| Autor: |
Weber R; Klinik für HNO-Krankheiten, Kopf-, Hals- und Plastische Gesichtschirurgie, Städtisches Klinikum Fulda., Draf W, Leonhäuser K |
| Jazyk: |
němčina |
| Zdroj: |
HNO [HNO] 1993 Jan; Vol. 41 (1), pp. 24-9. |
| Abstrakt: |
In a retrospective study we examined all 72 patients who underwent a mediastinoscopy using the surgical microscope described by Meuser in 1968. A total of 74 operations was performed. In only 3 cases was there a false-negative result. Test sensitivity was 95%, specificity 100% and effectiveness 96%. Complications involved 2 cases of pneumothorax (for which no further therapy was necessary), 1 case of bleeding from a branch of the brachiocephalic trunk and 1 case of persistent lymphorrhagia with chylothorax, which was stopped by repeat mediastinoscopy. Preconditions for mediastinoscopy to minimize complications and false-negative results are: preoperative CT of the thorax, good cooperation with an anaesthesiologist, use of a microscopic and other special instruments and intraoperative frozen sections of tissue biopsies. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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