Quiste broncogénico gástrico: una localización singular / Gastric bronchogenic cyst: a singular presentation

Los quistes broncogénicos son formaciones quísticas originadas por una anomalía de desarrollo del eje traqueobronquial durante la embriogénesis a partir de la pared ventral del intestino anterior. Se define al quiste broncogénico como una yema pulmonar ectópica cuya localización más frecuente es en la carina, intraparenquimatoso y en el mediastino; presenta otras localizaciones atípicas y menos comunes, como las regiones cervical, supraclavicular, esofágica, retroperitoneal y cutánea. Se presenta el caso de una mujer joven que consultó al servicio de urgencias con síntomas de dolor abdominal, a quien se le practicaron múltiples pruebas y se le diagnosticó un quiste broncogénico gástrico.

Bronchogenic cysts are cystic formations originated by a tracheobronchial axis developmental anomaly during embryogenesis from the ventral wall of the anterior intestine. A bronchogenic cyst is defined as an ectopic pulmonary bud with most frequent location in the carina, intraparenchymal and mediastinal, presenting atypical and less common locations such as the cervical, supraclavicular, esophageal, retroperitoneal, and cutaneous regions. We present the case of a young woman, who consults the emergency department with abdominal pain, who is subjected to multiple tests being diagnosed as gastric bronchogenic cyst

Quiste broncogénico. Presentación de un caso / Bronchogenic cyst. Presentation of a case

Fundamentación: Los quistes broncogénicos constituyen el 10 % de las masas mediastinales en niños. Se presentan en la infancia en forma de distrés respiratorio. En niños mayores y adultos la forma de presentación es como sepsis respiratoria recurrente y con frecuencia cursan de forma asintomática, los que son diagnosticados a través de un hallazgo en una radiografía de tórax. Objetivo: Describir un caso clínico de quiste broncogénico, infrecuente en la edad adulta Presentación: Paciente de 55 años con antecedentes de enfermedad pulmonar obstructiva crónica, hipertensión arterial y diabetes mellitus tipo II, remitida del área de salud al Hospital General “Camilo Cienfuegos” de Sancti Spiritus por cuadros de sepsis respiratoria recurrentes, asociados a disnea, tos húmeda y dolor torácico. En los estudios radiológicos se constató radiopacidad en parénquima pulmonar derecho, imagen sugestiva de quiste broncogénico. Se indicó tratamiento médico, se difirió el proceder quirúrgico por clasificarse como paciente de alto riesgo por sus antecedentes patológicos. Lo novedoso del caso es lo infrecuente del diagnóstico en pacientes adultos. Conclusiones: Los quistes broncogénicos son infrecuentes diagnosticarlos en edad adulta, pueden permanecer asintomáticos o complicarse en cualquier momento de su evolución con neumonías recurrentes o sepsis respiratorias más graves. Siempre se puede definir el diagnóstico en estos casos después de descartar la presencia de una neoplasia de pulmón, no siempre es posible la resección quirúrgica.

Background: The bronchogenic cysts constitute 10% of the mediastinum masses in children. They are presented in the childhood in form of breathing distress. In bigger children and adults the presentation form is as a recurrent breathing sepsis and frequently happen in an asymptomatic way, which are diagnosed through the discovery in a thorax x-ray. Objective: To describe a clinical case of bronchogenic cyst, uncommon in mature ages. Presentation: A 55 years old patient with antecedents of chronicle obstructive lung illness, arterial hypertension and diabetes mellitus type II, remitted by the area of health to the General Hospital "Camilo Cienfuegos" of Sancti Spiritus for recurrent clinical manifestations of breathing sepsis, associated to dyspnea, humid cough and thoracic pain. In the radiological studies radiopacity was verified in right lung parenchyma, suggestive image of bronchogenic cysts. Medical treatment was indicated, it was differed for surgical proceeding to be classified as patient of high risk by its pathological antecedents. The novelty of the case is the uncommon of the diagnosis in mature patients. Conclusions: The bronchogenic cysts are uncommon to diagnose them in mature ages, they can remain asymptomatic or to get complicated in any moment of their evolution with recurrent pneumonias or more serious breathing sepsis. It can always be defined the diagnosis in these cases after discarding the presence of a lung neoplasia, it is not always possible the surgical resection.

