Combined mediastinal node assessment by lymphadenectomy and intraoperative mediastinoscopy

Editorial comment: Clinical pathways: mediastinoscopy and mediastinal lymph node dissection.

phase III randomised controlled trial. Lancet 2009;374:379—86. [15] Pisters KM, Vallières E, Crowley JJ, Franklin WA, Bunn Jr PA, Ginsberg RJ, Putnam Jr JB, Chansky K, Gandara D. Surgery with or without preoperative paclitaxel and carboplatin in early-stage non-small-cell lung cancer: Southwest Oncology Group Trial S9900, an intergroup, randomized, phase III trial. J Clin Oncol 2010;28:1843—9. ...

Mediastinoscopy, Mediastinotomy And Thoracoscopy For Mediastinal Lesions

Isolated Mediastinal Adenopathy: The Case for Mediastinoscopy

BACKGROUND We report our experience with mediastinoscopy at Auckland city hospital, a tertiary referral centre. We wished to examine correlations between clinical diagnosis and that made by histological sampling of enlarged mediastinal nodes particularly in patients with isolated mediastinal adenopathy. METHODS We retrospectively reviewed clinical records of all patients who underwent mediast...

Prospective evaluation of computed tomography and mediastinoscopy in mediastinal lymph node staging.

Precise mediastinal lymph node (LN) staging is imperative in otherwise operable non-small cell lung cancer (NSCLC), as it determines subsequent treatment and possible inclusion in a neoadjuvant trial. The roles of mediastinoscopy and computed tomography (CT) remain controversial. To determine the accuracy of current CT scanners, a prospective study was performed. From April 1993 until September...

Early detection of mediastinal spread of pulmonary carcinoma by mediastinoscopy.

To the great disappointment of all concerned, too many operations performed for pulmonary carcinoma still prove to be exploratory thoracotomies or non-curative resections, in spite of careful preoperative investigations. A follow-up study of 168 patients operated upon for pulmonary carcinoma clearly shows that such non-curative procedures yield very disappointing results. To reduce this number ...