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Technique of Mediastinoscopy [PDF]

open access: possibleArchives of Surgery, 1974
Exploration with biopsy examination of the mediastinum as described by Eric Carlens 1 in 1959 has been a valuable addition to thoracic surgery. The technique should be mastered by all surgeons who do thoracic surgery. Mediastinoscopy is a relatively simple and safe procedure.
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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. Holopainen, Eino Vaheri
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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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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, Arndt J. Duvall
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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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Video Mediastinoscopy Versus Standard Mediastinoscopy

2014
Standard mediastinoscopy (SM) is a safe and established procedure for biopsy of masses and lymph nodes in the mediastinum. Technological advancements have led to video assisted mediastinoscopy (VAM). We evaluated the literature relating to the two techniques to determine if there is a clinical advantage to VAM over SM. Studies directly comparing VAM to
Karen Harrison-Phipps   +1 more
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Extended Cervical Mediastinoscopy

Multimedia Manual of Cardio-Thoracic Surgery, 2012
Surgical exploration of subaortic and para-aortic lymph nodes has traditionally required the combination of standard cervical mediastinoscopy and left anterior mediastinotomy. Video-assisted thoracoscopic surgery is another technique that allows the exploration of these nodal stations.
van Schil, Paul   +2 more
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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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Mediastinoscopy in a Community Hospital

JAMA: The Journal of the American Medical Association, 1967
Mediastinoscopy is being used as a diagnostic tool with increasing frequency in this country. In the absence of peripheral nodes, it is a more rewarding procedure than scalene node biopsy in the diagnosis of sarcoidosis. Mediastinoscopy is a better method of detecting lymphatic extension of bronchogenic carcinoma than scalene node biopsy.
John F. Marshall, William H. Hardesty
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