Online citations, reference lists, and bibliographies.
← Back to Search

Extended Cervical Mediastinoscopy. A Single Staging Procedure For Bronchogenic Carcinoma Of The Left Upper Lobe.

R. Ginsberg, T. Rice, M. Goldberg, P. F. Waters, B. Schmocker
Published 1987 · Medicine

Cite This
Download PDF
Analyze on Scholarcy
Share
Despite a common misconception, bronchogenic carcinoma of the left upper lobe frequently metastasizes to lymph nodes not only in the anterior mediastinum (para-aortic and subaortic) but also in the superior mediastinum. Anterior (parasternal) mediastinotomy can be used to assess only the former compartment. This procedure alone, if not done in conjunction with standard cervical mediastinoscopy, will fail to disclose technically unresectable N2 or N3 disease of the left upper lobe involving the superior mediastinum. We have developed a technique to explore and sample nodes from both regions by extending a standard cervical mediastinoscopy, eliminating the need for a second incision when the anterior mediastinal compartment requires assessment. We have prospectively analyzed the first 100 procedures that we performed. This technique has been found to be accurate and exceptionally safe with one superficial wound infection as the only complication. We can recommend this single staging procedure for preoperative assessment of bronchogenic carcinomas of the left upper lobe.



This paper is referenced by
10.1159/000262461
New developments in videomediastinoscopy: video-assisted mediastinoscopic lymphadenectomy and mediastinoscopic ultrasound.
B. Witte (2010)
10.1053/J.OPTECHSTCVS.2005.06.001
Mediastinal Staging Prior to Surgical Resection
S. Mentzer (2005)
10.1177/0218492309104747
Video-Assisted Surgery for Lung Cancer. State of the Art and Personal Experience
J. Loscertales (2009)
10.1007/978-1-84628-474-8_15
Resection for Patients Initially Diagnosed with N3 Lung Cancer after Response to Induction Therapy
A. D’Andrilli (2007)
10.1016/S0003-4975(00)01437-5
Remediastinoscopy after induction chemotherapy in non-small cell lung cancer.
M. Mateu-Navarro (2000)
10.1007/S10405-005-0035-2
Bronchialkarzinom: Chirurgische Diagnostik
E. Hecker (2005)
10.1007/978-3-642-72646-0_48
Cancer of the Respiratory Tract, Pleural Cavity, Mediastinum, and Chest Wall
P. Goldstraw (1989)
10.1159/000358018
Clinical and Surgical Perspectives with Comparison to Other Diagnostic Modalities
Neil A. Christie (2014)
10.1016/0003-4975(96)00205-6
Lung cancer staging: The value of ipsilateral scalene lymph node biopsy performed at mediastinoscopy
J. Lee (1996)
10.1093/ejcts/ezr181
Extended cervical mediastinoscopy: mature results of a clinical protocol for staging bronchogenic carcinoma of the left lung.
C. Obiols (2012)
10.1378/CHEST.07-1362
Invasive mediastinal staging of lung cancer: ACCP evidence-based clinical practice guidelines (2nd edition).
F. Detterbeck (2007)
10.1016/S0003-4975(98)00651-1
Subxiphoidal videomediastinoscopy for diagnostic access to the anterior mediastinum.
J. Hutter (1998)
10.1378/CHEST.117.4_SUPPL_1.96S
Clinical and surgical staging of non-small cell lung cancer.
J. Deslauriers (2000)
10.1016/J.JSS.2003.11.006
Lung cancer staging.
A. Sihoe (2004)
10.1007/978-3-662-08433-5_17
Allgemeine chirurgische Techniken an der Thoraxwand, der Lunge und dem Bronchialsystem
F. W. Schildberg (1991)
10.1378/CHEST.112.4_SUPPLEMENT.239S
Mediastinoscopy, thoracoscopy, and video-assisted thoracic surgery in the diagnosis and staging of lung cancer.
S. Mentzer (1997)
Cirugía mediastinal en el Instituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas durante 2006
Erick Eduardo Céspedes Meneses (2007)
10.1007/978-1-4615-1589-0_3
Staging and prognosis in lung cancer: making the complex accessible.
C. Langer (2001)
10.5152/TTD.2010.14
One of the Thoracic Surgery Procedures: Mediastinoscopy
T. Alar (2010)
10.1097/00128594-199701000-00029
Lung cancer staging: the value of ipsilateral scalene lymph node biopsy performed at mediastinoscopy.
J. Lee (1996)
10.1016/S0039-6109(05)70242-5
Video-assisted thoracic surgery for diseases within the mediastinum.
J. C. Lin (2000)
10.1093/ANNONC/MDJ914
Surgical procedures in mediastinal lung cancer staging.
M. Boaron (2006)
10.1016/S0300-2896(16)30198-3
Recommendations of the Spanish Society of Pneumology and Thoracic Surgery on the diagnosis and treatment of non-small-cell lung cancer.
F. Álvarez (2016)
10.1016/B978-1-4160-3993-8.00005-2
5 – Mediastinoscopy and Mediastinotomy
V. K. Nuthakki (2010)
ПОКАЗАНИЯ К МЕДИАСТИНОСКОПИИ И РЕМЕДИАСТИНОСКОПИИ Отделение торакальной хирургии Госпиталя Мута де Террасса, Барселона, Испания
R. Rami (2004)
10.1097/00129689-200004000-00005
Video-mediastinoscopy in management of patients with lung cancer: a preliminary study.
N. Vénissac (2000)
10.4046/TRD.2004.57.1.11
Surgical Diagnostic Methods in Pulmonary Diseases
H. Paik (2004)
10.21037/jtd.2017.03.102
The role of endobronchial ultrasound versus mediastinoscopy for non-small cell lung cancer.
K. Czarnecka-Kujawa (2017)
[Lung cancer: a review of current knowledge, diagnostic methods and therapeutic perspectives].
Edgar Amorín Kajatt (2013)
10.1016/S0022-5223(03)00748-7
Management of major hemorrhage during mediastinoscopy.
B. Park (2003)
10.1016/S0039-6109(02)00018-X
Diagnosis and management of early lung cancer.
B. Park (2002)
10.1016/S0169-5002(03)00301-5
Initial surgical staging of lung cancer.
B. Passlick (2003)
See more
Semantic Scholar Logo Some data provided by SemanticScholar