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Eur J Cardiothorac Surg 2005;27:920-922
© 2005 Elsevier Science NL

How-to-do-it

Simultaneous double video mediastinoscopy and video mediastinotomy—a step forward

Department of Thoracic Surgery, Leeds General Infirmary, Great George Street, Leeds LS1 3EX, UK

Received 13 September 2004; received in revised form 11 January 2005; accepted 17 January 2005.

^* Corresponding author. Tel.: +44 113 3925897; fax: +44 113 3928436. (E-mail: k.papagiannopoulos{at}yahoo.com). (URL: http://www.leedsthoracicsurgery.org.uk).

Mediastinal lymph node biopsy plays a fundamental role in diagnosis, staging and management of lung cancer. We describe a novel method of using the video-mediastinoscope for concurrent cervical mediastinotomy and anterior mediastinoscopy. We have performed five concurrent procedures using this system in the last 14 months. In four cases, we assessed the aorto-pulmonary (A-P) window lymph nodes. In the fifth case, we performed a cervical mediastinoscopy for para-tracheal and sub-carinal lymphadenopathy followed by an anterior videomediastinotomy, video assisted intrapericardial assessment, direct tumour sampling and A-P window lymph nodal biopsies. Due to the excellent visualisation afforded by the Videomediastinoscope, we were able to avoid an open procedure in all cases. We believe that this represents a major benefit of the videomediastinoscope in select cases.

Key Words: Videomediastinotomy • Video mediastinoscopy

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