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A Journal on Surgery

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Chirurgia 1999 August;12(4):311-4

language: Italian

Mediastinal neurogenic dumbbell tumors. Combined microneurosurgical and videothoracoscopic treatment

Sgarbi G., Ferrari G., Pavarini E., Annessi V., De Franco S., Nizzoli V., Ruini M.


Most neurogenic tumors are localized in the posterior mediastinum. Surgery is performed on the benign forms and recurrence is rarely described in the literature. A case of a benign posterior mediastinal neurogenic tumor treated in a one-stage surgical operation using combined microneurosurgery and videothoracoscopy techniques is reported. The postoperative course was uneventful and the patient was discharged on the fourth postoperative day. One-stage surgical resection of dumbbell tumors is the current treatment of choice, recommended above all in order to reduce risk of surgical complications. It was possible in this case to associate microneurosurgical treatment to a minimally invasive videothoracoscopic technique whilst respecting the requirements of complete surgical excision without postoperative complications or pain thus allowing rapid discharge of the patient and an early return to normal activities.

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