What Is a Mediastinoscope?

Mediastinoscopy is also called "mediastinoscopy." An invasive diagnostic method for studying mediastinal and lung diseases. Applicable to: diagnosis of mediastinum, hilum, and lung diseases; evaluation of the possibility of surgical resection of bronchial lung cancer; in cases where unresectable mediastinum, intrathoracic lesions, or lung function do not allow thoracotomy, use mediastinoscopy to obtain tissue The diagnosis is used as the histological basis for chemotherapy or radiotherapy; It is used to place the atrial pacemaker and cut off the right vagus nerve to relieve the pain of advanced lung cancer. Mediastinoscopy was performed under tracheal intubation under general anesthesia. A transverse incision was made on the sternal notch, below the thyroid isthmus, and between the bilateral sternocleidomastoid muscles. Along the anterior myocardium, the finger was used to separate the dalons At first, palpation with fingers was performed, and then a mediastinoscopy was inserted for direct observation and biopsy. Routinely suture the wound. Postoperative complications include traumatic hemorrhage, pneumothorax, left recurrent laryngeal nerve palsy, wound infection, and tumor cell incision implantation. ^[1]

Mediastinoscopy

Right!

Mediastinoscopy is also called "mediastinoscopy." An invasive diagnostic method for studying mediastinal and lung diseases. Applicable to: diagnosis of mediastinum, hilum, and lung diseases; evaluation of the possibility of surgical resection of bronchial lung cancer; in cases where unresectable mediastinum, intrathoracic lesions, or lung function do not allow thoracotomy, use mediastinoscopy to obtain tissue The diagnosis is used as the histological basis for chemotherapy or radiotherapy; It is used to place the atrial pacemaker and cut off the right vagus nerve to relieve the pain of advanced lung cancer. Mediastinoscopy was performed under tracheal intubation under general anesthesia. A transverse incision was made on the sternal notch, below the thyroid isthmus, and between the bilateral sternocleidomastoid muscles. Along the anterior myocardium, the finger was used to separate the dalons. At first, palpation with fingers was performed, and then a mediastinoscopy was inserted for direct observation and biopsy. Routinely suture the wound. Postoperative complications include traumatic hemorrhage, pneumothorax, left recurrent laryngeal nerve palsy, wound infection, and tumor cell incision implantation. ^[1]

Chinese name

Mediastinoscopy

Check for

Staging of lung cancer

Especially

X-ray or CT scan of the chest

Symptom

Swollen lymph nodes

Contraindications

Inability to tolerate general anesthesia, etc.

Endoscopic examination of the mediastinum.

Some doctors believe that all patients with lung cancer should undergo invasive staging, while others believe that it should only be used for patients with abnormal lymph nodes found on imaging. Mediastinoscopy can be used to diagnose mediastinal masses or for patients with lymphoma or granulomatous lesions Lymph node sampling.

Contraindications include intolerance to general anesthesia; superior vena cava syndrome; previous mediastinal radiotherapy, mediastinoscopy, median sternotomy or tracheotomy; aortic arch aneurysm.

Mediastinoscopy should be performed under general anesthesia in the operating room. Mediastinoscopy is entered through a concave incision in the sternum, which can access some carina and hilar lymph nodes, parabronchial and paratracheal lymph nodes, and the superior superior mediastinum.

The complication rate was <1%, including hemorrhage, vocal cord paralysis caused by recurrent laryngeal nerve injury, and chylous chest caused by thoracic duct injury.