Transcervical videomediastino-thoracoscopy
| Autor: | Sergi Call, Elisabeth Martínez-Téllez, Ramón Rami-Porta, Josep Belda-Sanchis, Mauro Guarino, Carme Obiols, Joan Carles Trujillo-Reyes, Mireia Serra-Mitjans |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Surgical approach Lung medicine.diagnostic_test business.industry Parietal Pleura medicine.medical_treatment Mediastinum respiratory system medicine.disease respiratory tract diseases medicine.anatomical_structure medicine Thoracoscopy Lymphadenectomy Sampling (medicine) Radiology Surgical Technique Lung cancer business |
| Zdroj: | Journal of Thoracic Disease. 10:S2649-S2655 |
| ISSN: | 2077-6624 2072-1439 |
| DOI: | 10.21037/jtd.2018.03.132 |
| Popis: | Although technical advances in non-invasive and minimally invasive approaches to lung and pleural cancer diagnosis and staging have become more widely available and accurate, surgical techniques remain the gold standard in assessing the extent of loco-regional involvement. Precise surgical staging of lung or pleural tumours is pivotal in the selection of surgical candidates and for predicting survival. In some patients, both mediastinal and pleural exploration may be needed for many different reasons. Transcervical videomediastino-thoracoscopy (VMT) combines simultaneously the exploration of both the mediastinum and the pleural cavities through a single cervical incision, allowing for biopsies or sampling of the mediastinal lymph nodes, lymphadenectomy and pleuropulmonary assessment (mainly pleural effusions, tumour involvement of the visceral and parietal pleura and pulmonary nodules). Thoracic surgeons should be aware of this combined surgical approach and completely familiar with classical indications and technical details of the transcervical approach to the mediastinum and thoracoscopic exploration of the pleural cavities. |
| Databáze: | OpenAIRE |
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