The video mediastinoscopy in oncological thorax

Authors

Abstract

Background: the exponential progress of thoracic surgery has a parallel development to anesthetic and imaging techniques; since ancient times, attempts to address this body space are collected in different manuscripts.
Objective: to describe the technique of video-mediastinoscopy, as well as the anatomical references for its performance.
Methods: a description of the technique of video-mediastinoscopy for the excision and biopsy of mediastinal alterations was made, based on personal experience and bibliographic consultation. The international repositories Ebsco, Medline and Cochrane were consulted to obtain references related to the subject.
Conclusions: video-mediastinoscopy is a safe and useful route for lung cancer staging which also provides a more accurate pathological classification than conventional thoracotomies by allowing access to the upper, aortic and subcarinal ganglionic areas as appropriate.

DeCS: THORACIC SURGERY, VIDEO-ASSISTED; LUNG NEOPLASMS; MEDIASTINOSCOPY/methods; LYMPH NODES; MEDIASTINAL DISEASES.

Downloads

Download data is not yet available.

References

1. Specht G. Erweiterte Mediastinoskopie. Thoracic and Cardiovascular Surgeon - Thorac Cardiovasc Surg. 1965;13:401-7.

2. Ginsberg RJ, Rice TW, Goldberg M, Waters PF, Schmocker BJ. Extended cervical mediastinoscopy. A single staging procedure for bronchogenic carcinoma of the left upper lobe. J Thorac Cardiovasc Surg [Internet]. 1987 Nov [citado 13 Ene 2020];94(5):[aprox. 5 p.]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/3669695/.

3. Zielinski M, Rybak M, Solarczyk-Bombik K, Wilkojc M, Czajkowski W, Kosinski S, et al. Uniportal transcervical video-assisted thoracoscopic surgery (VATS) approach for pulmonary lobectomy combined with transcervical extended mediastinal lymphadenectomy (TEMLA). J Thorac Dis [Internet]. 2017 Abr [citado 13 Ene 2020];9(4):[aprox. 6 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5418259/.

4. McNally PA, Arthur ME. Mediastinoscopy. Stat Pearls [Internet]. Treasure Island (FL): StatPearls Publishing; September 19, 2020 [citado 13 Ene 2021]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30521284/.

5. Fuentes Valdés E. Mediastinotomía anterior y mediastinoscopia cervical en el diagnóstico de las lesiones tumorales mediastinales. Rev Cubana Cir [Internet]. 2005 [citado 13 Ene 2020];44(1):[aprox. 6 p.]. Disponible en: http://scielo.sld.cu/pdf/cir/v44n1/cir04105.pdf

6. Piñeiro Pérez D, Cepero Nogueira M, Leal Mursulí A, Madrigal Batista G, Collera Rodríguez SA, Rodríguez Rodríguez I, et al. La mediastinoscopía videoasistida, su utilidad en la práctica médica. Invest Medicoquir [Internet]. Ene-Jun 2011 [citado 13 Ene 2020];3(1):[aprox. 6 p.]. Disponible en: http://www.revcimeq.sld.cu/index.php/imq/article/viewFile/42/300

7. Quintana Marrero J, García Rodríguez M, Armas Pérez B, Reyes Balseiro E. Mediastinotomía anterior: Modalidad diagnóstica predictiva en el cáncer de pulmón. Rev Cubana Cir [Internet]. 1999 [citado 13 Ene 2020];38(1):[aprox. 5 p.]. Disponible en: http://scielo.sld.cu/pdf/cir/v38n1/cir03199.pdf

8. Yendamuri S, Battoo A, Dy G, Chen H, Gomez J, Singh AK, et al. Transcervical Extended Mediastinal Lymphadenectomy: Experience From a North American Cancer Center. Ann Thorac Surg [Internet]. 2017 Nov [citado 13 Ene 2020];104(5):[aprox. 5 p.]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/28942077/.

9. Santos Silva J, Costa AR, Calvinho P. Cervical mediastinoscopy: Safety profile, feasibility and diagnostic accuracy in a decade in a single center. Pulmonology [Internet]. 2019 Mar-Abr [citado 13 Mar 2020];25(2):[aprox. 2 p.]. Disponible en: https://www.journalpulmonology.org/en-pdf-S253104371930011X

10. Oguz Kapicibasi H. The role of mediastinoscopy in the diagnosis of thoracic disease: 107-case analysis. Med Glas (Zenica) [Internet]. 2019 Ago [citado 13 Ene 2020];16(2):[aprox. 4 p.]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30997786/.

11. Call S, Obiols C, Rami-Porta R. Present indications of surgical exploration of the mediastinum. J Thorac Dis [Internet]. 2018 Ago [citado 13 Ene 2020];10(Suppl 22):[aprox. 10 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6178288/.

12. Klinkenberg TJ, Groen HJM. Mediastinoscopy: The Rise and Fall of the Gold Standard. Clin Surg [Internet]. 2017 [citado 13 Ene 2020];2:[aprox. 2 p.]. Disponible en: http://www.remedypublications.com/open-access/mediastinoscopy-the-rise-and-fall-of-the-gold-standard-3275.pdf

13. Smith SE, Darling GE. Surface anatomy and surface landmarks for thoracic surgery: Part II. Thorac Surg Clin [Internet]. 2011 May [citado 13 Ene 2020];21(2):[aprox. 16 p.]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/21477763/.

14. Frechet B, Kazakov J, Thiffault V, Ferraro P, Liberman M. Diagnostic Accuracy of Mediastinal Lymph Node Staging Techniques in the Preoperative Assessment of Nonsmall Cell Lung Cancer Patients. J Bronchology Interv Pulmonol [Internet]. 2018 [citado 13 Ene 2020];25(1):17-24. Disponible en: https://pubmed.ncbi.nlm.nih.gov/29261576/.

15. Xia Y, Ma Y, Arias S, Lee H, Wang KP. Utilization of the International Association for the Study of Lung Cancer and Wang's nodal map for the identification of mediastinum and hilar lymph nodes. Thorac Cancer [Internet]. 2015 Jul [citado 13 Ene 2020];6(4):[aprox. 4 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4511325/.

Downloads

Published

2021-05-27

How to Cite

1.
García-Rodríguez ME, Benavidez-Márquez A, García-Basulto MJ. The video mediastinoscopy in oncological thorax. Arch méd Camagüey [Internet]. 2021 May 27 [cited 2025 Aug. 9];25(3):332-8. Available from: https://revistaamc.sld.cu/index.php/amc/article/view/7465

Issue

Vol. 25 No. 3 (2021)

Section

Brief Communications

License

Copyright: Camagüey Medical Archive Magazine, offers immediately after being indexed in the SciELO Project; Open access to the full text of the articles under the principle of making available and free the research to promote the exchange of global knowledge and contribute to a greater extension, publication, evaluation and extensive use of the articles that can be used without purpose As long as reference is made to the primary source.

Conflicts of interest: authors must declare in a mandatory manner the presence or not of conflicts of interest in relation to the investigation presented.

(Download Statement of potential conflicts of interest)

The Revista Archivo Médico de Camagüey is under a License Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 International (CC BY 4.0).

This license allows others to distribute, to mix, to adjust and to build from its work, even for commercial purposes, as long as it is recognized the authorship of the original creation. This is the most helpful license offered. Recommended for maximum dissemination and use of licensed materials. The full license can be found at: https://creativecommons.org/licenses/