Video-assisted mediastinoscopy as a therapeutic tool

Vénissac, Nicolas; Pop, Dániel; Mouroux, Jérôme

doi:10.1007/s00464-009-0418-2

Cited by 15 publications

(7 citation statements)

References 34 publications

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“…Compared with thoracic esophagectomy, mediastinal esophagectomy can ensure relative integrity of the thorax and has less interference with the heart and especially the lung. However, the feasibility and safety of resection for esophageal cancer through the mediastinum still requires more evidence (11,12). Anatomically, important organs are located adjacent to the esophagus, such as the aorta, trachea, heart and RLN.…”

Section: Discussionmentioning

confidence: 99%

Mediastinoscopy-assisted transhiatal esophagectomy versus thoraco-laparoscopic esophagectomy for esophageal cancer: a single-center initial experience

et al. 2020

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Background: We aimed to compare mediastinoscopy-assisted transhiatal esophagectomy (MATHE) with thoraco-laparoscopic esophagectomy (TLE) for patients with esophageal cancer in terms of the clinical effectiveness and perioperative complications. Methods: In total, 98 patients who underwent esophagectomy consecutively for esophageal squamous cell carcinoma in our center from Jan. 2018 to Dec. 2019 were included in this study. Thirty patients underwent mediastinoscopy-assisted and laparoscopic transhiatal esophagectomy with cervical anastomosis (the MATHE group). The other sixty-eight patients received TLE (the TLE group). Each patient's general conditions and perioperative complications were recorded. Results: Patients in the MATHE group were observed to have a higher incidence of postoperative hoarseness than those in the TLE group. There were no significant differences between the MATHE group and the TLE group in regards to the operation time, intraoperative blood loss, number of lymph nodes dissected or postoperative hospital stay. Similarly, no statistically significant differences were observed in the incidence of anastomotic fistula, respiratory complications, or chylothorax or in the conversion rate or inhospital mortality rate between the two groups. Conclusions: The short-term efficacy in the MATHE group was similar to that in the TLE group, although patients in the MATHE group may have had a higher incidence of postoperative hoarseness. Therefore, MATHE may be a feasible and safe surgical procedure for appropriate patients with esophageal cancer.

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Section: Discussionmentioning

confidence: 99%

Mediastinoscopy-assisted transhiatal esophagectomy versus thoraco-laparoscopic esophagectomy for esophageal cancer: a single-center initial experience

et al. 2020

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“…Now, the time had come to use the mediastinoscopy no longer as a purely diagnostic tool, but also therapeutically as a 'video-assisted mediastinal lymphadenectomy' (VAMLA) [9]. In addition, here too the benefits of this method could have been demonstrated [10][11][12]. With the combination of videothoracoscopy and other minimal access approaches evolving, a radical change toward minimally invasive surgical procedures in mediastinal surgery is taking place.…”

Section: Introductionmentioning

confidence: 99%

Development of a new trans-oral endoscopic approach for mediastinal surgery based on ‘natural orifice surgery’: preclinical studies on surgical technique, feasibility, and safety

Wilhelm¹,

Klemm

Leschber

et al. 2011

European Journal of Cardio-Thoracic Surgery

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“…40 The benefits are obvious and similar as described for the management of ectopic parathyroid glands. The visualization is superb with identification of surrounding structures as long as complete excision or evacuation and cauterization of the inner cystic wall surface are successfully undertaken.…”

Section: Mediastinal Cysts (Bronchogenic/pericardial)mentioning

confidence: 82%

Diagnostic and Therapeutic Applications of Video-Assisted Mediastinoscopy

Tcherveniakov¹,

Svennevik²,

Milton³

et al. 2010

Clinical Pulmonary Medicine

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Since the 1950s, cervical mediastinoscopy has been a well-established technique for exploration of the anterior and superior mediastinum along with local lymph node biopsy. Despite current developments in mediastinal lymph node assessment such as fluorodeoxyglucose positron emission tomography integrated with computed tomography and endobronchial ultrasound with transbronchial-needle aspiration, mediastinoscopy remains the "gold standard" procedure for nodal staging of lung cancer. In recent years, the conventional mediastinoscope has been equipped with high definition optics offering a magnified and detailed image of the operating field with obvious advantages for the operator. Hence, the procedure has been renamed video-assisted mediastinoscopy. The new features enable a shared operative experience, facilitate teaching to junior surgeons, improve safety and accuracy of mediastinal exploration, and encourage exploration into further applications of the mediastinoscope.

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Video-assisted mediastinoscopy as a therapeutic tool

Abstract: "Exploratory" VAM for mediastinal disease is an important training tool that can be applied further for a therapeutic purpose. The authors' experience has shown its potential. Its surgical indications and benefits deserve better identification.

Cited by 15 publications

References 34 publications

Mediastinoscopy-assisted transhiatal esophagectomy versus thoraco-laparoscopic esophagectomy for esophageal cancer: a single-center initial experience

Mediastinoscopy-assisted transhiatal esophagectomy versus thoraco-laparoscopic esophagectomy for esophageal cancer: a single-center initial experience

Development of a new trans-oral endoscopic approach for mediastinal surgery based on ‘natural orifice surgery’: preclinical studies on surgical technique, feasibility, and safety

Diagnostic and Therapeutic Applications of Video-Assisted Mediastinoscopy

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