Minimally Invasive Thoracic Surgery - Video Assisted Thoracic Surgery: Technique and Indications.

Video-Assisted Thoracic Surgery (VATS) is already practised worldwide, in almost every condition addressed by open thoracic surgery. As part of minimally invasive thoracic surgery (MITS), VATS offers to patients and to healthcare providers excellent results and great satisfactions. Learning and performing VATS use different pathways in trainees and in experienced surgeons.

Immediate Postoperative Results in the Surgical Treatment of Neoplastic Pericarditis - 76 Consecutive Cases.

Pericardial effusion, accumulation of fluid in the pericardial sac, may develop in any type of cancer. It was revealed in up to 20% of oncological patients. Method: We made a retrospective study of patients with pericardial efusion presented in our clinic between 2010 and 2015.

Cervico-mediastinal thyroid masses - our experience.

Introduction: Over the last decades, several definitions and classifications of cervico-mediastinal goiters and thyroid masses have been proposed. We analyze and discuss the clinical presentation, the diagnostic procedures and the surgical technique in relation to post-operative complications and results in cervico-mediastinal thyroid masses admitted in our Clinic of Thoracic Surgery over a period of 22 years (1991-2012).

Methods: We reviewed 130 patients who underwent surgery for retrosternal thyroid masses, 77 (59.

[Neurogenic tumors of the posterior mediastinum].

The posterior mediastinum is the potential space along each side of the vertebral column and adjacent proximal portions of the ribs--the paravertebral sulci. From the posterior mediastinal tumors, the most commonly encountered are the neurogenic tumors (75%), the remaining 25% are represented by a heterogenous group of rare tumors including teratoma, lymphoma, sarcoma and other lesions arising outside the mediastinum and projecting into the posterior compartment. Surgical excision, by thoracotomy or miniinvasive techniques, is the first line of treatment in the posterior mediastinal tumors.

[Lung metastases secondary to bronchopulmonary cancer].

Objectives: The goal of this study is to establish the surgical options in the management of patients with lung metastases secondary to lung cancer.

Material And Method: A retrospective study was performed on 34 patients admitted in our hospital between January 2000 and June 2009.

Results: Most of the patients were males over 45 years old.

[Solitary pulmonary nodule--150 resected cases].

Solitary pulmonary nodule represents a radiological entity with unknown prevalence in general population. As definition, solitary pulmonary nodule has 3 cm diameter or less and is surrounded by lung parenchyma, with no other abnormalities on the same chest X-ray or CT scan film. The differential diagnosis of the solitary pulmonary nodule includes over 100 conditions and the most frequent is lung cancer.

A rare case of unicentric plasma cell type Castleman's disease in the mediastinum.

Castleman's disease is a very rare (and thus little-known) lymphoproliferative disorder characterized by lymph node follicular hyperplasia with abnormal interfollicular vascular growth. It can be classified into unicentric and multicentric variants according to its localization, and into three histological types: hyaline-vascular, plasma cell and mixed. We describe the case of a 51 year-old woman who presented with precordial chest pain.

[Minimally invasive surgical techniques for the treatment of pulmonary metastases].

Objective: Raising surgeons' awareness and sensitivity about the use of minimally invasive surgical techniques for the treatment of patients with pulmonary metastases.

Patients And Methods: The study was based on the data collected from 10 consecutive patients who underwent surgery for lung metastases in our department between 2003 and 2008.

Results: The most frequently encountered metastases to the lung were from breast and lung carcinoma; the disease free interval was between 6 months and 20 years.

[Cervico-mediastinal lymphangioma].

The authors are describing three cases of lymphangioma, one at a seven years old child with cervico-mediastinal localization; another at a 39 years old person, situated only in mediastinum, the third is a cervical lymphangioma at a 55 years old subject. The respiratory symptoms are present in the two cases with mediastinal involvement. The patient with cervical localization had no symptoms.