Malformações broncopulmonares em RN / Bronchopulmonary malformations in newborns

O objetivo deste artigo é realizar uma revisão da literatura acerca de malformações broncopulmonares em RN, visando diagnóstico pré-natal através da ultrassografia, acompanhamento neonatal conforme manifestações clínicas com exames de imagem e a melhor via de tratamento, expectante ou definitiva.

The purpose of this article is a literature review about bronchopulmonary malformations in newborns, aiming to prenatal diagnosis by ultrasound, neonatal monitoring according to clinical manifestations by imaging exams and the best treatment, expectant or final.

Prevalence of metabolic components in university students / Prevalência de componentes metabólicos em universitários / Prevalencia de componentes metabólicos en universitarios

OBJECTIVE: to identify the frequency of components of Metabolic Syndrome (MetS) among university students. METHOD: descriptive study with 550 students, from various courses run by a public university. The socioeconomic data, lifestyle, and components of MetS were filled out using a questionnaire. Blood sample collection was undertaken in the university itself by a contracted clinical analysis laboratory. RESULTS: 66.2% were female, with a mean age of 22.6±4.41; 71.7% were sedentary; 1.8% stated that they smoke; and 48.5% were classified as at medium risk for alcoholism. 5.8% had raised abdominal circumference and 20.4% had excess weight; 1.3% and 18.9% had raised fasting blood glucose levels and triglycerides, respectively; 64.5% had low HDL cholesterol and 8.7% had blood pressure levels compatible with borderline high blood pressure. Thus, of the sample, 64.4% had at least one component for MetS; 11.6% had two, and 3.5% had three or more. CONCLUSION: a significant proportion of the population already has the components for metabolic syndrome, and this profile reinforces the importance of early diagnosis so as to reduce the risk of developing chronic comorbidities. .

OBJETIVO: identificar a frequência dos componentes da síndrome metabólica em estudantes universitários. MÉTODO: estudo descritivo com 550 estudantes, de diversos cursos de uma universidade pública. Os dados socioeconômicos, o estilo de vida e os componentes da síndrome metabólica foram preenchidos por meio de um formulário. A coleta de sangue foi realizada na própria universidade por um laboratório de análises clínicas contratado. RESULTADOS: 66,2% eram do sexo feminino, com idade média de 22,6+4,41; 71,7% eram sedentários; 1,8% afirmaram fumar e 48,5% estavam classificados como de médio risco para o alcoolismo. Ainda, 5,8% apresentavam circunferência abdominal elevada e 20,4% excesso de peso; 1,3% e 18,9% estavam com a glicemia de jejum e triglicerídeos elevados, respectivamente; 64,5% apresentaram lipoproteínas de alta densidade colesterol baixo e 8,7% níveis pressóricos compatíveis com pressão arterial limítrofe. Assim, da amostra, 64,4% apresentaram pelo menos um componente para síndrome metabólica; 11,6% tinham dois e 3,5% tinham três ou mais. CONCLUSÃO: boa parte da população já apresenta componentes para síndrome metabólica e esse perfil reforça a importância do diagnóstico precoce com o intuito de reduzir o risco de desenvolvimento de comorbidades crônicas. .

