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Ann Thorac Surg 1998;66:1427-1428
© 1998 The Society of Thoracic Surgeons

How To Do It

Subxiphoidal videomediastinoscopy for diagnostic access to the anterior mediastinum

Joerg Hutter, MDa, Werner Junger, MDa, Karl Miller, MDa, Erich Moritz, MDa

a Second Department of Surgery, Landeskrankenanstalten Salzburg, Salzburg, Austria

Accepted for publication May 27, 1998.

Address reprint requests to Dr Hutter, Second Department of Surgery, Landeskrankenanstalten Salzburg, Müllnerhauptstr 48, 5020 Salzburg, Austria
e-mail: (j.hutter{at}lkasbg.gv.at)

Access to the anterior mediastinum from the epigastric region through the retrosternal space, performed with a videomediastinoscope, is described. The method can be used to release the lower lobes of the thymus in transcervical thymectomy as well as for the diagnosis of retrosternal masses of uncertain origin on either side of the anterior mediastinum.




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