Research
Robotic Resection of a Posterior Mediastinal Unicentric Castleman’s Tumor
Castleman’s disease is a rare lymphoproliferative disease, that can either be unicentric or multicentric in presentation. It can affect various sites such as chest, neck, abdomen, and many others. Unicentric Castleman’s disease commonly affects the mediastinum, arising in the anterior and middle compartment and less commonly the posterior compartment. Patients affected with the disease are usually asymptomatic, however, they may present with non-specific symptoms such as cough and dyspnea. The treatment of Unicetric Castleman’s disease is surgical resection. In this case report we present a case of posterior mediastinal unicentric Castleman’s tumor, which was completely resected via robotic surgery.
Novel criteria system in triaging pediatric Foreign body aspiration: Chest Diseases Hospital Criteria
Objectives: Adaption of new referral criteria system for suspected pediatrics with foreign body aspiration. Methods: Bronchoscopy reports of all patients referred to Thoracic and foregut surgery unit with suspicion of foreign body aspiration from all Kuwait hospitals during the period from July 2016 to December 2017. Excluded patients who underwent bronchoscopy procedure for diagnostic purposes. Chest diseases Hospital criteria were assigned according to present initially in the emergency room, and the assigned results were blinded from the referring physician. Results: The patients were referred to our care with suspicious of foreign body aspiration from secondary hospitals in Kuwait, totaling 232 patients. Male were 149 patients and females were 83 patients, compromising 64% and 36% respectively. The mean age of the patients was 36.25 months. In general, 143 patients were negative study, and 89 patients were positive. Patients with CDH criteria was less than 3, 80.3% were negative, while CDH criteria from 3 to 6 the positive results were 76.1%, and when the CDH criteria were higher than 6, the positive results were 100%.
