{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T07:46:13Z","timestamp":1761896773097},"reference-count":17,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2018,5,21]],"date-time":"2018-05-21T00:00:00Z","timestamp":1526860800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2018,5,21]],"date-time":"2018-05-21T00:00:00Z","timestamp":1526860800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The aim of this study was to evaluate the outcomes of video\u2010assisted thoracic surgery (VATS) for mediastinal bronchogenic cyst (MBC) excision and investigate the surgical indication for MBC.\n<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively reviewed all consecutive MBC patients who underwent surgical excision between April 2001 and June 2016. One hundred and nineteen patients were enrolled with a median age of 45.4 years and divided into two groups: anterior mediastinum group (<jats:italic>n<\/jats:italic>\u2009=\u200948), and middle and posterior mediastinum group (<jats:italic>n<\/jats:italic>\u2009=\u200971). VATS technique was initially performed for each patient. The cyst should be resected completely as far as possible. Follow\u2010up was completed by telephone or outpatient clinic every year. The deadline of follow\u2010up was June 2017.\n<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One hundred and eighteen patients underwent VATS, and only one patient converted to open thoracotomy. The average operative time was 103.8\u2009\u00b1\u200941.6\u00a0min (40\u2013360\u00a0min). The average intraoperative blood loss was 56.6\u2009\u00b1\u200986.6\u00a0ml (5\u2013600\u00a0ml). The intraoperative complication rate was 3.4%, and the incomplete excision rate was 5.9%. The multivariate logistic analysis showed that maximal diameter &gt;5\u00a0cm was significantly associated with risk of operation time extension (OR\u2009=\u20093.968; 95% CI 1.179\u201313.355, <jats:italic>p<\/jats:italic>\u2009=\u20090.026) and bleeding loss increasing (OR\u2009=\u200912.242; 95% CI 2.420\u201361.933, <jats:italic>p<\/jats:italic>\u2009=\u20090.002). No serious postoperative complications were observed. Follow\u2010up was performed in 102 patients, and the mean follow\u2010up time was 45\u00a0months (12\u2013194\u00a0months). There was no local recurrence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The maximal diameter &gt;5\u00a0cm increased risk of operation time extension and bleeding loss increasing. Early surgical excision of MBC by VATS is recommended to establish histopathological diagnosis, relieve symptoms, and prevent surgery\u2010related complications.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-018-4660-4","type":"journal-article","created":{"date-parts":[[2018,5,21]],"date-time":"2018-05-21T18:40:15Z","timestamp":1526928015000},"page":"3638-3645","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["The Video\u2010Assisted Thoracic Surgery for Mediastinal Bronchogenic Cysts: A Single\u2010Center Experience"],"prefix":"10.1002","volume":"42","author":[{"given":"Xun","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery Peking University People\u2019s Hospital No. 11 Xizhimen South Avenue, Xicheng District 100044 Beijing People\u2019s Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kezhong","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery Peking University People\u2019s Hospital No. 11 Xizhimen South Avenue, Xicheng District 100044 Beijing People\u2019s Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yun","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery Peking University People\u2019s Hospital No. 11 Xizhimen South Avenue, Xicheng District 100044 Beijing People\u2019s Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fan","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery Peking University People\u2019s Hospital No. 11 Xizhimen South Avenue, Xicheng District 100044 Beijing People\u2019s Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hui","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery Peking University People\u2019s Hospital No. 11 Xizhimen South Avenue, Xicheng District 100044 Beijing People\u2019s Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jun","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery Peking University People\u2019s Hospital No. 11 Xizhimen South Avenue, Xicheng District 100044 Beijing People\u2019s Republic of 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