OBJETIVO: identificar la frecuencia de los componentes del Síndrome Metabólico (SM) en estudiantes universitarios. MÉTODO: estudio descriptivo con 550 estudiantes, de diversos cursos de una universidad pública. Los datos socioeconómicos, el estilo de vida y los componentes del SM fueron informados por medio de un formulario. La recolección de sangre fue realizada en la propia universidad por un laboratorio contratado de análisis clínicos. RESULTADOS: 66,2% eran del sexo femenino, con edad promedio de 22,6+ 4,41; 71,7% eran sedentarios; 1,8% afirmaron fumar; y 48,5% estaban clasificados como de mediano riesgo para el alcoholismo. 5,8% presentaban circunferencia abdominal elevada y 20,4% exceso de peso; 1,3% y 18,9% estaban con la glucemia de ayuno y los triglicéridos elevados, respectivamente; 64,5% presentaron Colesterol HDL bajo y 8,7% niveles de presión compatibles con la presión arterial limítrofe. Así, de la muestra, 64,4% presentaron por lo menos un componente para SM; 11,6% tenían dos y 3,5% tenían tres o más. CONCLUSIÓN: buena parte de la población ya presenta componentes para síndrome metabólico y ese perfil refuerza la importancia del diagnóstico precoz con la finalidad de reducir el riesgo de desarrollar enfermedades concomitantes crónicas. .

Quiste broncogénico de localización poco habitual: reporte de 2 casos y revisión de la literatura / Bronchogenic cyst of unusual location: report of two cases and review of the literature

El quiste broncogénico es un remanente del desarrollo de traquea y bronquios. Alteraciones en la migración de células durante el desarrollo, permite que estos grupos originen quistes revestidos por epitelio respiratorio. La ubicación más habitual es la intratoráxica, dentro de ella, la intrapulmonar es la más frecuente, seguida de la mediastínica. El diagnóstico definitivo se establece mediante la biopsia diferida. Es una patología poco frecuente y las presentaciones extra torácicas son muy infrecuentes, por lo que compartimos dos casos, uno de ubicación sublingual y otro de ubicación subcutánea en zona escapular.

The bronchogenic cyst is a remanent of the development of the tracheobronchial tree. Alterations in cell migration during development cause the formation of cyst lining by respiratory epithelium. They are usually located in the thorax in lung and mediastinum. The definite diagnosis is realized with the pathology report. This is an uncommon pathological condition and the extra- thoracic forms are very unusual. We present two cases, one of which is of sublingual location and the other of subcutaneous location at the scapular site.

Quiste broncogénico: presentación de un caso en el período neonatal / Bronchogenic cyst: report of a case in the neonatal period

El quiste broncogénico es una malformación de la pared ventral del intestino primitivo que genera alteraciones en el desarrollo del árbol traqueobronquial. Presentamos el caso de un varón recién nacido con un quiste broncogénico en el lóbulo superior derecho, remitido a la unidad de cuidados intensivos neonatales del Hospital Universitario San Vicente de Paúl, de Medellín, por dificultad respiratoria progresiva y quiste torácico congénito. El tratamiento quirúrgico –lobectomía- fue exitoso. Los quistes brocogénicos son un grupo heterogéneo; pueden ser únicos o múltiples y generalmente están confinados a un segmento o lóbulo pulmonar; su sintomatología se debe a compresión o sobreinfección y depende del lugar y el tamaño del quiste; el tratamiento de elección es el quirúrgico aun en pacientes asintomáticos.

Bronchogenic cysts are malformations of the ventral wall of the primitive gut that disturb the development of the tracheo-bronchial tree. We report the case of a newborn male with a bronchogenic cyst in the right upper lobe, referred to the neonatal intensive care unit at Hospital Universitario San Vicente de Paul, in Medellín, Colombia, because of progressive respiratory distress. Surgical treatment by lobectomy was successful. Bronchogenic cysts are a heterogeneous group of abnormalities. They may be single or multiple and are usually confined to a pulmonary segment or lobe. Symptomatology is due to compression or superinfection, and depends on the location and size of the cyst. Treatment of choice is surgery even in asymptomatic patients.

