ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
The diagnostic value of cervical mediastinoscopy in the diseases with mediastinal lymphadenopathy other than lung cancer
Hasan Çaylak1, Kuthan Kavaklı1, Metin Özkan2, Orhan Yücel1, Ersin Sapmaz1, Alper Gözübüyük1, Sedat Gürkök1, Mehmet Dakak1
1Gülhane Askeri Tıp Akademisi, Göğüs Cerrahisi Anabilim Dalı, Ankara
2Gülhane Askeri Tıp Akademisi, Göğüs Hastalıkları ve Tüberküloz Anabilim Dalı, Ankara
Background: In this study, reliability, effectivity and practicability of cervical mediastinoscopy was determined.

Methods: The data were retrospectively analyzed 84 patients (68 males 16 females; mean age 34.6 years; range 20 to 71 years) who underwent diagnostic mediastinoscopy due to mediastinal lymphadenopathy. The patients were analyzed in terms of the variables of age, sex, duration of operation, the distribution of detected and sampled lymph node stations, peri- and postoperative mortality, morbidity and histopathological diagnosis.

Results: Lymphadenopathy was dedected in 233 lymph node stations by means of radiological examinations. One hundred forty of all lymph node stations were sampled and 77% of these samplings were performed from right upper and right lower paratracheal lymph node stations (2R, 4R). There were complications in four cases (4.8%) but no mortality occurred. Histopathological diagnosis was established by mediastinoscopy in all but two patients in whom the diagnosis was established by thoracotomy. The sensitivity of mediastinoscopy in patients without lung cancer was 93%.

Conclusion: In the light of these findings, mediastinoscopy is an diagnostic method which has a high diagnostic value and which can be performed with low morbidity and mortality rates in the majority of patients who have undiagnosed mediastinal lymphadenopaties.

Keywords : Mediastinal disease; mediastinal lymphadenopathy; mediastinoscopy
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