HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Hürtgen, M. Articles by Toomes, H. Search for Related Content PubMed PubMed Citation Articles by Hürtgen, M. Articles by Toomes, H. Related Collections Lung - cancer Mediastinum Minimally invasive surgery

Eur J Cardiothorac Surg 2004;26:842-844
© 2004 Elsevier Science NL

How-to-do-it

Mediastinoscopic ultrasonography (MUS)

^a Katholisches Klinikum, Marienhof/St. Josef gGmbH, Brüderhaus; Abt. Thoraxchirurgie, Kardinal-Krementz-Str. 1-5, D-56073 Koblenz, Germany
^b Klinik Schillerhöhe, Abt. Pneumologie, Solitudestrasse 18, 70839 Gerlingen, Germany
^c Klinik Schillerhöhe, Abt. Thoraxchirurgie, Solitudestrasse 18, 70839 Gerlingen, Germany

Received 16 February 2004; received in revised form 3 June 2004; accepted 9 June 2004.

^* Corresponding author. Tel.: +49-261-496-64-89/23; fax: +49-261-496-64-69. (E-mail: m.huertgen{at}kk-koblenz.de).

Correct pre-therapeutic T4 staging is mandatory for neo-adjuvant studies and for the decision on surgical therapy of high-risk patients. T4-staging of centrally located lung-cancer by means of non-invasive imaging techniques is either of low accuracy (CT and NMR) or important regions are not accessible due to air interference with the tracheo-bronchial tree (trans-esophageal-endosonography, TEE). We here describe for the first time the new technique of mediastinoscopic ultrasonography (MUS). A fingertip ultrasound probe is introduced through the video-mediastinoscope. The probe lies in front of the tracheo-bronchial tree and in direct contact with the vena cava and pulmonary artery. This position allows examining those regions that are not accessible with TEE. In a pilot study with 12 patients, visualization of central vessels and their relation to the tumor was excellent and without artifacts. In 3 patients, MUS did not confirm the T4 stage predicted by CT Scan. Those three patients underwent successful pneumonectomy (R0-resection) while the other nine patients received induction treatment. MUS is a promising addition to CT scanning, NMR, and transesophageal ultrasound in staging of centrally located tumors.

This article has been cited by other articles:

				B. Witte, W. Neumeister, and M. Huertgen Does endoesophageal ultrasound-guided fine-needle aspiration replace mediastinoscopy in mediastinal staging of thoracic malignancies? Eur. J. Cardiothorac. Surg., June 1, 2008; 33(6): 1124 - 1128. [Abstract] [Full Text] [PDF]

				B. Witte and M. Hurtgen Video-assisted mediastinoscopic lymphadenectomy MMCTS, October 18, 2007; 2007(1018): 2576. [Abstract] [Full Text] [PDF]

				B. Witte, M. Wolf, M. Huertgen, and H. Toomes Video-Assisted Mediastinoscopic Surgery: Clinical Feasibility and Accuracy of Mediastinal Lymph Node Staging Ann. Thorac. Surg., November 1, 2006; 82(5): 1821 - 1827. [Abstract] [Full Text] [PDF]

				Ultrasonography-assisted videomediastinoscopy in superior vena cava obstruction. J. Thorac. Cardiovasc. Surg., March 1, 2006; 131(3): 750 - 751.