Preliminary experience of video-mediastinoscopy in clinical application.
- Author:
Jun WANG
1
;
Hui ZHAO
;
Jun LIU
;
Jianfeng LI
;
Yun LI
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Aged; Female; Humans; Lung Neoplasms; diagnosis; Male; Mediastinal Diseases; diagnosis; Mediastinoscopy; Middle Aged; Neoplasm Staging; Thoracic Diseases; diagnosis
- From: Chinese Journal of Surgery 2002;40(11):840-842
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo determine the value of video-mediastinoscopy in clinical application.
METHODSThe clinical data of 54 patients receiving video-mediastinoscopy were reviewed retrospectively. This operation consisted of cervical mediastinoscopy in 44 patients, parasternal mediastinoscopy in 6, and combined procedures in 4. Of these patients, 18 underwent video-mediastinoscopy for the evaluation of undifferentiated mediastinal disease. Thirty-six patients with suspected lung cancer showed enlarged mediastinal lymph nodes radiographically in the chest and underwent video-mediastinoscopy.
RESULTSSeventeen of 18 patients with undetermined mediastinal diseases had a definitive pathologic diagnosis, with an accuracy of 94.4% (17/18). In the 36 patients with suspected lung cancer, 22 were positive, and 14 negative. In the negative patients who underwent thoracotomy with resection, mediastinal lymph nodes revealed no evidence of metastasis. There were no postoperative complication and deaths.
CONCLUSIONVideo-mediastinoscopy as a highly effective and safe procedure could be used in the diagnosis and staging of thoracic diseases.
