TY - JOUR AU - Zhu, Xin-Sheng AU - Song, Nan AU - Song, Nai-Cheng AU - Sihoe, Alan Dart Loon AU - He, Wen-Xin AU - Liu, Ming AU - Jiang, Ge-Ning AU - Zhang, Peng PY - 2018 TI - Comparison of the perioperative outcomes in antero-superior mediastinal tumor resection performed by transcervical resection and video-assisted thoracoscopic surgery JF - Journal of Thoracic Disease; Vol 10, No 12 (December 30, 2018): Journal of Thoracic Disease Y2 - 2018 KW - N2 - Background: It remains controversial that whether transcervical resection (TC) was associated with better outcomes than video-assisted thoracoscopic surgery (VATS) in the treatment of antero-superior mediastinal tumors. We aimed to compare the safety and reliability between TC and VATS. Methods: Between 2010 and 2012, 80 consecutive patients underwent antero-superior mediastinal tumor resection via TC (n=31) or VATS (n=49). Perioperative outcomes were compared. A propensity score–matched analysis was performed to control the potential confounders. Results: A total of 41 men and 39 women with median age of 52.5 years were enrolled. No patient died during the perioperative course. After propensity matching, TC group was associated with less intraoperative blood loss (35.1±18.7 vs . 93.7±136.1 mL, P=0.034), less postoperative drainage (65.6±76.8 vs . 335.0±154.9 mL, P vs . 4.1±1.3 days, P=0.003) and less hospitalization expense (22,252.3±4,761.7 vs . 26,514.2±4,052.8 CNY, P=0.002) compared to VATS group. One patient with VATS was converted to open surgery due to intraoperative vessels damage. The postoperative complication was null in TC group while it was 6.1% (n=3) in VATS group (P=0.279), including 1 case of prolonged chest tube drainage and 2 cases of recurrent laryngeal nerve injury. Conclusions: TC for antero-superior mediastinal tumors is a safe procedure with better perioperative outcomes compared to VATS. UR - https://jtd.amegroups.org/article/view/25722