1970
DOI: 10.1016/s0022-5223(19)42375-1
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Mediastinoscopy—experience with 300 consecutive cases

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Cited by 33 publications
(6 citation statements)
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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%
“…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%
“…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%
“…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%