Mediastinoscopy And Mediastinotomy

Mediastinotomy means surgical opening of Mediastinalhöhle.

Under mediastinoscopy means the endoscopic examination of the mediastinum. Mediastinotomy means surgical opening of Mediastinalhöhle. The two methods complement each other. The mediastinotomy provides direct access to lymph nodes in aortopulmonary windows that are not visible in the mediastinoscopy. Indications Both methods are used for diagnosis or mediastinal lymph nodes extirpation / packages and staging of cancers (eg. B. bronchial and esophageal cancer), whereby PET studies and endobronchial ultrasound-guided needle aspiration transbronchial contribute to reduced use of these methods. Contraindications The contraindications include the following: Upper vena cava syndrome Past mediastinal radiation median sternotomy Tracheostomy aneurysm of the aortic arch mediastinoscopy and mediastinotomy be performed by thoracic surgeons in the operating room under general anesthesia. In the Mediastinoscopie, the connective tissue of the neck is prepared truncated down to the trachea and distal to Karina through an incision in the suprasternal fossa. Through this cavity a mediastinoscope is introduced, are accessible through the paratracheal, tracheobronchial lymph nodes under the Azygoslymphknoten and Karina and the upper posterior mediastinum. In the anterior mediastinotomy (Chamberlain technique) the operative opening of the mediastinum by a cut in the second intercostal space is carried to the left parasternal through which an access to the anterior mediastinum and to lymph nodes in the aortopulmonary window, a common site of metastasis of a lung cancer of the left upper lobe, is created. Complications occur in <1% of patients and include bleeding, infection, vocal cord paralysis caused by injury of the recurrent laryngeal nerve, Chylothorax by injury of lymphatic vessels and pneumothorax.

Health Life Media Team

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