Are frozen sections of mediastinoscopy samples as effective as formal paraffin assessment of mediastinoscopy samples for a decision on a combined mediastinoscopy plus lobectomy?

Are frozen sections of mediastinoscopy samples as effective as formal paraffin assessment of mediastinoscopy samples for a decision on a combined mediastinoscopy plus lobectomy?

A best evidence topic in cardiothoracic surgery was written according to a structured protocol. The question addressed was 'Are frozen sections of mediastinoscopy samples as effective as formal paraffin assessment of mediastinoscopy samples for a decision on a same-day lobectomy?'. Five papers were found using the reported search that represented the best evidence to answer the clinical questio...

Repeat mediastinoscopy as a restaging procedure.

BACKGROUND Repeat cervical mediastinoscopy is a diagnostic surgical procedure for preoperative nodal staging in patients with insufficient first mediastinoscopy, with recurrent or second primary lung neoplasms, and following induction chemotherapy or chemo-/radiotherapy for locally advanced lung cancer. The aim of this study was to critically analyse indications, technical characteristics, intr...

Use of Intraoperative Frozen Section during Mediastinoscopy

Introduction: Staging of mediastinal lymph nodes (MLN) by mediastinoscopy can be of critical importance in assessing candidacy for lung resection. Mediastinoscopy is often performed as a sole procedure, with permanent pathology results guiding subsequent intervention. Our practice has been to perform mediastinoscopy followed by immediate surgical resection, as indicated, based on intraoperative...

Experience with Mediastinoscopy.

Anaesthesia for mediastinoscopy

Mediastinoscopy is a diagnostic procedure, which was first described by Carlens in 1959. Despite the availability of sophisticated imaging techniques (e.g. positron emission tomography), mediastinoscopy remains essential in the staging of lung cancer because of its high sensitivity (.80%) and specificity (100%). Other indications for mediastinoscopy include biopsy of mediastinal masses especial...