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European Journal of Cardio-Thoracic Surgery, Vol 9, 612-614, Copyright © 1995 by European Association for Cardio-thoracic Surgery

ARTICLES

Is a third mediastinoscopy really useful?

MA Schepens, A Brutel de la Riviere and JM Van den Bosch
Department of Cardiothoracic Surgery, St. Antonius Hospital, Nieuwegein, Netherlands.

The value of a second remediastinoscopy in the diagnostic assessment of new or recurrent lung cancer have never been evaluated before. We retrospectively reviewed our experience with a third mediastinoscopy in the staging of lung cancer to define its role. In 13 patients a third mediastinoscopy was performed; in all cases the indication was suspected or proven new or recurrent lung cancer. All accessible lymph nodes were sampled. The technical aspects of the procedure are described. Nine patients with a negative third mediastinoscopy underwent subsequent surgery, four patients were not operated on, based on the positive histology and concomitant diseases. There were no major complications. Reremediastinoscopy can be performed safely and has proven to be helpful in defining potential surgical candidates. Mediastinal involvement can be excluded in most.


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 Eur. J. Cardiothorac. Surg.Home page
M. Pauwels, P. Van Schil, W. De Backer, F. Van den Brande, and E. Eyskens
Repeat mediastinoscopy in the staging of lung cancer
Eur. J. Cardiothorac. Surg., September 1, 1999; 14(3): 271 - 273.
[Abstract] [Full Text] [PDF]


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