Mediatinoscopy: about 50 cases

In the period April 1971 - March 1976 the authors performed 50 mediastinoscopies in cases of multiple mediastino-pulmonary affections, 41 of which ( 82 % )were positive and 9 ( 18 % ) negative. 47 patients showed clínica! or radioligical evidence of mediastine invasion and medias...

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Bibliografiske detaljer
Hovedforfatter: Pradines, Jorge C (author)
Andre forfattere: Estefan Segui, Alberto (author)
Format: article
Sprog:spansk
Udgivet: 1977
Fag:
Online adgang:https://revista.scu.org.uy/index.php/cir_urug/article/view/2823
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Summary:In the period April 1971 - March 1976 the authors performed 50 mediastinoscopies in cases of multiple mediastino-pulmonary affections, 41 of which ( 82 % )were positive and 9 ( 18 % ) negative. 47 patients showed clínica! or radioligical evidence of mediastine invasion and mediastinoscopy was positive in87.9 % of cases. Out of· 24 broncogenic cancers, the procedure employed was directed towards etiological diagnosis (86.3 % positive) in 22 and in the remaining2, towards establishing degree of extension of lesion. Mediastinoscopy made histological diagnosis possible in 7 out of 8 tumoral lymphopaties, 3 out of 5tumors of mediastine and 2 out of 3 sarcoidosis. As supplementary procedure, it was employed in 2 esophageal cancers, 1 tracheal tumor and 1 aneurismof the innominate trunk. No serious complications appeared, nor any deatbs that could directly be connected with this procedure. Indications, limitations, complications and contraindications are discussed. On the basis of results obtained, experience acquired in the employment of suprasternal mediastinoscopy and review of literature on the subject.