Bronchial stump insufficiency after pneumonectomy is a severe problem and there is still debate about the appropriate method (transthoracic or transsternal) for reclosure. Access through a sterile operative field for a successful redo-procedure seems to be important so an alternative to the open methods could be the video-mediastinoscopy as it allows approaching the bronchial stump via the medi...

A patient with mediastinal tuberculous lymphadenopathy is described. Presentation was with rapid onset of painful dysphagia following trauma to the neck. Early diagnosis was achieved by mediastinoscopy.

OBJECTIVE To determine the impact of endoesophageal ultrasound-guided fine-needle aspiration (EUS-FNA) on management of thoracic malignancies. METHODS One hundred and twenty patients referred for invasive diagnostic and resection of thoracic malignancies were studied prospectively. Negative and inconclusive EUS-FNA findings were assessed by video-assisted mediastinoscopic lymphadenectomy (VAM...

In patients with non-small-cell lung cancer (NSCLC), mediastinal lymph node (LN) involvement is the most important prognostic factor and influences therapeutic strategies. Nowadays, several methods of mediastinal staging are available. In 2007, the European Society of Thoracic Surgeons (ESTS) published guidelines for preoperative LN staging for NSCLC [1]. According to these guidelines, invasive...