HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Ralph J. Lewis Glenn E. Sisler James W. Mackenzie Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Lewis, R. J. Articles by Mackenzie, J. W. Search for Related Content PubMed PubMed Citation Articles by Lewis, R. J. Articles by Mackenzie, J. W.

Ann Thorac Surg 1984;37:147-149
© 1984 The Society of Thoracic Surgeons

---

Articles

Repeat Mediastinoscopy

From the Department of Surgery, University of Medicine and Dentistry of New Jersey, Rutgers Medical School, New Brunswick, NJ

^* Address reprint requests to Dr. Lewis, Department of Surgery, UMDNJ-Rutgers Medical School, New Brunswick, NJ 08903

Although it has been maintained that a repeat mediastinoscopy results in high morbidity and mortality, it was considered an essential staging procedure in this group of 12 patients. The results of repeat mediastinoscopy were negative in 10 patients and positive in 2. On the basis of negative findings, 6 patients underwent thoracotomy. Five of them had a possible curative resection, and the remaining patient had an unresectable invasive carcinoma. An unnecessary thoracotomy was avoided in 2 patients with positive mediastinal nodes. For various reasons, thoracotomy was not indicated in the other 4 patients.

In the evaluation of a patient with a new or recurrent pulmonary lesion, repeat mediastinoscopy can be performed safely. When findings are negative, it would appear to increase the likelihood of a curative resection, whereas when findings are positive, an unnecessary thoracotomy can be avoided.

This article has been cited by other articles:

				B. J. Park, R. Flores, R. J. Downey, M. S. Bains, and V. W. Rusch Management of major hemorrhage during mediastinoscopy J. Thorac. Cardiovasc. Surg., September 1, 2003; 126(3): 726 - 731. [Abstract] [Full Text] [PDF]

				D. Lardinois, A. Schallberger, D. Betticher, and H.-B. Ris Postinduction video-mediastinoscopy is as accurate and safe as video-mediastinoscopy in patients without pretreatment for potentially operable non-small cell lung cancer Ann. Thorac. Surg., April 1, 2003; 75(4): 1102 - 1106. [Abstract] [Full Text] [PDF]

				T. Akhurst, R. J. Downey, M. S. Ginsberg, M. Gonen, M. Bains, R. Korst, R. J. Ginsberg, V. W. Rusch, and S. M. Larson An initial experience with FDG-PET in the imaging of residual disease after induction therapy for lung cancer Ann. Thorac. Surg., January 1, 2002; 73(1): 259 - 266. [Abstract] [Full Text] [PDF]

				M. Mateu-Navarro, R. Rami-Porta, R. Bastus-Piulats, L. Cirera-Nogueras, and G. Gonzalez-Pont Remediastinoscopy after induction chemotherapy in non-small cell lung cancer Ann. Thorac. Surg., August 1, 2000; 70(2): 391 - 395. [Abstract] [Full Text] [PDF]

				D. Meersschaut, F. Vermassen, A. B. d. l. Riviere, P. J. Knaepen, J. M. Van Den Bosch, and R. Vanderschueren Repeat mediastinoscopy in the assessment of new and recurrent lung neoplasm Ann. Thorac. Surg., January 1, 1992; 53(1): 120 - 122. [Abstract] [PDF]

				H. Unruh and R. C.-J. Chiu Mediastinal Assessment for Staging and Treatment of Carcinoma of the Lung Ann. Thorac. Surg., February 1, 1986; 41(2): 224 - 229. [Abstract] [PDF]