Obesidad mórbida asociada a quiste broncogénico y leiomioma subcardial que simula GIST: caso clínico / Morbid obesity, esophageal bronchogenic cyst and subcardial leiomioma: report of one case

Gastric wall diseases are found in approximately of 1 percent of the patients submitted to bariatric surgery. Half of these are leiomiomas. Esophageal bronchogenic cysts are exceptional We report a 57 years old female with morbid obesity, a bronchogenic esophageal cyst and subcardial leiomioma. The preoperative study and intraoperative biopsy, suggested the presence of a gastrointestinal stromal tumor (GIST), but the definitive pathological study did not confirm its presence. A total gastrectomy was performed, with an uneventful postoperative course.

La patología intramural gástrica tiene una frecuencia menor al 1 por ciento, en cirugía gástrica. Alrededor del 50 por ciento corresponden a leiomiomas. Los quistes broncogénicos tienen origen embriológico y son excepcionales, y la mayor parte de los reportes corresponden a pacientes pediátricos. Se presenta un caso clínico de paciente portadora de Obesidad mórbida (IMC = 52), asociado a lesión subcardial que simula GIST, cuyo estudio histopatológico resultó ser un quiste esofágico de origen broncogénico de 40 mm, asociado a leiomioma subcardial de 10 mm. Fue sometida a gastrectomía total más anastomosis esófago-yeyunal en Y de Roux, con asa de 180 cm. No presentó morbi-mortalidad postoperatoria. Se discuten los métodos de estudio preoperatorio y las alternativas terapéuticas. No hemos encontrado en la literatura otro caso de asociación de estas raras patologías.

Resección toracoscópica de un quiste broncogénico: presentación de un caso y revisión de la literatura / Thoracoscopic resection of a bronchogenic cyst: case presentation and literature review

El quiste broncogénico es una malformación congénita pulmonar rara que sin tratamiento puede presentar una variedad de complicaciones importantes, incluyendo transformación maligna. Se reporta un caso de una paciente femenina de 4 años de edad en quien se diagnosticó quiste broncogénico mediastinal derecho tanto por tomografía axial computarizada como por resonancia magnética y que fue exitosamente operada vía toracoscópica en el Hospital de Especialidades del Instituto Hondureño del Seguro Social en Tegucigalpa, Honduras...

Quistes pulmonares congénitos / Congenital lung cysts

Se describe el caso clínico de un paciente con quistes pulmonares, cuya enfermedad fue diagnosticada con acierto a los 13 años de edad en el Hospital Infantil Sur Docente de Santiago de Cuba, pues su rareza en la infancia tiende a que sea confundida con otras afecciones. Ha sido tratado con vitaminas y terapia respiratoria, aunque los cirujanos recomiendan la exéresis de los tumores, no ejecutada por desacuerdo del adolescente y sus familiares. Generalmente se mantiene asintomático, pero sigue siendo atendido por pediatras de esta institución.

The clinical case of a patient with lung cysts whose disease was successfully diagnosed at the age of 13 in the Southern Teaching Children Hospital from Santiago de Cuba was described as its peculiarity in the childhood makes it to be mistaken for other conditions. He has been treated with vitamins and breathing therapy, although the surgeons recommend the tumor exeresis with the family and patient's consent. He is usually asymptomatic, but pediatricians of this institution continue attending him.

Tratamento operatório de 60 pacientes com malformações pulmonares: o que aprendemos? / Surgical treatment of 60 patients with pulmonary malformations: what have we learned?

