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KMID : 0438219790160010245
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Korea University Medical Journal
1979 Volume.16 No. 1 p.245 ~ p.250
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Mediastinoscopy
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Abstract
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Mediastinoscopy is a surgical endoscopic technique used mainly for examination and biopsy of lesions of the superior and middle mediastnum. It is particulary concerned with diseases that primarily or secondary involve the paratracheal and parabronchial lymphatics.
A total of mediastinoscopy are presented with a detailed analysis of indications and results. Of these mediastinostopy was positive in 10 cases (50%) and negative in 10 cases (50%).
The 10 positive mediastinscopies were diagnostic in 4 patients with malignant lymphoma, 5 patients with carcinoma of the lung, one patient with active pulmonary tuberculosis.
Of 10 negative mediastinoscopies, one was inoperable due to recurrent laryngeal nerve nvolvement, 9 patients were subjected to radical resection.
Complications of mediastinoscopy were developed in 2 cases, one was minimal degree of subcutaneous emphysema on anterior chest wall, and other was widening of right mediastinal border due to hematoma. Two complications were dompletely absorbed after 7days.
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