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The Safety of Mediastinoscopy

Archives of Otolaryngology - Head and Neck Surgery, 1967
MEDIASTINOSCOPY is an endoscopic examination of the anterior mediastinum that is extremely uncomplicated but which yields useful information. The technique has been described before 1,2 and must be rigidly adhered to in all aspects. The salient points of the examination are briefly reviewed. After obtaining anesthesia, a transverse incision is made in
S H, Koop, A J, Duvall
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Re-mediastinoscopy

Archives of Otolaryngology - Head and Neck Surgery, 1975
In a series of 1,188 mediastinoscopies, six re-mediastinoscopies (0.5%) were made. The indications for repeated mediastinal exploration can be made more lenient since the adhesions between the innominate artery and the trachea need not always be extensive; if they are, an alternative paratracheal route can be used.
T, Palva, A, Palva, J, Kärjä
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Conventional mediastinoscopy

Multimedia Manual of Cardio-Thoracic Surgery, 2005
Involvement of mediastinal nodes has a dramatic prognostic and therapeutic impact in patients with non-small cell lung cancer. Cervical mediastinoscopy remains the most important technique for staging of the mediastinum. The technique of extended mediastinoscopy and redo mediastinoscopy are described as well.
Paul De, Leyn, Toni, Lerut
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Experience with Mediastinoscopy

Acta Oto-Laryngologica, 1967
A total of 150 mediastinoscopies have been performed at the Otolaryngological Hospital, Helsinki University during a period of six years. Biopsy specimens were taken in 117 cases: in 93 from the superior mediastinum and in 24 from the middle mediastinum.
E, Vaheri, E, Holopainen
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Selective Mediastinoscopy

Chest, 1977
Mediastinoscopy is often utilized for staging bronchogenic carcinoma. Whether it should be used routinely or selectively is controversial. Fifty-four patients with bronchogenic carcinoma were prospectively assigned to one of two groups based on the presence (group A) or absence (group B) of one or more of the following criteria: (1) central location ...
J L, Acosta, F, Manfredi
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Repeat Mediastinoscopy

The Annals of Thoracic Surgery, 1984
Although it has been maintained that a repeat mediastinoscopy results in high morbidity and mortality, it was considered an essential staging procedure in this group of 12 patients. The results of repeat mediastinoscopy were negative in 10 patients and positive in 2. On the basis of negative findings, 6 patients underwent thoracotomy.
R J, Lewis, G E, Sisler, J W, Mackenzie
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Repeat Mediastinoscopy

ORL, 2010
The author reports 18 cases with repeated mediastinoscopy. The surgical procedure was performed twice on 16 patients and three times on 2 patients. Mediastinal shadow was the indication in 6 patients and bronchogenic carcinoma in 3 patients. Average time lag between the procedures was 35 months.
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Complications of mediastinoscopy

The Journal of Laryngology & Otology, 1989
AbstractFrom 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
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