Bronchogenic mediastinal cysts are congenital lesions originating from the primitive ventral foregut that are often located in the middle or posterior mediastinum. Surgical resection of bronchogenic cysts is the recommended treatment of choice and is both a diagnostic and therapeutic measure. In this paper, we report a case of mediastinal bronchogenic cyst that was operated on at our institute using the Da Vinci Xi robotic system as well as a literature review about this disease. Reviewing the literature about the robotic resection of these lesions shows that it is considered a safe technique with advantages for patients.
References
[1]
Di Lorenzo, M., Collin, P.P., Vaillancourt, R. and Duranceau, A. (1989) Bronchogenic Cysts. Journal of Pediatric Surgery, 24, 988-991. https://doi.org/10.1016/S0022-3468(89)80199-X
[2]
St-Georges, R., Deslauriers, J., Duranceau, A., Vaillancourt, R., Deschamps, C., Beauchamp, G., Pagé, A. and Brisson, J. (1991) Clinical Spectrum of Bronchogenic Cysts of the Mediastinum and Lung in the Adult. The Annals of Thoracic Surgery, 52, 6-13. https://doi.org/10.1016/0003-4975(91)91409-O
[3]
Bailey, P.V., Tracy, T., Connors, R.H., de Mello, D., Lewis, J.E. and Weber, T.R. (1990) Congenital Bronchopulmonary Malformations: Diagnostic and Therapeutic Considerations. The Journal of Thoracic and Cardiovascular Surgery, 99, 597-603. https://doi.org/10.1016/S0022-5223(19)36931-4
[4]
Limaïem, F., Ayadi-Kaddour, A., Djilani, H., Kilani, T. and El Mezni, F. (2008) Pulmonary and Mediastinal Bronchogenic Cysts: A Clinicopathologic Study of 33 Cases. Lung, 186, 55-61. https://doi.org/10.1007/s00408-007-9056-4
[5]
Haller, J.A., Shermeta, D.W., Donahoo, J.S. and White, J.J. (1975) Life-Threatening Respiratory Distress from Mediastinal Masses in Infants. The Annals of Thoracic Surgery, 19, 365-370. https://doi.org/10.1016/S0003-4975(10)64035-0
[6]
McAdams, H.P., Kirejczyk, W.M., Rosado-de-Christenson, M.L. and Matsumoto, S. (2000) Bronchogenic Cyst: Imaging Features with Clinical and Histopathologic Correlation. Radiology, 217, 441-446. https://doi.org/10.1148/radiology.217.2.r00nv19441
[7]
Yoon, Y.C., Lee, K.S., Kim, T.S., Kim, J., Shim, Y.M. and Han, J. (2002) Intrapulmonary Bronchogenic Cyst: CT and Pathologic Findings in Five Adult Patients. American Journal of Roentgenology, 179, 167-170. https://doi.org/10.2214/ajr.179.1.1790167
[8]
Bukamur, H.S., Alkhankan, E., Mezughi, H.M., Munn, N.J. and Shweihat, Y.R. (2018) The Role and Safety of Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration in the Diagnosis and Management of Infected Bronchogenic Mediastinal Cysts in Adults. Respiratory Medicine Case Reports, 24, 46-49. https://doi.org/10.1016/j.rmcr.2018.04.002
[9]
Onuki, T., Kuramochi, M. and Inagaki, M. (2014) Mediastinitis of Bronchogenic Cyst Caused by Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration. Respirology Case Reports, 2, 73-75. https://doi.org/10.1002/rcr2.53
[10]
Rajmane, R., Adams, A.M., Rajmane, O. and Zervos, M. (2016) Cyst Rupture after Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration. Journal of Bronchology & Interventional Pulmonology, 23, e20-e22. https://doi.org/10.1097/LBR.0000000000000277
[11]
Singh, A., Singh, S., Malpani, A., Devgarha, S. and Singh, V. (2011) Treatment of Bronchogenic Cyst Surgical versus Transbronchial Drainage? Journal of Bronchology & Interventional Pulmonology, 18, 359-361. https://doi.org/10.1097/LBR.0b013e31823575c5
[12]
Bolton, J.W. and Shahian, D.M. (1992) Asymptomatic Bronchogenic Cysts: What Is the Best Management? The Annals of Thoracic Surgery, 53, 1134-1137. https://doi.org/10.1016/0003-4975(92)90412-W
[13]
Martinod, E., Pons, F., Azorin, J., Mouroux, J., Dahan, M., Faillon, J.M., Dujon, A., Lajos, P.S., Riquet, M. and Jancovici, R. (2000) Thoracoscopic Excision of Mediastinal Bronchogenic Cysts: Results in 20 Cases. The Annals of Thoracic Surgery, 69, 1525-1528. https://doi.org/10.1016/S0003-4975(99)01438-1
[14]
Weber, T., Roth, T.C., Beshay, M., Herrmann, P., Stein, R. and Schmid, R.A. (2004) Video-Assisted Thoracoscopic Surgery of Mediastinal Bronchogenic Cysts in Adults: A Single-Center Experience. The Annals of Thoracic Surgery, 78, 987-991. https://doi.org/10.1016/j.athoracsur.2004.03.092
