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Complications of mediastinoscopy

Published online by Cambridge University Press:  29 June 2007

Heikki J. Puhakka
Heikki J. Puhakka*
Affiliation:
Department of Otolaryngology, University Central Hospital, SF-20520, Turku, Finland
*
Heikki J. Puhakka, M.D., Department of Otolaryngology, University Central Hospital, SF-20520 Turku, Finland
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Abstract

From 1968 to 1987, mediastinoscopy was performed on 2021 consecutive patients. The procedure was carried out in 35.7 per cent on patients with a pulmonary infiltrate and in 28.8 per cent with bronchogenic carcinoma. Mediastinoscopy was positive in 54 per cent of the cases. The total number of complications was 2.3 per cent (47/2021). There were four cases with major haemorrhage, three tracheal ruptures and three wound infections. Recurrent nerve paralysis was verified in three patients and pericardial rupture in two patients. The total of major complications was 0.5 per cent (10/2021). There was no deaths in this series. In the authors' opinion, mediastinoscopy can be regarded as an effective and safe procedure in the hands of an experienced surgeon.

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 103 , Issue 3 , March 1989 , pp. 312 - 315
Copyright
Copyright © JLO (1984) Limited 1989

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References

Ashraf, M. H., Milsom, P. L. and Walesby, R. K. (1980) Selection by mediastinoscopy and long-term survival in bronchial carcinoma. Annals of Thoracic Surgery, 30: 208–214.CrossRefGoogle ScholarPubMed
Balle, V. H. and Bretlau, P. (1985) Remediastinoscopy. Journal of Laryngology and Otology, 99: 267–271.CrossRefGoogle ScholarPubMed
Brion, J. P., Depauw, L., Kuhn, G., de Francquen, Ph., Friberg, J., Rocmans, P. and Struyven, J. (1985) Role of computed tomography and mediastinoscopy in preoperative staging of lung carcinoma. Journal of Computer Assisted Tomography, 9: 480–484.CrossRefGoogle ScholarPubMed
Carlens, E. (1959) Mediastinoscopy: A method for inspection and tissue biopsy in the superior mediastinum. Diseases of Chest, 36: 343–352.CrossRefGoogle ScholarPubMed
Carlens, E. and Hambraeus, G. M. (1967) Mediastinoscopy. Indications and limitations. Scandinavian Journal of Respiratory Diseases, 48: 1–10.Google ScholarPubMed
Coughlin, M., Deslauliers, J., Beaulieu, M., Fournier, B., Piraux, M., Rouleau, J. and Tardif, A. (1985) Role of mediastinoscopy in pretreatment staging of patients with primary lung cancer. Annals of Thoracic Surgery, 40: 556–560.CrossRefGoogle ScholarPubMed
Farrow, P. R., Jones, D. A., Stanley, P. J., Bailey, J. S., Wales, J. M. and Cookson, J. B. (1985) Thoracic lymphadenopathy in Asians resident in the United Kingdom: Role of mediastinoscopy in initial diagnosis. Thorax, 40: 121–124.CrossRefGoogle ScholarPubMed
Foster, E. D., Munro, D. D. and Dobell, A. R. C. (1972) Mediastinoscopy. A review of anatomical relationships and complications. Annals of Thoracic Surgery, 15: 273–286.CrossRefGoogle Scholar
Inberg, M. V., Klossner, J., Linna, M. I., Puhakka, H., Tala, E., Viikari, S. J. and Vänttinen, E. (1972) The role of mediastinoscopy in the treatment of lung cancer. Scandinavian Journal of Thoracic and Cardiovascular Surgery, 6: 293–296.CrossRefGoogle Scholar
Jepsen, O. (1966) Mediastinoscopy. Munksgaard, Copenhagen.Google Scholar
Jepsen, O. (1967) Clinical experience with mediastinoscopy in bronchogenic carcinoma. Acta Otolaryngologica, Suppl 224: 408.CrossRefGoogle Scholar
