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Surgery Annual 1970
Review
Topics: Bronchial Neoplasms; Esophageal Neoplasms; Humans; Lung Neoplasms; Mediastinoscopy; Methods; Sarcoidosis; Thoracic Diseases; Thoracic Neoplasms; Tomography, X-Ray
PubMed: 4950817
DOI: No ID Found -
British Medical Bulletin Jul 1986
Review
Topics: Biopsy; Humans; Lung Neoplasms; Mediastinal Diseases; Mediastinoscopy; Neoplasm Staging
PubMed: 3545372
DOI: 10.1093/oxfordjournals.bmb.a072132 -
Chest Surgery Clinics of North America Feb 1996The continuity of cervicomediastinal fascial planes provides the anatomic basis for cervical mediastinoscopy and its derivatives. There are two such planes, both... (Review)
Review
The continuity of cervicomediastinal fascial planes provides the anatomic basis for cervical mediastinoscopy and its derivatives. There are two such planes, both accessible through a single small neck incision: the retrovascular paratracheal plane (for standard cervical mediastinoscopy) and the prevascular retrosternal plane (the zone of extended mediastinal exploration). This article describes the evolution, technique, indications, applications, and complications of cervical mediastinoscopy in the diagnosis and therapy of thoracic diseases.
Topics: Cervical Vertebrae; Humans; Mediastinal Diseases; Mediastinoscopy; Mediastinum
PubMed: 8646496
DOI: No ID Found -
Archivos de Bronconeumologia Sep 2007
Review
Topics: Humans; Lung Neoplasms; Mediastinoscopy; Neoplasm Staging
PubMed: 17919411
DOI: 10.1016/s1579-2129(07)60109-8 -
Revue Des Maladies Respiratoires 1992Mediastinoscopy was initiated by E. Carlens in 1959 and enabled the exploration of the mediastinal tissues, above all the lymphatics with both a diagnostic and a... (Review)
Review
Mediastinoscopy was initiated by E. Carlens in 1959 and enabled the exploration of the mediastinal tissues, above all the lymphatics with both a diagnostic and a prognostic aim. Surgical intervention was performed most often under general anaesthesia and cervical mediastinoscopy was carried out under direct visual inspection thanks to a thoracoscope with its own light source so that the mediastinal axis, the thymic area and also the peripheral mediastinum could be examined. The examination can be completed or even replaced by antero-lateral mediastinoscopy. Biopsies with forceps are in general of good quality. Side effects or complications are rare (1-3.8%) and the mortality is practically nil (0-0.5%). Diagnostic mediastinoscopy is indicated in cases of isolated or multiple mediastinal adenopathy, mediastinal tumours in particular those of the thymus whose extent is not evident. And finally certain miscellaneous pulmonary conditions. The sensitivity is 95-99% in sarcoidosis or metastatic lymphadenopathy and a little less in malignant lymphomas or thymic tumours. Mediastinoscopy is used to assess prognosis as regards the extension of broncho-pulmonary cancer. The existence and the site of metastatic nodes can be precisely assessed possibly on the contralateral side too, and influences the therapeutic orientation. The rare failures of mediastinoscopy leave a remaining 5% for an exploratory thoracotomy. Computered tomography does not seem to replace mediastinoscopy but rather guides its application. It is also part of the assessment of malignant lymphomas in certain situations.
Topics: Humans; Mediastinal Diseases; Mediastinoscopes; Mediastinoscopy; Mediastinum
PubMed: 1542754
DOI: No ID Found -
British Medical Journal May 1965
Topics: Biopsy; Endoscopy; Humans; Mediastinoscopy; Mediastinum; Neoplasms; Thoracic Neoplasms
PubMed: 14273524
DOI: 10.1136/bmj.1.5443.1167 -
Revista Portuguesa de Cirurgia... 2017Although uncommon, major vessel hemorrhage is the most feared complication of mediastinoscopy. Our goal was to determine the optimal management strategy and to develop a... (Review)
Review
INTRODUCTION
Although uncommon, major vessel hemorrhage is the most feared complication of mediastinoscopy. Our goal was to determine the optimal management strategy and to develop a simple and accessible protocol for optimizing care in these situations.
METHODS
Data collection after reviewing the relevant literature. A literature review was conducted using the following databases: PubMed, Medline, Embase and ScienceDirect.
RESULTS
The protocol consists of three distinct parts - initial checklist, considerations in minor bleeding and performance in major bleeding. In this last section we propose an initial approach based mainly on fluid resuscitation and immediate surgical correction if the former has not been successful.
CONCLUSION
Mediastinoscopy continues to be an important and effective diagnostic tool. However, it can cause important iatrogenic lesions which the anesthesiologist and surgical team must be prepared to diagnose early and treat properly.
Topics: Hemorrhage; Humans; Iatrogenic Disease; Mediastinoscopy
PubMed: 29701377
DOI: No ID Found -
Journal of Clinical Oncology : Official... Nov 2005
Topics: Biopsy, Fine-Needle; Carcinoma, Non-Small-Cell Lung; Endosonography; Humans; Lung Neoplasms; Mediastinoscopy; Neoplasm Staging; Positron-Emission Tomography; Tomography, Spiral Computed
PubMed: 16219928
DOI: 10.1200/JCO.2005.08.912 -
Chest Surgery Clinics of North America Feb 1996The technique of extended cervical mediastinoscopy is described in detail as well as its indications for use. The author has found extended cervical mediastinoscopy... (Review)
Review
The technique of extended cervical mediastinoscopy is described in detail as well as its indications for use. The author has found extended cervical mediastinoscopy extremely valuable in staging lung carcinoma with regard to level V and VI lymph node involvement if a standard cervical mediastinoscopy fails to demonstrate metastatic disease and a CT scan suggests subaortic lymph node involvement. This technique has been found to be safe and accurate and only adds minimal operating time to a cervical mediastinoscopy without the need for a second incision.
Topics: Biopsy; Cervical Vertebrae; Humans; Lymphatic Metastasis; Mediastinal Neoplasms; Mediastinoscopy; Mediastinum
PubMed: 8646501
DOI: No ID Found -
Thoracic Surgery Clinics Aug 2016Combined endosonographic lymph node biopsy techniques are a minimally invasive alternative to surgical staging in non-small cell lung cancer and may be superior to... (Review)
Review
Combined endosonographic lymph node biopsy techniques are a minimally invasive alternative to surgical staging in non-small cell lung cancer and may be superior to standard mediastinoscopy and surgical mediastinal staging techniques. Endosonography allows for the biopsy of lymph nodes and metastases unattainable with standard mediastinoscopy. Standard cervical mediastinoscopy is an invasive procedure, which requires general anesthesia and is associated with higher risk, cost, and major complication rates compared with minimally invasive endosonographic biopsy techniques. Combined endosonographic procedures are the new gold standard in staging of non-small cell lung cancer when performed by an experienced operator.
Topics: Biopsy; Carcinoma, Non-Small-Cell Lung; Endosonography; Humans; Lung Neoplasms; Lymph Nodes; Lymphatic Metastasis; Mediastinoscopy; Mediastinum; Neoplasm Staging
PubMed: 27427519
DOI: 10.1016/j.thorsurg.2016.04.005