title: Successful video-assisted mediastinoscopic drainage of descending necrotizing mediastinitis.
abstract: Descending necrotizing mediastinitis is an uncommon form of mediastinitis that can rapidly progress to septacemia. To date, the optimal surgical approach has remained controversial. We report a case of descending necrotizing mediastinitis that was treated successfully through a transcervical approach with video-assisted mediastinoscopy. In our case, because the abscess was separated into small compartments, especially in the paratracheal space, the abscess was drained using video-assisted mediastinoscopy. This less-invasive approach may be an option in the treatment of descending necrotizing mediastinitis, especially when the abscess in the paratracheal space is separated into small compartments.
authors.affiliation: Division of Thoracic and Visceral Organ Surgery, Gunma University Faculty of Medicine, Gunma, Japan. kmshimiz@showa.gunma-u.ac.jp
authors.forename: Kimihiro
authors.initials: K
authors.lastname: Shimizu
authors.forename: Yoshimi
authors.initials: Y
authors.lastname: Otani
authors.forename: Tetuhiro
authors.initials: T
authors.lastname: Nakano
authors.forename: Yukihiro
authors.initials: Y
authors.lastname: Takayasu
authors.forename: Yoshihito
authors.initials: Y
authors.lastname: Yasuoka
authors.forename: Yasuo
authors.initials: Y
authors.lastname: Morishita
mesh_terms: D000038:Abscess / Q000473:pathology / Q000601:surgery*; D000368:Aged; D003646:Debridement; D004322:Drainage / Q000379:methods; D004417:Dyspnea / Q000209:etiology; D004630:Emergencies; D005260:Female; D006801:Humans; D008480:Mediastinitis / Q000473:pathology / Q000601:surgery*; D008481:Mediastinoscopy; D019060:Minimally Invasive Surgical Procedures; D009333:Neck / Q000601:surgery; D009336:Necrosis; D010612:Pharyngitis / Q000150:complications; D020535:Video-Assisted Surgery