[Rapid surgical exploration of the mediastinum].
This study aimed to evaluate the morbidity-mortality of surgical exploration of the mediastinum in patients with mediastinal masses or adenopathy in the context of a rapid-surgery program that has been operating over the past 8 years (1985-1993). A total of 93 mediastinal explorations have been carried out. Sixty-five involved transcervical mediastinoscopy, 20 were anterior mediastinotomies, 4 were combined procedures and 4 were video-thoracoscopies. We found 34 cases of lymphoma, 28 of metastasis of bronchopulmonary carcinoma and 16 of mediastinal-ganglionic tuberculosis; the 15 remaining cases were classified as miscellaneous. No deaths were directly related to the surgical procedures; morbidity involved 2 wound infections. Surgical exploration of the mediastinum is a safe diagnostic procedure, provided it is carried out by an experienced team, and allows care givers to take better advantage of therapeutic options with no loss of quality.
Callejas Pérez
M A
MA
Servicio de Cirugía Torácica, Hospital Clínic i Provincial, Basrcelona.
Canalis Arrayás
E C
EC
Albort Ventura
J
J
Belda Sanchís
J
J
Catalán Biel
M
M
Gimferrer Garolera
J M
JM
D000293:Adolescent; D000328:Adult; D018287:Carcinoma, Large Cell / Q000175:diagnosis / Q000556:secondary; D018288:Carcinoma, Small Cell / Q000175:diagnosis / Q000556:secondary; D002294:Carcinoma, Squamous Cell / Q000175:diagnosis / Q000556:secondary; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008175:Lung Neoplasms; D008223:Lymphoma / Q000175:diagnosis; D008297:Male; D008477:Mediastinal Diseases / Q000175:diagnosis*; D008479:Mediastinal Neoplasms / Q000175:diagnosis / Q000556:secondary; D008481:Mediastinoscopy; D008482:Mediastinum / Q000601:surgery*; D008875:Middle Aged; D012507:Sarcoidosis / Q000175:diagnosis; D013724:Teratoma / Q000175:diagnosis / Q000556:secondary; D013906:Thoracoscopy; D013945:Thymoma / Q000175:diagnosis / Q000556:secondary; D013953:Thymus Neoplasms / Q000175:diagnosis / Q000556:secondary; D014388:Tuberculosis, Lymph Node / Q000175:diagnosis
Cirugía de corta estancia en la exploración quirúrgica del mediastino.