What Is the Treatment of Symptomatic Bronchogenic Cyst?
When a bronchogenic cyst is symptomatic, adult patients are candidates for resection after immediate stabilization. Surgical excision is the established standard of care for this presentation.
Treatment Approach
Surgical excision is the primary intervention. A minimally invasive approach is preferred where feasible — the specific procedural options, selection criteria, and perioperative pathway are detailed in the complete protocol.
Clinical Goals
Symptomatic resolution and essentially no recurrence of the bronchogenic cyst following complete resection.
References
DOI: 10.21037/med-22-46
- Surgical excision remains the mainstay of therapy.
- The literature consisted of relatively small series, mixed between adult and pediatric patients, and the consensus remains that all symptomatic lesions should be excised via minimally invasive approach where feasible.
- With the emergence of minimally invasive platforms, resection of bronchogenic cysts either mediastinal or intraparenchymal variants can frequently be performed via thoracoscopic approach.
- Symptomatic adult patients should undergo resection after immediate stabilization.
- Thoracotomy has traditionally been the standard approach given their location and inflammation of surrounding tissues, with the vast majority of older series being exclusively completed via an open approach.
- Surgical excision remains the standard of care allowing for symptomatic resolution and definitive diagnosis via pathologic examination; minimally invasive approaches such as robotic and thoracoscopic approaches aiding treatment.
- Following complete resection, prognosis is excellent with essentially no recurrence.
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