OBJETIVO: Analisar retrospectivamente os prontuários de pacientes com malformações pulmonares submetidos a tratamento operatório e verificar a evolução clínica até o diagnóstico definitivo. MÉTODOS:Analisamos os prontuários dos pacientes com malformações pulmonares operados no Hospital São Paulo-Universidade Federal de São Paulo/Escola Paulista de Medicina-de 1969 a 2004. Cada prontuário foi analisado quanto aos seguintes aspectos: quadro clínico, diagnóstico, tratamento prévio, tratamento operatório e complicações hospitalares. Os critérios de inclusão foram os seguintes: ter diagnóstico de malformação pulmonar, ter sido submetido à ressecção pulmonar e ter prontuário com dados completos. RESULTADOS: A análise dos prontuários revelou que 60 pacientes com diagnóstico de malformações pulmonares foram operados-27 casos de cisto broncogênico, 14 de ensifema lobar congênito, 10 de seqüestro pulmonar e 9 de malformação adenomatóide cística. A idade variou de 4 dias a 62 anos (média de 17,9 anos). Houve predominância do sexo masculino (55 por cento). Noventa e dois por cento dos pacientes apresentavam sintomas (média de duração, 15,37 meses). Dos 60 pacientes operados, 27 (45 por cento) receberam tratamento domiciliar ou hospitalar com antibiótico antes da operação. Quanto às complicações, observamos morbidade de 23 por cento e mortalidade de 3,3 por cento. A duração dos procedimentos operatórios realizados em nossos pacientes variou de 1 a 8 h (média, 3,2 h). CONCLUSÕES: A falha ou atraso no diagnóstico das malformações pulmonares resultou em tratamentos e hospitalizações desnecessárias e em complicações infecciosas recorrentes e freqüentes. Acreditamos que o tratamento definitivo é a operação, a qual é curativa e tem baixa morbidade e mortalidade.

OBJECTIVE: To retrospectively analyze the medical charts of patients with pulmonary malformations submitted to surgical treatment and to investigate the clinical evolution prior to the definitive diagnosis. METHODS: We analyzed the medical charts of patients with pulmonary malformations operated on at the São Paulo Hospital-Federal University of São Paulo/Paulista School of Medicine-from 1969 to 2004. Each medical chart was analyzed as to the following aspects: clinical profile; diagnosis; previous treatment; surgical treatment; and nosocomial complications. The inclusion criteria were having received a diagnosis of pulmonary malformation, having undergone pulmonary resection, and chart data being complete. RESULTS: The analysis of the medical charts revealed that 60 patients diagnosed with pulmonary malformations-27 cases of bronchogenic cyst, 14 cases of congenital lobar emphysema, 10 cases of pulmonary sequestration, and 9 cases of cystic adenomatoid malformation-underwent surgery. Ages ranged from 4 days to 62 years (mean, 17.9 years). There was a predominance of males (55 percent). Ninety-two percent of the patients presented symptoms (mean duration: 15.37 months). Of the 60 patients undergoing surgery, 27 (45 percent) received preoperative home or hospital treatment with antibiotics. Regarding complications, we observed that morbidity was 23 percent, and mortality was 3.3 percent. Surgical times ranged from 1 to 8 h (mean, 3.2 h). CONCLUSIONS: Misdiagnosis or delayed diagnosis of pulmonary malformations resulted in unnecessary treatments and hospitalizations, as well as in frequent, recurrent infectious complications. We believe that the definitive treatment is surgery, which is curative and has low morbidity and mortality rates.

Quiste broncogénico intratiroideo: pesentación de un caso / Intrathyroid bronchogenic chyst: presentation of a case

Paciente masculino, blanco, de 30 años de edad, que acude al médico por presentar nódulo en región lateral derecha del cuello, se indica ultrasonido y biopsia aspirativa de la lesión. El primero informa imagen eco lúcida unilocular del lóbulo derecho del tiroides y la segunda compatible con quiste branquial, posteriormente se realiza intervención quirúrgica consistente en hemitiroidectomia derecha. El resultado de la biopsia (B-07-1513) fue el de quiste broncogénico intratiroideo. Se realiza revisión bibliográfica y solamente se encuentra reporte de tres casos de quiste broncogénico intratiroideo, por lo que decidimos realizar esta presentación.

A 30-years-old, white, male patient attended the hospital because he presented a nodule on the right side of the neck. An ultrasound and an aspirative byopsy of the lession were indicated. The first one showed a unilocular echolucid image of the right lobule of the thyroid and the second one, an image compatible with a bronchial chyst. Then, we carried out a surgical intervention: a right hemithyiroidectomy. The result of the biopsy (B-07_1513) was an intrathyroid bronchogenic chyst. We made a bibliographic review and found only three reports of intrathyroid bronchogenic chyst, thus deciding to present this case.

