TY - JOUR T1 - Extended possibilities of thoracoscopy at patients with mediastinal pathology JF - European Respiratory Journal JO - Eur Respir J VL - 42 IS - Suppl 57 SP - P455 AU - Armen Benyan AU - Evgeny Korymasov AU - Sergey Pushkin AU - Ildar Kameev AU - Mikhail Medvedchikov-Ardiya Y1 - 2013/09/01 UR - http://erj.ersjournals.com/content/42/Suppl_57/P455.abstract N2 - Objective. Accumulation of experience of performing thoracoscopy at patients with mediastinal pathology determines the extension of indications. This is displayed in enlargement of sizes of extracting pathological objects and increasing difficulty of intervention.Methods. Since 1999 till 2012 we have performed 110 thoracoscopic operations at patients with mediastinal pathology. We have separated 3 types of thoracoscopy: diagnostic operations – at 57 patients, removing of tumors and cysts – at 45 patients, sanation of mediastinitis – at 8 patients.Results. Mediastinal lymphadenopathy was the most frequent indication for diagnostic thoracoscopy. Thoracoscopic lymph node biopsy revealed sarcoidosis at 50 patients, Hodgkin's disease – at 6 patients, malignant histiocytosis – at 3 patients. Also, at 7 patients biopsy of tumor diagnosed lymphoma at 5 patients and malignant thymoma – at 2 patients.Thoracoscopic removal of benign tumors and cysts is possible regardless of sizes of pathology. We have operated 5 patients neurinoma, 10 patients with thymoma, 10 patients with mediastinal cyst, 5 patients with pericardial cyst, 8 patients with lipoma, 1 patient with leiomyoma of esophagus. The largest size of extracted tumors was until 14 cm. Pericardial window and pericardectomy had been done at 6 patients.We used thoracoscopy at 8 patients with different types of mediastinitis and found its priority at limited abscesses.Conclusion. The possibilities of thoracoscopy at patients with mediastinal pathology are defined by present experience and had the permanent tendency to expansion. ER -