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MEDIASTINOSCOPY IN BRONCHOGENIC CARCINOMA: A REVIEW OF SIX HUNDRED FORTY SEVEN CASES Byung Choon Lee 1 , Otto Jepsen 2 pp.41-44
Published Date 1969/1/20
DOI https://doi.org/10.11477/mf.1492207243
  • Abstract
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 Mediastinoscopy as devised by Carlens is a method of exploration employing palpation, inspection and biopsy of the superior mediastinum. The procedure, which has gained wide acceptance in the specialties of otolarygology and chest disease has proved very useful in establishing a diagnosis in thoracic diseases and, especially, in the assessment of resectability in bronchogenic carcinoma where conventional methods have failed. Positive biopsies were found in about one third of the number of cases seen. The most of these patients were excluded from surgery. A negative mediastinoscopy signifies an absence of mediastinal metastasis in a high percentage of cases.

 Few and slight complications were met with in the authors' total series of more than 1,200 patients subjected to mediastinoscopy. In addition to employing a gentle technic a thorough knowledge of the relevent normal and pathological anatomy is of the prime importance in avoiding complications and in obtaining satisfactory results.


Copyright © 1969, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 印刷版ISSN 0386-9679 医学書院

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