ ,  NIZheng-yi ¹ , HUANGJie ² , XIESong-ping ² , XIAOJun ¹

1. Department of Thoracic surgery, Wuhan Medical Treatment Center, Wuhan 430023, P. R. China;
2. Department of Thoracic Surgery, Renmin Hospital of Wuhan University, Wuhan 430060, P. R. China;

Corresponding?author：

NIZheng-yi, Email: 767951372@qq.com

Keywords：

Video-assisted thoracoscopic surgery; Mediastinal lymph node tuberculosis; Clinical outcome

DOI：

10.7507/1007-4848.20150037

Video：

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Objective To investigate surgical indications and techniques of video-assisted thoracoscopic surgery (VATS) for mediastinal lymph node tuberculosis. Methods Clinical data of 27 patients who underwent VATS for mediastinal lymph node tuberculosis between January 2010 and March 2013 in Wuhan Medical Treatment Center were retrospectively analyzed. There were 16 male and 11 female patients with their age of 18-67 (30.23±10.72) years. Results There was no in-hospital death. Postoperative complications included recurrent laryngeal nerve injury in 1 patient, delayed wound healing in 1 patient and pneumothorax in 1 patient. Postoperatively, all the patients received intensified anti-tubercular treatment, and were engaged in normal physical activities during follow-up of 6 months. Conclusion VATS is safe and reliable for the treatment of mediastinal lymph node tuberculosis, and anti-tubercular treatment is needed before and after the operation.

Citation： ZUOTao, NIZheng-yi, HUANGJie, XIESong-ping, XIAOJun. Video-assisted Thoracoscopic Surgery for 27 Adults Patients with Mediastinal Lymph Node Tuberculosis. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2015, 22(2): 132-134. doi: 10.7507/1007-4848.20150037 Copy

1.	唐神結, 高文, 主編.臨床結核病學.北京:人民衛生出版社, 2011.485-490.
2.	Jniene A, Soualhi M, Bouassel M, et al. Epidemiological, therapeutic and evolutionary profiles in patients with lymph node tuberculosis. Tuberk Toraks, 2010, 58(4):366-374.
3.	Chen J, Yang ZG, Shao H, et al. Differentiation of tuberculosis from lymphomas in neck lymph nodes with multidetector-row computed tomography. Int J Tuberc Lung Dis, 2012, 16(12):1686-1691.
4.	劉甫庚, 潘紀戍, 吳國庚, 等.成人縱隔淋巴結結核的CT診斷.中華放射學雜志, 2001, 35(9):655-658.
5.	謝汝明, 周新華, 馬大慶, 等.成人縱隔淋巴結結核CT增強表現及其病理對照觀察.中華放射學雜志, 2005, 39(6):641-645.
6.	Jacob B, Parsa R, Frizzell R, et al. Mediastinal tuberculosis in Bradford, United Kingdom:the role of mediastinoscopy. Int J Tuberc Lung Dis, 2011, 15(2):240-245.
7.	Verhagen AF, Schuurbiers OC, Looijen-Salamon MG, et al. Mediastinal staging in daily practice:endosonography, followed by cervical mediastinoscopy. Do we really need both? Interact Cardiovasc Thorac Surg, 2013, 17(5):823-828.
8.	Jedlicka V, Capov I, Pestal A, et al. Videomediastinoscopy for the diagnosis of the diseases of the lung and mediastinum. Magy Seb, 2003, 56(6):229-233.
9.	劉向陽, 張大為.應用縱隔鏡檢查術診斷縱隔淋巴結結核和結節病.中華結核和呼吸雜志, 1999, (3):156.
10.	Bohle W, Meier C, Zoller WG. Validity of endoscopic ultrasonography-guided fine needle aspiration of mediastinal and abdominal lymph nodes in daily clinical practice. Dtsch Med Wochenschr, 2013, 138(9):412-417.
11.	Berzosa M, Tsukayama DT, Davies SF, et al. Endoscopic ultrasound-guided fine-needle aspiration for the diagnosis of extrapulmonary tuberculosis. Int J Tuberc Lung Dis, 2010, 14(5):578-584.
12.	Ozgül MA, Cetinkaya E, Tutar N, et al. Endobronchial ultrasoundguided transbronchial needle aspiration for the diagnosis of intrathoracic lymphadenopathy in patients with extrathoracic malignancy:A study in a tuberculosis-endemic country. J Cancer Res Ther, 2013, 9(3):416-421.
13.	Kaur G, Dhamija A, Augustine J, et al. Can cytomorphology of granulomas distinguish sarcoidosis from tuberculosis? Retrospective study of endobronchial ultrasound guided transbronchial needle aspirate of 49 granulomatous lymph nodes. Cytojournal, 2013, 10:19.
14.	Sun J, Teng J, Yang H, et al. Endobronchial ultrasound-guided transbronchial needle aspiration in diagnosing intrathoracic tuberculosis. Ann Thorac Surg, 2013, 96(6):2021-2027.
15.	榮福, 郭蘇, 左六二, 等.經支氣管針吸活檢在縱隔及肺門淋巴結結核診斷中的作用.中華結核和呼吸雜志, 2002, 25(6):330-332.
16.	Miwa K, Fujioka S, Adachi Y, et al. Mediastinal tuberculous lymphadenitis with intractable fistula to the neck. Thorac Cardiovasc Surg, 2010, 58(2):124-126.
17.	廖理粵, 吳華, 張挪富, 等.縱隔淋巴結結核引起支氣管食管瘺一例及文獻復習.中華結核和呼吸雜志, 2013, 36(11):829-832.
18.	Lado Lado FL, Golpe Gómez A, Cabarcos Ortíz de Barrón A, et al. Bronchoesophageal fistulae secondary to tuberculosis. Respiration, 2002, 69(4):362-365.
19.	Xiong L, Mao X, Li C, et al. Posterior mediastinal tuberculous lymphadenitis with dysphagia as the main symptom:a case report and literature review. J Thorac Dis, 2013, 5(5):E189-E194.

