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Extended Cervical Mediastinoscopy

  • Sergi CallEmail author
  • Carme Obiols
  • Ramon Rami-Porta
Chapter

Abstract

Surgical exploration of subaortic and para-aortic lymph nodes has traditionally required the combination of standard cervical mediastinoscopy and left anterior mediastinotomy (Chamberlain’s procedure). Video-assisted thoracoscopic surgery is another technique that allows the exploration of these nodal stations. Extended cervical mediastinoscopy, for which the mediastinoscope is passed over the aortic arch between the innominate artery and the left carotid artery through the same incision of the standard cervical mediastinoscopy, is a useful and safe technique for the assessment of para-aortic and subaortic nodal stations. This procedure is also a useful tool to explore and biopsy anterior mediastinal masses, especially when other diagnostic techniques have not been effective.

Keywords

Aortic Arch Bronchogenic Carcinoma Innominate Artery Anterior Mediastinum Anterior Mediastinal Mass 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Supplementary material

Video 3.1

(MP4 12.9 MB)

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Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  1. 1.Department of Thoracic SurgeryHospital Universitari Mutua Terrassa, University of BarcelonaTerrassaSpain
  2. 2.Department of Thoracic SurgeryHospital Universitari Mutua Terrassa, University of Barcelona, and CIBERES Lung Cancer GroupTerrassaSpain

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