This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on Web of Science (2)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Edward R. Hagopian, MD

AMA Arch Surg. 1974;109(1):116-118.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Exploration with biopsy examination of the mediastinum as described by Eric Carlens¹ in 1959 has been a valuable addition to thoracic surgery. The technique should be mastered by all surgeons who do thoracic surgery. Mediastinoscopy is a relatively simple and safe procedure. The main value of the procedure is to reduce the number of unnecessary thoracotomies in patients with intrathoracic lesions. Reynders² in 1964 reported a positive rate of 36.9%. He found that previous to routine use of mediastinoscopy, there was a 40% nonresectable rate of carcinoma of the lung. With negative mediastinoscopy, the resectable rate was increased to 91%.

Mediastinal lymph nodes are almost always involved with granulomas in sarcoidosis. Thus, one can easily make a diagnosis of sarcoidosis through mediastinoscopy according to MacVaugh and Danielson³ in almost 100% of patients with sarcoidosis.

Technique

Mediastinoscopy is best done under endotracheal general anesthesia. The patient is placed . . . [Full Text PDF of this Article]

Author Affiliations
Chester, Pa

From the Thoracic Surgery Section of the Department of Surgery, Crozer-Chester Medical Center, Chester, Pa.

Footnotes
Accepted for publication Dec 11, 1973.

Reprint requests to Crozer Annex-Lewis House, 21st St and Upland Ave, Chester, PA 19013 (Dr. Hagopian).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?