Clinical application of ultrasound‐guided mediastinal lymph node biopsy through cervical mediastinoscopy
| Autor: | Hui Li, Xin Li, Qingshan Chen, Bin Hu, Honghong Dong, Jinbai Miao, Qirui Chen, Yili Fu, Zexing Yu |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Image-Guided Biopsy Male mediastinoscope 0301 basic medicine Pulmonary and Respiratory Medicine medicine.medical_specialty lcsh:RC254-282 Mediastinoscopy 03 medical and health sciences 0302 clinical medicine Biopsy medicine Humans biopsy Lymph node Aged mediastinoscopic ultrasonography ultrasound guidance medicine.diagnostic_test Mediastinoscope business.industry Ultrasound Mediastinum Original Articles General Medicine Middle Aged lymph node lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens 030104 developmental biology medicine.anatomical_structure Oncology Cardiothoracic surgery 030220 oncology & carcinogenesis Mediastinal lymph node Lymph Node Excision Female Original Article Lymph Nodes Lymph Radiology business |
| Zdroj: | Thoracic Cancer Thoracic Cancer, Vol 12, Iss 3, Pp 297-303 (2021) |
| ISSN: | 1759-7714 1759-7706 |
| DOI: | 10.1111/1759-7714.13717 |
| Popis: | Background Cervical mediastinoscopy is useful for diagnosing lung and mediastinal disease. Ultrasound is a safe real‐time diagnostic tool widely employed in many surgical fields. Ultrasound was used in cervical mediastinoscopy in our cohort with satisfactory results. This study investigated the safety, feasibility, and availability of video‐assisted mediastinoscopy (VAM) combined with ultrasound for mediastinal lymph node biopsy. Methods A total of 87 cases involving cervical mediastinal lymph node biopsy performed from November 2015 to May 2020, with complete clinical and pathological information, were retrospectively analyzed in the Department of Thoracic Surgery at Beijing Chaoyang Hospital. The cohort was divided into two groups: ultrasound‐guided biopsy under video‐assisted mediastinoscopy (UVAM) (44 cases) and routine VAM (43 cases). Operation time, biopsy number and nodal stations, postoperative complications, pathological conditions, and surgical difficulty were compared between the two nodal stations. Results UVAM was significantly shorter and more lymph node specimens were obtained than with VAM. There was one case of fatal bleeding and two cases of right recurrent laryngeal nerve injury in the VAM group, and no postoperative complications in the UVAM group. Conclusions When used with cervical VAM, ultrasound guidance assists physicians assess the space between lymph nodes, surrounding tissues, and large vessels systematically, making biopsy safer and easier, improving lymph node sampling, and decreasing postoperative complications. Furthermore, surgeons can easily learn and master this method. Key points Significant findings of the study: Ultrasound was used in combination with cervical mediastinoscopy and the results showed that ultrasound guidance makes biopsy in patients safer and easier, improves lymph node sampling, and decreases postoperative complications. What this study adds: Surgeons can easily learn and master this method. Ultrasound was used in combination with cervical mediastinoscopy and the results showed that ultrasound guidance makes biopsy in patients safer and easier, improves lymph node sampling, and decreases postoperative complications. Furthermore, surgeons can easily learn and master this method. |
| Databáze: | OpenAIRE |
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