Mediastinoscopy—experience with 300 consecutive cases

Trinkle, J. Kent; Bryant, Lester R.; Hiller, A.; Playforth, R H

doi:10.1016/s0022-5223(19)42375-1

Cited by 33 publications

(6 citation statements)

References 6 publications

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“…Therefore, less invasive techniques such as computed tomographic scanning have been proposed instead (Liippo et al, 1980;Therman et al, 1984;Brion et al, 1985;Khan etal., 1985, Rhoads etal., 1986. However, mediastinoscopy is an effective method for investigating the superior mediastinum and it gives a precise definition of the histology, site, extent of the tumour and the degree of invasion (Jepsen, 1966(Jepsen, , 1967Trinkle et al, 1969).…”

Section: Introductionmentioning

confidence: 99%

Complications of mediastinoscopy

Puhakka

1989

J. Laryngol. Otol.

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From 1968 to 1987, mediastinoscopy was performed on 2021 consecutive patients. The procedure was carried out in 35.7 per cent on patients with a pulmonary infiltrate and in 28.8 per cent with bronchogenic carcinoma. Mediastinoscopy was positive in 54 per cent of the cases. The total number of complications was 2.3 per cent (47/2021). There were four cases with major haemorrhage, three tracheal ruptures and three wound infections. Recurrent nerve paralysis was verified in three patients and pericardial rupture in two patients. The total of major complications was 0.5 per cent (10/2021). There was no deaths in this series. In the authors' opinion, mediastinoscopy can be regarded as an effective and safe procedure in the hands of an experienced surgeon.

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Section: Introductionmentioning

confidence: 99%

Complications of mediastinoscopy

Puhakka

1989

J. Laryngol. Otol.

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“…1,8,11,12 In such cases, mediastinoscopy yielded a definitive diagnosis in 43% to 100%. [1][2][3]8,13 However, factors leading to negative results of mediastinoscopy were not investigated.…”

Section: Discussionmentioning

confidence: 99%

“…This may have been the cause of negative mediastinoscopy necessitating thoracotomy in cases of mediastinal tuberculous lymphadenitis reported previously. 1,3,13 It was concluded that in the absence of a demonstrable parenchymal lesion, and when bronchoscopy is negative, mediastinoscopic multiple punch biopsies from 3 or more nodal stations may establish the diagnosis in cases of mediastinal tuberculous lymphadenitis, and prevent unnecessary thoracotomies.…”

Section: Discussionmentioning

confidence: 99%

Role of Mediastinoscopy in Intrathoracic Tuberculous Lymphadenitis

Sayar

Olcmen

Metin

et al. 2000

Asian Cardiovasc Thorac Ann

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From 1993From to 1998 patients with mediastinal tuberculosis underwent mediastinoscopy without any demonstrable parenchymal lesion and with negative diagnostic bronchoscopy. The mean age was 34.4 years (range, 15 to 67 years) and 10 were male. The most common symptom was cough in 12 patients, 4 were asymptomatic. Computed tomography showed involvement of the right paratracheal nodal station in 8 cases. Multiple biopsies of 3 to 5 mediastinal nodal stations diagnosed tuberculous lymphadenitis in 16 patients; in 5 of these, nonspecific inflammatory nodes were also sampled. In 3 patients who had biopsies of 1 mediastinal nodal station, the diagnosis could not be established. It was concluded that when used effectively, mediastinoscopy was acceptable as a final diagnostic step in patients with mediastinal tuberculous lymphadenitis.

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“…Nowadays systematic nodal harvesting and staging laparotomy have been abandoned for two reasons: Firstly, though invasive diagnosis has modified the disease stage in 30 ± 40 % of patients [1], the altered treatment [5] failed to improve prognosis [1,6]. Secondly, laparotomy per se may result in considerable early and late postoperative complications such as bleeding, local infection or the rather rare but feared ªoverwhelming postsplenectomy infectionº [7].…”

Section: Biopsy Of Thoracic and Abdominal Lymph Nodes Indicationmentioning

confidence: 99%

“…Chest and mediastinum So far, mediastinoscopy and anterior mediastinotomy have been the methods of choice for LN biopsy in the anterior mediastinum [5]. Both can be performed on an outpatient basis and yield excellent results with a low morbidity (0,6 ± 3 %) and mortality (0 ± 0,3 %) [10,11,12].…”

Section: Surgerymentioning

confidence: 99%