Experience in endoscopic treatment of cystic formations of the esophagus and mediastinum
https://doi.org/10.24884/1607-4181-2023-30-4-52-57
Abstract
The objective was to evaluate the safety and effectiveness of endoscopic methods for removing cystic formations of the esophagus and mediastinum.
Methods and materials. The study included 17 patients with esophageal and mediastinal cysts. All patients underwent gastroscopy, endoscopic ultrasonography and computed tomography at the diagnostic stage to determine the localization, sizes and topography of the formation.
Results. In all cases, the formations were successfully removed. Submucosal tunnel endoscopic resection (STER) was successfully performed in 14 patients, the average operation time was 126 minutes. In 3 patients, the formations were removed by endoscopic submucosal dissection (ESD), the average operation time was 55 minutes. Two patients in the postoperative period had esophageal diverticulum in the area of previously removed formations.
Conclusion. Submucosal tunnel endoscopic resection is safe and effective in the treatment of cystic formations of the esophagus and mediastinum. Long-term results of STER require further study.
About the Authors
Ya. V. Ruchkina
Pavlov University
Russian Federation
Competing Interests:
Russian Federation
Ruchkina Yana V., Postgraduate Student of the Department of Hospital Surgery № 2, Endoscopist of the Endoscopic Department № 1 of the Research Institute of Surgery and Emergency Medicine
Saint Petersburg
Competing Interests:
Authors declare no conflict of interest
A. A. Smirnov
Pavlov University
Russian Federation
Competing Interests:
Russian Federation
Smirnov Alexander A., Cand. of Sci. (Med.), Associate Professor of the Department of Hospital Surgery № 2 with Clinic, Head of the Endoscopic Department of the Research Institute of Surgery and Emergency Medicine
Saint Petersburg
Competing Interests:
Authors declare no conflict of interest
M. M. Saadulaeva
Pavlov University
Russian Federation
Competing Interests:
Russian Federation
Saadulaeva Marina M., Senior Laboratory Assistant of the Department of Hospital Surgery № 2, Endoscopist of the Endoscopic Department № 1 of the Research Institute of Surgery and Emergency Medicine
Saint Petersburg
Competing Interests:
Authors declare no conflict of interest
E. V. Blinov
Pavlov University
Russian Federation
Competing Interests:
Russian Federation
Blinov Egor V., Endoscopist of the Endoscopic Department № 1 of the Research Institute of Surgery and Emergency Medicine
Saint Petersburg
Competing Interests:
Authors declare no conflict of interest
A. Yu. Korolkov
Pavlov University
Russian Federation
Competing Interests:
Russian Federation
Korolkov Andrey Yu., Dr. of Sci. (Med.), Professor, Head of the Department of Hospital Surgery № 2 with Clinic, Head of the Department of General and Emergency Surgery of the Research Institute of Surgery and Emergency Medicine
Saint Petersburg
Competing Interests:
Authors declare no conflict of interest
S. F. Bagnenko
Pavlov University
Russian Federation
Competing Interests:
Russian Federation
Bagnenko Sergei F., Dr. of Sci. (Med.), Professor, Academician of the Russian Academy of Sciences, Rector
Saint Petersburg
Competing Interests:
Authors declare no conflict of interest
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For citations:
Ruchkina Ya.V., Smirnov A.A., Saadulaeva M.M., Blinov E.V., Korolkov A.Yu., Bagnenko S.F. Experience in endoscopic treatment of cystic formations of the esophagus and mediastinum. The Scientific Notes of the Pavlov University. 2023;30(4):52-57. (In Russ.) https://doi.org/10.24884/1607-4181-2023-30-4-52-57
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