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Extended Cervical Mediastinoscopy

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The Transcervical Approach in Thoracic Surgery

Abstract

Surgical exploration of subaortic and para-aortic lymph nodes has traditionally required the combination of standard cervical mediastinoscopy and left anterior mediastinotomy (Chamberlain’s procedure). Video-assisted thoracoscopic surgery is another technique that allows the exploration of these nodal stations. Extended cervical mediastinoscopy, for which the mediastinoscope is passed over the aortic arch between the innominate artery and the left carotid artery through the same incision of the standard cervical mediastinoscopy, is a useful and safe technique for the assessment of para-aortic and subaortic nodal stations. This procedure is also a useful tool to explore and biopsy anterior mediastinal masses, especially when other diagnostic techniques have not been effective.

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References

  1. Carlens E. Mediastinoscopy: a method of inspection and palpation in the superior mediastinum. Dis Chest. 1959;36:343–52.

    Article  CAS  PubMed  Google Scholar 

  2. Pearson FG, Nelems JM, Henderson RD, et al. The role of mediastinoscopy in the selection of treatment for bronchial carcinoma with involvement of superior mediastinal nodes. J Thorac Cardiovasc Surg. 1972;64:382–90.

    CAS  PubMed  Google Scholar 

  3. McNeill TM, Chamberlain JM. Diagnostic anterior mediastinotomy. Ann Thorac Surg. 1966;2:532–9.

    Article  CAS  PubMed  Google Scholar 

  4. Naruke T, Asamura H, Kando H, et al. Thoracoscopy for staging of lung cancer. Ann Thorac Surg. 1993;56:661–3.

    Article  CAS  PubMed  Google Scholar 

  5. Wain JC. Video-assisted thoracoscopy and the staging of lung cancer. Ann Thorac Surg. 1993;56:776–8.

    Article  CAS  PubMed  Google Scholar 

  6. Roviaro GC, Varoli F, Rebuffat C, et al. Videothoracoscopic staging and treatment of lung cancer. Ann Thorac Surg. 1995;59:971–4.

    Article  CAS  PubMed  Google Scholar 

  7. Mouroux J, Venissac N, Alifano M. Combined video-assisted thoracoscopy in the management of lung cancer. Ann Thorac Surg. 2001;72:1698–704.

    Article  CAS  PubMed  Google Scholar 

  8. Metin M, Sayar A, Turna A, et al. Extended cervical mediastinoscopy in the diagnosis of anterior mediastinal masses. Ann Thorac Surg. 2002;73:250–2.

    Article  PubMed  Google Scholar 

  9. Specht G. Erweiterte Mediastinoskopie. Thoraxchir Vask Chir. 1965;13:401–7.

    CAS  PubMed  Google Scholar 

  10. HĂĽrtgen M, Witte B. History of extended cervical mediastinoscopy. Eur J Cardiothorac Surg. 2009;35:745.

    Article  PubMed  Google Scholar 

  11. Kirschner P. “Extended” mediastinoscopy. In: Jepsson O, Ruhbek-Sorensen H, editors. Mediastinoscopy. Odense: Odense University Press; 1971.

    Google Scholar 

  12. Ginsberg RJ, Rice TW, Goldberg M, et al. Extended cervical mediastinoscopy. A single staging procedure for bronchogenic carcinoma of the left upper lobe. J Thorac Cardiovasc Surg. 1987;94:673–8.

    CAS  PubMed  Google Scholar 

  13. Ginsberg RJ. Extended cervical mediastinoscopy. Chest Surg Clin N Am. 1996;6:21–30.

    CAS  PubMed  Google Scholar 

  14. Lopez L, Varela A, Freixinet J, et al. Extended cervical mediastinoscopy: prospective study of fifty cases. Ann Thorac Surg. 1994;57:555–8.

    Article  CAS  PubMed  Google Scholar 

  15. Call S, Rami-Porta R, Serra-Mitjans M, et al. Extended cervical mediastinoscopy in the staging of bronchogenic carcinoma of the left lung. Eur J Cardiothorac Surg. 2008;34:1081–4.

    Article  PubMed  Google Scholar 

  16. Deslauriers J, Beaulieu M, Dufour C, et al. Mediastinopleuroscopy: a new approach to the diagnosis of intrathoracic diseases. Ann Thorac Surg. 1976;22:265–9.

    Article  CAS  PubMed  Google Scholar 

  17. Urschel JD, Vretenar DF, Dickout WJ, et al. Cerebrovascular accident complicating extended cervical mediastinoscopy. Ann Thorac Surg. 1994;57:740–1.

    Article  CAS  PubMed  Google Scholar 

  18. Rami-Porta R, Mateu-Navarro M. Surgical methods for lung cancer staging: state of the art. J Bronchol. 2000;7:254–9.

    Article  Google Scholar 

  19. Leyn PD, Lerut T. Conventional mediastinoscopy. Multimed Man Cardiothorac Surg 2005;2005(0324):mmcts.2004.000158. doi: 10.1510/mmcts.2004.000158.

  20. Call S, Rami-Porta R, Obiols C. Extended cervical mediastinoscopy. Multimed Man Cardiothorac Surg. 2012;2012:mms018. doi:10.1093/mmcts/mms018.

  21. D’Andrilli A, Venuta F, Rendina EA. Surgical approaches for invasive tumors of the anterior mediastinum. Thorac Surg Clin. 2010;20:265–84.

    Article  PubMed  Google Scholar 

  22. Freixinet Gilart J, Garcia PG, de Castro FR, et al. Extended cervical mediastinoscopy in the staging of bronchogenic carcinoma. Ann Thorac Surg. 2000;70: 1641–3.

    Article  CAS  PubMed  Google Scholar 

  23. Metin M, Citak N, Sayar A, et al. The role of extended cervical mediastinoscopy in staging of non-small cell lung cancer of the left lung and a comparison with integrated positron emission tomography and computer tomography: does integrated positron emission tomography and computed tomography reduce the need for invasive procedures? J Thorac Oncol. 2011;6:1713–9.

    Article  PubMed  Google Scholar 

  24. Obiols C, Call S, Rami-Porta R, et al. Extended cervical mediastinoscopy: mature results of a clinical protocol for staging bronchogenic carcinoma of the left lung. Eur J Cardiothorac Surg. 2012;41:1043–6.

    Article  PubMed  Google Scholar 

  25. Witte B, Wolf M, Hillebrand H, et al. Extended cervical mediastinoscopy revisited. Eur J Cardiothorac Surg. 2014;45:114–9.

    Article  PubMed  Google Scholar 

  26. Kir A, Coskun T, Falay O, et al. The impact of extended mediastinoscopy in left-sided NSCLC patients presenting with suspected N2 disease in #5 and/or #6 stations. Interact Cardiovasc Thorac Surg. 2011;13 Suppl 1:s54.

    Google Scholar 

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Correspondence to Sergi Call MD, FETCS .

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Call, S., Obiols, C., Rami-Porta, R. (2014). Extended Cervical Mediastinoscopy. In: Zieliński, M., Rami-Porta, R. (eds) The Transcervical Approach in Thoracic Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54565-8_3

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  • DOI: https://doi.org/10.1007/978-3-642-54565-8_3

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-54564-1

  • Online ISBN: 978-3-642-54565-8

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