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Chest
Procedures
Mediastinoscopy
Mediastinoscopy
Florian J. Fintelmann, MD, FRCPC; Gerald F. Abbott, MD, FACR
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KEY FACTS

  • Terminology

    • Preprocedure

      • Procedure

        • Outcomes

          TERMINOLOGY

          • Abbreviations

            • Mediastinoscopy: MED (pronounced meed) in surgical parlance

          • Definitions

            • Minimally invasive sampling of mediastinal and hilar lymph nodes
              • Cervical mediastinoscopy
                • Access to bilateral upper (2R, 2L) and lower paratracheal (4R, 4L), subcarinal (7), and right hilar (10R) lymph node stations
              • Extended cervical mediastinoscopy (rarely performed)
                • Access to aortopulmonary window (5) and left hilar (10L) stations
                • Access to left pleural space

          PREPROCEDURE

          • Indications

            • Contraindications

              • Preprocedure Imaging

                • Getting Started

                  PROCEDURE

                  • Patient Positions/Location

                    • Equipment Preparation

                      • Procedure Steps

                        • Alternative Procedures/Therapies

                          POST PROCEDURE

                          • Expected Outcome

                            • Things To Do

                              • Things To Avoid

                                OUTCOMES

                                • Problems

                                  • Complications

                                    Selected References

                                    1. Terán MD et al: Staging lymph node metastases from lung cancer in the mediastinum. J Thorac Dis. 6(3):230-6, 2014
                                    2. Silvestri GA et al: Methods for staging non-small cell lung cancer: Diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines. Chest. 143(5 Suppl):e211S-50S, 2013
                                    3. Tournoy KG et al: Mediastinal staging of lung cancer: novel concepts. Lancet Oncol. 13(5):e221-9, 2012
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Terminology

                                      • Preprocedure

                                        • Procedure

                                          • Outcomes

                                            TERMINOLOGY

                                            • Abbreviations

                                              • Mediastinoscopy: MED (pronounced meed) in surgical parlance

                                            • Definitions

                                              • Minimally invasive sampling of mediastinal and hilar lymph nodes
                                                • Cervical mediastinoscopy
                                                  • Access to bilateral upper (2R, 2L) and lower paratracheal (4R, 4L), subcarinal (7), and right hilar (10R) lymph node stations
                                                • Extended cervical mediastinoscopy (rarely performed)
                                                  • Access to aortopulmonary window (5) and left hilar (10L) stations
                                                  • Access to left pleural space

                                            PREPROCEDURE

                                            • Indications

                                              • Contraindications

                                                • Preprocedure Imaging

                                                  • Getting Started

                                                    PROCEDURE

                                                    • Patient Positions/Location

                                                      • Equipment Preparation

                                                        • Procedure Steps

                                                          • Alternative Procedures/Therapies

                                                            POST PROCEDURE

                                                            • Expected Outcome

                                                              • Things To Do

                                                                • Things To Avoid

                                                                  OUTCOMES

                                                                  • Problems

                                                                    • Complications

                                                                      Selected References

                                                                      1. Terán MD et al: Staging lymph node metastases from lung cancer in the mediastinum. J Thorac Dis. 6(3):230-6, 2014
                                                                      2. Silvestri GA et al: Methods for staging non-small cell lung cancer: Diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines. Chest. 143(5 Suppl):e211S-50S, 2013
                                                                      3. Tournoy KG et al: Mediastinal staging of lung cancer: novel concepts. Lancet Oncol. 13(5):e221-9, 2012