Quiste broncogénico cervical: reporte de un caso / Cervical bronchogenic cyst: report of one case

Los quistes broncogénicos son malformaciones congénitas del árbol traqueobronquial que se ubican preferentemente en pulmones y mediastino, siendo excepcional su aparición en el cuello. Esta situación conlleva que ante una masa cervical de esta naturaleza se postulen diferentes diagnósticos clínicos de lesiones cervicales que son más corrientes, tales como quiste tiroideo, tirogloso, branquial y tímico, entre otros. La imagenología informa sobre el carácter quístico de la lesión pero no proporciona hallazgos específicos. Durante la intervención quirúrgica tampoco es posible establecer el diagnóstico, puesto que la masa simula los quistes cervicales congénitos más frecuentes. El diagnóstico definitivo se establece mediante la biopsia al constatar en la pared del quiste epitelio respiratorio. Comunicamos el caso de una mujer que presentó un quiste broncogénico de ubicación cervical y discutimos algunos aspectos de esta interesante condición.

Bronchogenic cysts are congenital malformations of the tracheobronchial tree that are mainly located in the lungs and mediastinum. Occasionally, they can appear in the neck, generating a cervical mass. Pathology gives the definitive diagnosis. We report a 19 years old female that consulted for an asymptomatic central cervical mass. On examination, a 4 cm diameter painless suprasternal nodule was palpated. Cervical ultrasound and CAT scan showed a cystic lesion. The cyst was completely excised surgically and the pathological report disclosed a bronchogenic cyst.

Isolated oesophageal cyst connected with the bronchus

We report an unusual case of a patient with an oesophageal cyst connected to the bronchus. A 24-year old male with a two-year history of repeated attacks of chest infection and haemoptysis was found to have a cyst of 4 x 4 cm affecting the anterior and apical segments of the right upper lobe. The cyst was excised in its entirety and the histopathological study of the cyst showed stratified squamous epithelium with submucosal and muscular layer but no cartilage. The pathological diagnosis was an oesophageal cyst. No previous case of isolated oesophageal cyst connected to the bronchus has been reported according to the available literature.

Quiste broncogénico retroperitoneal: Caso clínico / Retroperitoneal bronchogenic cyst: Report of one case

Retroperitoneal cystic tumors are uncommon. More than two thirds are malignant. Benign lesions include lipomas and íeiomyomas, among others. Bronchogenic cysts are congenital anomalies that result from an abnormal budding of the primitive foregut, and are most commonly found in the mediastinum. Occasionally they can be seen in the skin, subcutaneous tissue, in the pre-sternal andpericardial areas, but those located under the diaphragm are extremely rare. We report a 24 year-old female who consulted for abdominal pain. An abdominal ultrasound disclosed a retroperitoneal cystic lesion, that was confirmed with a CAT scan. The patient was operated, finding a cyst that was adhered to the pancreas. A distal pancreatectomy and cyst excision were done. The pathological examination of the lesion showed a bronchogenic cyst. The patient was discharged ten days after surgery.

Dois casos de cisto broncogênico do mediastino em lactentes sintomáticos / Two cases of mediastinal bronchogenic cyst in symptomatic infants

Os cistos broncogênicos são malformações relativamente infreqüentes, que causam 10% das massas e 60% dos cistos mediastinais. No entanto, uma intervenção cirúrgica, geralmente, é necessária para a confirmação do diagnóstico, para a exclusão de malignidade e prevenção de complicações, tais como hemorragia e infecção. Descrevemos dois casos de cisto broncogênico do mediastino, em lactentes com menos de 1 ano de vida. Os diagnósticos foram suspeitados devido à evolução com sintomas digestivos, associados à compressão esofagiana, demonstrada na radiografia de tórax e na seriografia esôfago-gástrica com bário. A tomografia computadorizada de tórax reforçou a hipótese diagnóstica e ambos os pacientes foram submetidos à cirurgia, sendo o diagnóstico confirmado com a histopatologia das lesões. Os dois casos obtiveram total sucesso terapêutico, tornando-se assintomáticos após a cirurgia. Este trabalho reforça a importância de se incluir a possibilidade do diagnóstico de cisto broncogênico mediastinal, em lactentes com sintomas digestivos de refluxo gastro-esofagiano que não melhoram com o tratamento clínico adequado.