[15]
Gross, D.J., Briski, L.M., Wherley, E.M. and Nguyen, D.M. (2023) Bronchogenic Cysts: A Narrative Review. Mediastinum, 7, Article 26. https://doi.org/10.21037/med-22-46
[16]
Patel, S.R., Meeker, D.P., Biscotti, C.V., Kirby, T.J. and Rice, T.W. (1994) Presentation and Management of Bronchogenic Cysts in the Adult. Chest, 106, 79-85. https://doi.org/10.1378/chest.106.1.79
[17]
Gharagozloo, F., Dausmann, M.J., McReynolds, S.D., Sanderson, D.R. and Helmers, R.A. (1995) Recurrent Bronchogenic Pseudocyst 24 Years after Incomplete Excision. Chest, 108, 880-883. https://doi.org/10.1378/chest.108.3.880
[18]
Hasegawa, T., Murayama, F., Endo, S. and Sohara, Y. (2003) Recurrent Bronchogenic Cyst 15 Years after Incomplete Excision. Interactive Cardiovascular and Thoracic Surgery, 2, 685-687. https://doi.org/10.1016/S1569-9293(03)00204-4
[19]
Mestan, H., Ceylan, K.C. and Kaya, Ş.Ö. (2019) Surgery Outcomes of the Bronchogenic Cysts. European Respiratory Journal, 54, Article PA1094. https://doi.org/10.1183/13993003.congress-2019.PA1094
[20]
Caterino, U., Amore, D., Cicalese, M. and Curcio, C. (2017) Anterior Bronchogenic Mediastinal Cyst as Priority Procedure for Robotic Thoracic Surgery. Journal of Thoracic Disease, 9, E674-E676. https://doi.org/10.21037/jtd.2017.07.39
[21]
Xu, S., Liu, B., Wang, X., Meng, H., Wang, T. and Wang, S. (2015) Robotic Thoracic Surgery of the Anterior Superior Mediastinal Bronchogenic Cyst. Annals of Translational Medicine, 3, Article 57.
[22]
Coselli, M.P., de Ipolyi, P., Bloss, R.S., Diaz, R.F. and Fitzgerald, J.B. (1987) Bronchogenic Cysts above and below the Diaphragm: Report of Eight Cases. The Annals of Thoracic Surgery, 44, 491-494. https://doi.org/10.1016/S0003-4975(10)62106-6
[23]
Limaiem, F. and Mlika, M. (2023) Bronchogenic Cyst. StatPearls Publishing.
[24]
Aker, C., Sezen, C.B., Dogru, M.V., Mahmuti, S.O., Metin, M. and Cansever, L. (2021) Prognostic Factors and Long-Term Results in Patients Who Underwent Videothoracoscopic Bronchogenic Cyst Excision. Annals of Thoracic and Cardiovascular Surgery: Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia, 27, 225-229. https://doi.org/10.5761/atcs.oa.20-00244
[25]
De Giacomo, T., Diso, D., Anile, M., Venuta, F., Rolla, M., Ricella, C. and Coloni, G.F. (2009) Thoracoscopic Resection of Mediastinal Bronchogenic Cysts in Adults. European Journal of Cardio-Thoracic Surgery: Official Journal of the European Association for Cardio-Thoracic Surgery, 36, 357-359. https://doi.org/10.1016/j.ejcts.2009.03.041
[26]
Endo, C., Imai, T., Nakagawa, H., Ebina, A. and Kaimori, M. (2000) Bronchioloalveolar Carcinoma Arising in a Bronchogenic Cyst. The Annals of Thoracic Surgery, 69, 933-935. https://doi.org/10.1016/S0003-4975(99)01402-2
[27]
Yoshino, I., Hashizume, M., Shimada, M., Tomikawa, M. and Sugimachi, K. (2002) Video-Assisted Thoracoscopic Extirpation of a Posterior Mediastinal Mass Using the da Vinci Computer Enhanced Surgical System. The Annals of Thoracic Surgery, 74, 1235-1237. https://doi.org/10.1016/S0003-4975(02)03820-1
[28]
Toker, A., Özyurtkan, M.O., Kaba, E. and Nova, G. (2015) Da Vinci Robotic System in the Surgery for Mediastinal Bronchogenic Cyst: A Report on Five Patients. Journal of Visualized Surgery, 1, Article 23.
[29]
Francis, S., Francis, D.T., Thassu, I., Anwaar, M.A., Kothari, J., Chima, R. and Jayan, M. (2024) Management of a Unique Subcarinal Bronchogenic Cyst with Robotic-Assisted Thoracic Surgery. Cureus, 16, e51814. https://doi.org/10.7759/cureus.51814
[30]
Straughan, D.M., Fontaine, J.P. and Toloza, E.M. (2015) Robotic-Assisted Videothoracoscopic Mediastinal Surgery. Cancer Control: Journal of the Moffitt Cancer Center, 22, 326-330. https://doi.org/10.1177/107327481502200310
[31]
Hong, Z., Sheng, Y., Cui, B., Bai, X., Cheng, T., Lu, Y., Wu, X., Jin, D., Gou, Y. and Zhao, J. (2023) A Comparative Study of Robotic Surgery and Thoracoscopic Surgery for Mediastinal Cysts. BMC Surgery, 23, Article No. 102. https://doi.org/10.1186/s12893-023-01994-9