Mediastinoscopy


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Related to Mediastinoscopy: sarcoidosis, Chamberlain procedure
The following article is from The Great Soviet Encyclopedia (1979). It might be outdated or ideologically biased.

Mediastinoscopy

 

the examination of the anterior mediastinum for the purpose of biopsy.

Mediastinoscopy is performed in the operating room under anesthesia. The instrument used in the operation, called the mediastinoscope, is a hollow tube, 15 cm long with a longitudinal slit for manipulation of accessory instruments. The mediastinoscope is introduced into the anterior mediastinum through a transverse incision over the manubrium of the sternum.

Mediastinoscopy makes it possible to examine, puncture, and take pieces of tissue or lymph nodes for histological examination. The anterior surface of the trachea, the anterior and lateral surfaces of the main bronchi, and the connective tissue and lymph nodes surrounding them are also accessible to mediastinoscopy.

REFERENCE

Lukomskii, G. I., and M. A. Shulutkov. Mediastinoskopiia. Moscow, 1971. (Bibliography.)
The Great Soviet Encyclopedia, 3rd Edition (1970-1979). © 2010 The Gale Group, Inc. All rights reserved.
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References in periodicals archive ?
Though mediastinoscopy is considered gold standard investigative technique for obtaining tissue sections from mediastinal lymph nodes mediastinoscopy has its confines that it is invasive procedure and not all the mediastinal stations can be accessed and there is associated morbidity of the procedure1.
The diverse minimally or less invasive strategies reported in the literature include splitting the manubrium (manubriotomy), closed mediastinal exploration with dedicated equipment followed by excision of the gland via transcervical approach, video-assisted mediastinoscopy, video-assisted thoracoscopic surgery (VATS), and robot-assisted exploration (1, 10).
Mediastinoscopy could provide additional diagnostic tissue, but was deferred at this time.
Yasufuku, "The role of endobronchial ultrasound versus mediastinoscopy for non-small cell lung cancer," Journal of Thoracic Disease, vol.
Lymph node samples negative for malignancy underwent surgical confirmation (mediastinoscopy or VATS) or clinical and radiological follow-up (at least 12 months of follow-up).
Following that, the thoracic surgeon scheduled a diagnostic mediastinoscopy.
Also, they argued that mediastinoscopy may not be necessary in patients with 99mTc-MIBI SPECT positive results.
The various surgical approaches to mediastinal masses include mediastinoscopy, Video-assisted Thoracoscopic Surgery (VATS), anterior thoracotomy, median sternotomy, and standard posterolateral thoracotomy.
Preoperative lymph node status was assessed by contrast-enhanced CT scanning for all patients, while mediastinoscopy and the integrated positron emission tomography-CT (PET-CT) were not routinely performed.
Diagnosis was established with bronchoscopy in 61 patients, with mediastinoscopy in 14 patients, and with biopsy from extrapulmonary involvement in 9 patients.
A 65-year-old female, 5'3" tall, weighing 52 kilograms with a non-small cell carcinoma of the left upper lobe presented for a staging mediastinoscopy and biopsy under general anesthesia.