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Eur J Cardiothorac Surg 2001;20:410-411
© 2001 Elsevier Science NL

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Mediastinoscopy and permanent venous access device positioning through the same incision

Service de Chirurgie Thoracique, Hôtel-Dieu, AP-HP, 1, Place du Parvis Nôtre-Dame, 75181 Paris Cedex 04, France

Received 16 March 2001; received in revised form 8 May 2001; accepted 14 May 2001.

Corresponding author. Tel.: +33-1-4234-8314; fax: +33-1-4234-8885
e-mail: marcoalifano{at}yahoo.com

We report herein our technique for positioning of permanent venous access device in patients undergoing mediastinoscopy for diagnosis and/or staging of thoracic malignancies. Through the same 3-cm skin incision employed for mediastinoscopy, access to right internal jugular vein is obtained and the prepectoral pocket for chamber positioning is prepared. The technique is simple, safe and provides increased patient acceptability.

Key Words: Mediastinoscopy • Venous access device • Technique • Chemotherapy • Lung cancer