Resultados del tratamiento quirurgico del quiste broncogeno / Results of the surgical treatment of the bronchogenic cyst

El quiste broncogeno es una malformacion congenita poco frecuente, que generalmente requiere tratamiento quirurgico. Con el objetivo de evaluar los resultados obtenidos en pacientes intervenidos quirurgicamente por quiste broncogeno, se realizo un estudio descriptivo de 9 pacientes consecutivos operados entre julio de 1995 y julio de 2004. Se evaluo edad, sexo, manifestaciones clinicas y tecnicas quirurgicas empleadas. Los resultados se determinaron en funcion de las complicaciones y la mortalidad. En 5 casos la lesion era de localizacion intraparenquimatosa ¨Den uno de ellos se ubicaba en la cisura interlobar izquierda¨D y en 4 se localizaba en el mediastino medio. Se practicaron 9 operaciones primarias y 3 reoperaciones. En un caso se dejo un fragmento de la pared del quiste que no fue posible resecar. Se realizo lobectomia inferior a 3 de los pacientes con quistes intraparenquimatosos (dos derechas y una izquierda). A los otros dos se extirpo el quiste, que en uno habia sustituido practicamente al lobulo superior izquierdo hipoplasico. En 5 pacientes el acceso se realizo mediante videotoracoscopia (una conversion) y en 4 mediante toracotomia convencional. Se produjo apertura bronquial durante la extirpacion del quiste mediante videotoracoscopia en un paciente. Hubo 3 reoperaciones (en 2 pacientes): por sangrado (1) y por atelectasia con infeccion pulmonar intratable y hematoma abscedado (1). Otras complicaciones fueron la sepsis de la herida (2) y el derrame pleural (1). No se ha documentado ninguna recidiva del quiste ni fallecidos. El tratamiento quirurgico de los quistes broncogenos no est¨¢ exento de complicaciones, pero produce buenos resultados a largo plazo(AU)

The cyst broncogeno is a not very frequent congenital malformacion that generally requires surgical treatment. With the objective of evaluating the results obtained in patients intervened surgically by cyst broncogeno, one carries out a descriptive study of 9 serial patients operated between July of 1995 and July of 2004. It is evaluated age, sex, manifestations clinical and technical surgical employees. The results were determined in function of the complications and the mortality. In 5 cases the lesion era of localization intraparenquimatosa ¨Den one of them was located in the incision interlobar izquierda¨D and in 4 it was located in the half mediastino. They were practiced 9 primary operations and 3 reoperaciones. In a case you accent a fragment of the wall of the cyst that was not possible to dry up. One carries out inferior lobectomia at 3 of the patients with cysts intraparenquimatosos (two rights and a left). TO the other ones two you extirpates the cyst that had substituted practically to the lobe superior left hipoplasico in one. In 5 patients the access one carries out by means of videotoracoscopia (a conversion) and in 4 by means of conventional toracotomia. Bronchial opening took place during the extirpation of the cyst by means of videotoracoscopia in a patient. There was 3 reoperaciones (in 2 patients): had bled (1) and for atelectasia with unsociable lung infection and hematoma abscedado (1). Other complications were the sepsis of the wound (2) and the spill pleural (1). it has not been documented any relapse of the cyst neither deceaseds. The surgical treatment of the cysts broncogenos non est¨ exempt¢of complications, but it produces long term good results(AU)