Çukurova Üniversitesi Tıp Fakültesi Dergisi (Aug 2013)
The Significance of Video-Mediastinoscopy in Diagnostic Accuracy
Abstract
Purpose: Video-mediastinoscopy, which has been recently employed, is a method for the diagnosis of mediastinal diseases and staging lung cancer. Material and Method: In our study, we retrospectively evaluated patients admitted to our clinic between 2008-2011 to determine the diagnostic success of video-mediastinoscopy. Results: A total of 58 (88%) cases out of 66 were diagnosed. Lymphadenopathy was not observed in 2 cases. Sarcoidosis was the most common type of mediastinal pathology seen in 28 (67%) cases. Tuberculous lymphadenitis was the second most common seen in 11 (27%) cases. Eight (5.3%) cases had anthrocosis, and 12 cases had reactive lymphadenitis. N3 counterpart staging was performed. Two of them were found to be positive. N2 found to be positive in 4 cases. These findings were correlated with PET scan. Mortality was not observed in any of the patients. Repeated mediastinoscopy for investigating N3 in one patient leads to disappearance of temporary hoarseness after about 2 months, which occurred due to paralysis recurrens. One patient had cervical subcutaneous emphysema, and one had major bleeding. Conclusion: Video-mediastinoscopy is a highly effective tool and important in finalizing the diagnosis. Moreover, it is reliable for the complete secure exploration of the mass, which we believe that it could be used in all patients required especially those with thoracic and mediastinal pathologies. [Cukurova Med J 2013; 38(4.000): 719-722]
