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The Annals of Thoracic Surgery, Vol 30, 208-214, Copyright © 1980 by The Society of Thoracic Surgeons
MH Ashraf, PL Milsom and RK Walesby
In order to reduce the high rate of inoperability in patients with
bronchial carcinoma, mediastinoscopy was carried out as a routine
preoperative selection in 874 patients during 13 years. Two hundred
thirty-six patients (27%) were found to have involved lymph nodes at
mediastinoscopy and were not treated surgically. Follow-up data were
available on 210 of them: 165 (79%) died within a year, 16 survived for 2
years, and 4 for 5 years. Pulmonary resection was carried out in 638
patients. Five-year survival in the series was 24.5% and 10-year survival
(based on 104 eligible patients), 16.3%, including the operative mortality
of 5.5%. Mediastinoscopy has not improved long-term survival to any great
extent. However, it has raised the rate of resectability to 97.1% and
lowered the operative mortality without denying the patient a chance of
cure.
ARTICLES
Selection by mediastinoscopy and long-term survival in bronchial carcinoma
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