ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Jèrôme Mouroux
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Venissac, N.
Right arrow Articles by Mouroux, J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Venissac, N.
Right arrow Articles by Mouroux, J.
Related Collections
Right arrow Mediastinum

Ann Thorac Surg 2003;76:208-212
© 2003 The Society of Thoracic Surgeons

Original article: general thoracic

Video-assisted mediastinoscopy: experience from 240 consecutive cases

Nicolas Venissac, MDa, Marco Alifano, MDa, Jèrôme Mouroux, MDa*

a Service de Chirurgie Thoracique, Hôpital Pasteur, C.H.U. de Nice, Nice, France

Accepted for publication January 17, 2003.

* Address reprint requests to Dr Mouroux, Service de Chirurgie Thoracique, Hôpital Pasteur, 30 Av. de la Voie Romaine, 06002 Nice Cedex 1, France.
e-mail: mouroux.j{at}chu-nice.fr

BACKGROUND: We report our experience with video-assisted mediastinoscopy.

METHODS: We retrospectively reviewed clinical records of all patients who underwent video-assisted mediastinoscopy in a 26-month period. Video-assisted mediastinoscopy was performed in the presence of enlarged lymph nodes (short axis > 1 cm) found at computed tomography scan. Data about operative time, node stations sampled, number of biopsies, and operative complications were collected. Results of the pathologic examination were recorded, as well as (when different) the definitive diagnosis.

RESULTS: Video-assisted mediastinoscopy was performed in 240 consecutive patients. In 2 patients, the technique was employed for resection of a mesothelial cyst. In the other cases, it was used for diagnosis of enlarged nodes or staging of lung cancer. Mean number of biopsies was 6.0; mean number of sampled nodal stations was 2.3. Mean operative time was 36.6 minutes. Two operative complications occurred: a pneumothorax not requiring drainage and an injury to the innominate artery requiring manubrial split and suture. In 192 patients, the definitive diagnosis was lung cancer (18 small–cell lung cancers). In the remaining 46 patients, video-assisted mediastinoscopy allowed establishment of the diagnosis (sarcoidosis, n = 22; reactive hyperplastic lympho-adenitis, n = 13; tuberculosis, n = 4; involvement by malignancies other than lung cancer, n = 7). Among the 174 patients with non–small cell lung cancer, mediastinal nodal involvement was recognized in 107 cases (N3, n = 28; N2, n = 79). Sixty-seven patients were staged N less than 2; 47 underwent thoracotomy. Postthoracotomy staging agreed with video-assisted mediastinoscopy staging in 44 cases (93.6%).

CONCLUSIONS: Video-assisted mediastinoscopy proved to be safe and effective in nodal assessment of the mediastinum.




This article has been cited by other articles:


Home page
 ICVTSHome page
E. A. Karfis, E. Roustanis, J. Beis, and J. Kakadellis
Video-assisted cervical mediastinoscopy: our seven-year experience
Interactive CardioVascular and Thoracic Surgery, December 1, 2008; 7(6): 1015 - 1018.
[Abstract] [Full Text] [PDF]

Home page
 JCOHome page
H. I. Pass
Lung Cancer Staging Techniques and Induction Therapy: Maybe Timing Is Everything
J. Clin. Oncol., July 10, 2008; 26(20): 3306 - 3307.
[Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
R. Trisolini, C. Tinelli, A. Cancellieri, D. Paioli, M. Alifano, M. Boaron, and M. Patelli
Transbronchial needle aspiration in sarcoidosis: Yield and predictors of a positive aspirate.
J. Thorac. Cardiovasc. Surg., April 1, 2008; 135(4): 837 - 842.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
G. Leschber, D. Sperling, W. Klemm, and J. Merk
Does video-mediastinoscopy improve the results of conventional mediastinoscopy?
Eur. J. Cardiothorac. Surg., February 1, 2008; 33(2): 289 - 293.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
F. C. Detterbeck, M. A. Jantz, M. Wallace, J. Vansteenkiste, and G. A. Silvestri
Invasive Mediastinal Staging of Lung Cancer: ACCP Evidence-Based Clinical Practice Guidelines (2nd Edition)
Chest, September 1, 2007; 132(3_suppl): 202S - 220S.
[Abstract] [Full Text] [PDF]

Home page
 ThoraxHome page
F. C Detterbeck
Evolution and science, progress and change
Thorax, August 1, 2007; 62(8): 654 - 655.
[Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
J. Kuzdzal, M. Zielinski, B. Papla, A. Urbanik, W. Wojciechowski, M. Narski, A. Szlubowski, and L. Hauer
The transcervical extended mediastinal lymphadenectomy versus cervical mediastinoscopy in non-small cell lung cancer staging
Eur. J. Cardiothorac. Surg., January 1, 2007; 31(1): 88 - 94.
[Abstract] [Full Text] [PDF]

Home page
 JCOHome page
P. De Leyn, T. Lerut, and J. Vansteenkiste
In Reply
J. Clin. Oncol., November 20, 2006; 24(33): 5339 - 5340.
[Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
B. Witte, M. Wolf, M. Huertgen, and H. Toomes
Video-Assisted Mediastinoscopic Surgery: Clinical Feasibility and Accuracy of Mediastinal Lymph Node Staging
Ann. Thorac. Surg., November 1, 2006; 82(5): 1821 - 1827.
[Abstract] [Full Text] [PDF]

Home page
 JCOHome page
P. De Leyn, S. Stroobants, W. De Wever, T. Lerut, W. Coosemans, G. Decker, P. Nafteux, D. Van Raemdonck, L. Mortelmans, K. Nackaerts, et al.
Prospective Comparative Study of Integrated Positron Emission Tomography-Computed Tomography Scan Compared With Remediastinoscopy in the Assessment of Residual Mediastinal Lymph Node Disease After Induction Chemotherapy for Mediastinoscopy-Proven Stage IIIA-N2 Non-Small-Cell Lung Cancer: A Leuven Lung Cancer Group Study
J. Clin. Oncol., July 20, 2006; 24(21): 3333 - 3339.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
F. Leo, N. Venissac, D. Pop, S. Khelef, and J. Mouroux
How to Find the Limit Between Station 2 and Station 4 During Mediastinoscopy?
Ann. Thorac. Surg., March 1, 2006; 81(3): 1150 - 1152.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
D. Pop, N. Venissac, F. Leo, and J. Mouroux
Video-assisted mediastinoscopy: A useful technique for paratracheal mesothelial cysts
J. Thorac. Cardiovasc. Surg., March 1, 2005; 129(3): 690 - 691.
[Full Text] [PDF]

Home page
 MMCTSHome page
P. De Leyn and T. Lerut
Videomediastinoscopy
MMCTS, January 4, 2005; 2005(0104): 166.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
A.E. Martin-Ucar, G.K. Chetty, R. Vaughan, and D.A. Waller
A prospective audit evaluating the role of video-assisted cervical mediastinoscopy (VAM) as a training tool
Eur. J. Cardiothorac. Surg., August 1, 2004; 26(2): 393 - 395.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
J.E. Pilling, D.J. Stewart, A.E. Martin-Ucar, S. Muller, K.J. O'Byrne, and D.A. Waller
The case for routine cervical mediastinoscopy prior to radical surgery for malignant pleural mesothelioma
Eur. J. Cardiothorac. Surg., April 1, 2004; 25(4): 497 - 501.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2003 by The Society of Thoracic Surgeons.