Video-Assisted Mediastinoscopic Lymphadenectomy (VAMLA)
Thirty years after Carlens introduced mediastinoscopy in 1959, Lerut added video support to the instrument. In 1992, Linder and Dahan developed the spreadable video-mediastinoscope. This new scope allowed for bimanual dissection, and its invention was the advent of mediastinoscopic surgery, in contrast to purely diagnostic mediastinoscopy, which had been performed until then. One of the new operations emerging from mediastinoscopic surgery was video-assisted mediastinoscopic lymphadenectomy (VAMLA), which this author developed and reported on for the first time in 2002. The development and further evaluation of VAMLA has been closely connected to the emergence of multimodal treatment of lung carcinoma and thoracoscopic lobectomy.
KeywordsAzygos Vein Left Main Bronchus Thoracic Disease Mediastinal Dissection Thoracoscopic Lobectomy
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