Jolly, P. C., Wei-i-Li, and Anderson, R. P. (1980) Anterior and cervical mediastinoscopy for determining operability and predicting resectability in lung cancer. Journal of Thoracic and Cardiovascular Surgery, 79: 366–371.CrossRefGoogle ScholarPubMed
Khan, A., Gersten, K., Garvey, J., Khan, F. A. and Steinberg, H. (1985) Oblique hilar tomography, computed tomography, and mediastinoscopy for prethoracotomy staging of bronchogenic carcinoma. Radiology, 156: 295–298.CrossRefGoogle ScholarPubMed
Kliems, G. and Savic, B. (1979) Complications of mediastinoscopy Endoscopy, 11: 9–12.CrossRefGoogle ScholarPubMed
Lewis, R. J., Sisler, G. E. and Mackenzie, J. W. (1984) Repeat mediastinoscopy. Annals of Thoracic Surgery, 37: 147–149.CrossRefGoogle ScholarPubMed
Liippo, K., Inberg, M., Palojoki, A., Puhakka, H., Reunanen, K., Tala, E. and Virtama, P. (1980). Computed tomography and mediastinoscopy in the preoperative evaluation of bronchogenic carcinoma. Proceedings of the 1st European Symposium on the Lung Cancer, International Congress Series No. 558: 165–168.Google Scholar
Lincoln, J. C. R. and Provan, J. L. (1970) Mediastinoscopy in the diagnosis of non-malignant thoracic disease. Journal of Thoracic and Cardiovascular Surgery, 60: 144–148.CrossRefGoogle Scholar
Luke, W. P., Person, F. G., Todd, T. R., Patterson, G. A. and Cooper, J. D. (1986) Prospective evaluation of mediastinoscopy for assessment of carcinoma of the lung. Journal of Thoracic and Cardiovascular Surgery, 91: 53–56.CrossRefGoogle ScholarPubMed
Nohl-Oser, H. C. (1979) The evolution and present status of mediastinoscopy. Endoscopy, 11: 1–4.CrossRefGoogle ScholarPubMed
Nohl-Oser, H. C. (1980) The long-term survival of patients with lung cancer treated surgically after selection by mediastinoscopy. Surgeon, 28: 158–161.Google ScholarPubMed
Otto, T. L., Zaslonka, J. and Lukinaski, M. (1972) Experience with mediastinoscopy. Thorax, 27: 463–467.CrossRefGoogle ScholarPubMed
Palva, T. (1964) Mediastinoscopy. Karger, Basel.Google Scholar
Palva, T., Palva, A. and Kärjä, J. (1975) Re-mediastinoscopy. Archives of Otolaryngology, 101: 748–750.CrossRefGoogle ScholarPubMed
Pearson, F. G., deLarue, N. C., Ilves, R., Todd, T. R. J. and Cooper, J. D. (1982) Significance of positive superior mediastinal nodes at mediastinoscopy in patients with resectable cancer of the lung. Journal of Thoracic and Cardiovascular Surgery, 83: 1–11.CrossRefGoogle ScholarPubMed
Preciado, M. C., Duvall, A. J. and Koop, S. H. (1973) Mediastinoscopy: A review of 450 cases. Laryngoscope, 83: 1300–1310.CrossRefGoogle ScholarPubMed
Rhoads, A. C., Thomas, J. H., Hermreck, A. S. and Pierce, G. E. (1986). Comparative studies of computerized tomography and mediastinoscopy for the staging of bronchogenic carcinoma. American Journal of Surgery, 152: 587–591.CrossRefGoogle ScholarPubMed
Ross, J. K., Mikhail, J. R., Drury, R. A. B., Levis, R. D. and Mitchell, D. N. (1970) Mediastinoscopy. Thorax, 25: 312–316.CrossRefGoogle ScholarPubMed
Rubinstein, I. and Baum, L. (1986) Role of mediastinoscopy in lung cancer. Annals of Thoracic Surgery, 42: 601.CrossRefGoogle ScholarPubMed
Therman, M., Poser, H., Muller-Hermelink, K. H., Troidl, H., Briedler, S., Amend, V. and Schröder, D. (1984) Evaluation of tomography and mediastinoscopy for detection of mediastinal lymph node metastases. Annals of Thoracic Surgery, 37: 443–447.CrossRefGoogle Scholar
Trinkle, J. K., Bryant, L. R., Hiller, A. J. and Playforth, R. H. (1969) Mediastinoscopy-experience with 300 consecutive cases. Journal of Thoracic and Cardiovascular Surgery, 60: 297–300.CrossRefGoogle Scholar