Is video mediastinoscopy a safer and more effective procedure than conventional mediastinoscopy?

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...

Adverse events of NOTES mediastinoscopy compared to conventional video-assisted mediastinoscopy: a randomized survival study in a porcine model

BACKGROUND Safety is a concern in natural orifice transluminal endoscopic surgery (NOTES) mediastinoscopy. The objective of this study was to compare the safety of NOTES mediastinoscopy with video-assisted mediastinoscopy (VAM). METHODS Twenty-four pigs were randomly assigned to NOTES or VAM. Thirty-minute mediastinoscopies were performed with the identification of seven predetermined structu...

Mediastinoscopy: a diagnostic procedure in hilar and paratracheal lymphadenopathy.

Mediastinoscopy, in the skilled hands of a thoracic surgeon, is a safe, cosmetically accepted procedure with negligible complications, less than that reported in many series of scalene node biopsies. It has the advantage of yielding a much higher rate of diagnostic tissue, in all instances over 90%O. In the cases of tuberculosis it enabled an organism to be isolated and sensitivities obtained. ...

Experience with Mediastinoscopy.

Tuberculosis and mediastinoscopy.

Biopsy of lymph nodes at mediastinoscopy has been the method of diagnosis of tuberculosis in 14 patients; Mycobacterium tuberculosis was cultured from the nodes in nine cases, and in five there was histological evidence of the disease but cultural confirmation was lacking. All patients had radiographic abnormality of the superior mediastinum, and a frequent finding at mediastinoscopy was medias...