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Optimal resection of gastric bronchogenic cysts based on anatomical continuity with adherent gastric muscular layer: A case report

BACKGROUND: Bronchogenic cysts are congenital lesions requiring radical resection because of malignant potential. However, a method for the optimal resection of these cysts has not been completely elucidated. CASE SUMMARY: Herein, we presented three patients with bronchogenic cysts that were located...

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Autores principales: Terayama, Masayoshi, Kumagai, Koshi, Kawachi, Hiroshi, Makuuchi, Rie, Hayami, Masaru, Ida, Satoshi, Ohashi, Manabu, Sano, Takeshi, Nunobe, Souya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10315120/
https://www.ncbi.nlm.nih.gov/pubmed/37405090
http://dx.doi.org/10.4240/wjgs.v15.i6.1216
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author Terayama, Masayoshi
Kumagai, Koshi
Kawachi, Hiroshi
Makuuchi, Rie
Hayami, Masaru
Ida, Satoshi
Ohashi, Manabu
Sano, Takeshi
Nunobe, Souya
author_facet Terayama, Masayoshi
Kumagai, Koshi
Kawachi, Hiroshi
Makuuchi, Rie
Hayami, Masaru
Ida, Satoshi
Ohashi, Manabu
Sano, Takeshi
Nunobe, Souya
author_sort Terayama, Masayoshi
collection PubMed
description BACKGROUND: Bronchogenic cysts are congenital lesions requiring radical resection because of malignant potential. However, a method for the optimal resection of these cysts has not been completely elucidated. CASE SUMMARY: Herein, we presented three patients with bronchogenic cysts that were located adjacent to the gastric wall and resected laparoscopically. The cysts were detected incidentally with no symptoms and the preoperative diagnosis was challenging to obtain via radiological examinations. Based on laparoscopic findings, the cyst was attached firmly to the gastric wall and the boundary between the gastric and cyst walls was difficult to identify. Consequently, resection of cysts alone caused cystic wall injury in Patient 1. Meanwhile, the cyst was resected completely along with a part of the gastric wall in Patient 2. Histopathological examination revealed the final diagnosis of bronchogenic cyst and revealed that the cyst wall shared the muscular layer with the gastric wall in Patients 1 and 2. In Patient 3, the cyst was located adjacent to the gastric wall but histopathologically originated from diaphragm rather than stomach. All the patients were free from recurrence. CONCLUSION: The findings of this study state that a safe and complete resection of bronchogenic cysts required the adherent gastric muscular layer or full-thickness dissection, if bronchogenic cysts are suspected via pre- and/or intraoperative findings.
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spelling pubmed-103151202023-07-03 Optimal resection of gastric bronchogenic cysts based on anatomical continuity with adherent gastric muscular layer: A case report Terayama, Masayoshi Kumagai, Koshi Kawachi, Hiroshi Makuuchi, Rie Hayami, Masaru Ida, Satoshi Ohashi, Manabu Sano, Takeshi Nunobe, Souya World J Gastrointest Surg Case Report BACKGROUND: Bronchogenic cysts are congenital lesions requiring radical resection because of malignant potential. However, a method for the optimal resection of these cysts has not been completely elucidated. CASE SUMMARY: Herein, we presented three patients with bronchogenic cysts that were located adjacent to the gastric wall and resected laparoscopically. The cysts were detected incidentally with no symptoms and the preoperative diagnosis was challenging to obtain via radiological examinations. Based on laparoscopic findings, the cyst was attached firmly to the gastric wall and the boundary between the gastric and cyst walls was difficult to identify. Consequently, resection of cysts alone caused cystic wall injury in Patient 1. Meanwhile, the cyst was resected completely along with a part of the gastric wall in Patient 2. Histopathological examination revealed the final diagnosis of bronchogenic cyst and revealed that the cyst wall shared the muscular layer with the gastric wall in Patients 1 and 2. In Patient 3, the cyst was located adjacent to the gastric wall but histopathologically originated from diaphragm rather than stomach. All the patients were free from recurrence. CONCLUSION: The findings of this study state that a safe and complete resection of bronchogenic cysts required the adherent gastric muscular layer or full-thickness dissection, if bronchogenic cysts are suspected via pre- and/or intraoperative findings. Baishideng Publishing Group Inc 2023-06-27 2023-06-27 /pmc/articles/PMC10315120/ /pubmed/37405090 http://dx.doi.org/10.4240/wjgs.v15.i6.1216 Text en ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
spellingShingle Case Report
Terayama, Masayoshi
Kumagai, Koshi
Kawachi, Hiroshi
Makuuchi, Rie
Hayami, Masaru
Ida, Satoshi
Ohashi, Manabu
Sano, Takeshi
Nunobe, Souya
Optimal resection of gastric bronchogenic cysts based on anatomical continuity with adherent gastric muscular layer: A case report
title Optimal resection of gastric bronchogenic cysts based on anatomical continuity with adherent gastric muscular layer: A case report
title_full Optimal resection of gastric bronchogenic cysts based on anatomical continuity with adherent gastric muscular layer: A case report
title_fullStr Optimal resection of gastric bronchogenic cysts based on anatomical continuity with adherent gastric muscular layer: A case report
title_full_unstemmed Optimal resection of gastric bronchogenic cysts based on anatomical continuity with adherent gastric muscular layer: A case report
title_short Optimal resection of gastric bronchogenic cysts based on anatomical continuity with adherent gastric muscular layer: A case report
title_sort optimal resection of gastric bronchogenic cysts based on anatomical continuity with adherent gastric muscular layer: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10315120/
https://www.ncbi.nlm.nih.gov/pubmed/37405090
http://dx.doi.org/10.4240/wjgs.v15.i6.1216
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