1. 唐神結, 高文, 主編.臨床結核病學.北京:人民衛生出版社, 2011.485-490.
2. Jniene A, Soualhi M, Bouassel M, et al. Epidemiological, therapeutic and evolutionary profiles in patients with lymph node tuberculosis. Tuberk Toraks, 2010, 58(4):366-374.
3. Chen J, Yang ZG, Shao H, et al. Differentiation of tuberculosis from lymphomas in neck lymph nodes with multidetector-row computed tomography. Int J Tuberc Lung Dis, 2012, 16(12):1686-1691.
4. 劉甫庚, 潘紀戍, 吳國庚, 等.成人縱隔淋巴結結核的CT診斷.中華放射學雜志, 2001, 35(9):655-658.
5. 謝汝明, 周新華, 馬大慶, 等.成人縱隔淋巴結結核CT增強表現及其病理對照觀察.中華放射學雜志, 2005, 39(6):641-645.
6. Jacob B, Parsa R, Frizzell R, et al. Mediastinal tuberculosis in Bradford, United Kingdom:the role of mediastinoscopy. Int J Tuberc Lung Dis, 2011, 15(2):240-245.
7. Verhagen AF, Schuurbiers OC, Looijen-Salamon MG, et al. Mediastinal staging in daily practice:endosonography, followed by cervical mediastinoscopy. Do we really need both? Interact Cardiovasc Thorac Surg, 2013, 17(5):823-828.
8. Jedlicka V, Capov I, Pestal A, et al. Videomediastinoscopy for the diagnosis of the diseases of the lung and mediastinum. Magy Seb, 2003, 56(6):229-233.
9. 劉向陽, 張大為.應用縱隔鏡檢查術診斷縱隔淋巴結結核和結節病.中華結核和呼吸雜志, 1999, (3):156.
10. Bohle W, Meier C, Zoller WG. Validity of endoscopic ultrasonography-guided fine needle aspiration of mediastinal and abdominal lymph nodes in daily clinical practice. Dtsch Med Wochenschr, 2013, 138(9):412-417.
11. Berzosa M, Tsukayama DT, Davies SF, et al. Endoscopic ultrasound-guided fine-needle aspiration for the diagnosis of extrapulmonary tuberculosis. Int J Tuberc Lung Dis, 2010, 14(5):578-584.
12. Ozgül MA, Cetinkaya E, Tutar N, et al. Endobronchial ultrasoundguided transbronchial needle aspiration for the diagnosis of intrathoracic lymphadenopathy in patients with extrathoracic malignancy:A study in a tuberculosis-endemic country. J Cancer Res Ther, 2013, 9(3):416-421.
13. Kaur G, Dhamija A, Augustine J, et al. Can cytomorphology of granulomas distinguish sarcoidosis from tuberculosis? Retrospective study of endobronchial ultrasound guided transbronchial needle aspirate of 49 granulomatous lymph nodes. Cytojournal, 2013, 10:19.
14. Sun J, Teng J, Yang H, et al. Endobronchial ultrasound-guided transbronchial needle aspiration in diagnosing intrathoracic tuberculosis. Ann Thorac Surg, 2013, 96(6):2021-2027.
15. 榮福, 郭蘇, 左六二, 等.經支氣管針吸活檢在縱隔及肺門淋巴結結核診斷中的作用.中華結核和呼吸雜志, 2002, 25(6):330-332.
16. Miwa K, Fujioka S, Adachi Y, et al. Mediastinal tuberculous lymphadenitis with intractable fistula to the neck. Thorac Cardiovasc Surg, 2010, 58(2):124-126.
17. 廖理粵, 吳華, 張挪富, 等.縱隔淋巴結結核引起支氣管食管瘺一例及文獻復習.中華結核和呼吸雜志, 2013, 36(11):829-832.
18. Lado Lado FL, Golpe Gómez A, Cabarcos Ortíz de Barrón A, et al. Bronchoesophageal fistulae secondary to tuberculosis. Respiration, 2002, 69(4):362-365.
19. Xiong L, Mao X, Li C, et al. Posterior mediastinal tuberculous lymphadenitis with dysphagia as the main symptom:a case report and literature review. J Thorac Dis, 2013, 5(5):E189-E194.

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Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Video-assisted Thoracoscopic Surgery for 27 Adults Patients with Mediastinal Lymph Node Tuberculosis

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