[Video-assisted mediastinoscopic surgery].
Introduced in the 1990s, videomediastinoscopes dramatically improved imaging of the mediastinal structures, and made mediastinoscopy more standardized, user-friendly, and accessible to trainees. Not surprisingly they have been replacing conventional mediastinoscopes for routine biopsy and staging procedures. However it was development of the two-bladed spreadable videomediastinoscope by Linder and Dahan that allowed increased exposure, bimanual dissection, and thus the development of new minimally invasive surgical techniques. The best documented method is video-assisted mediastinoscopic lymphadenectomy (VAMLA), which enables extremely accurate staging and definitive mediastinal surgery.
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Sektion Thoraxchirurgie, Lungenzentrum Koblenz, Katholisches Klinikum Koblenz, Kardinal-Krementz-Strasse 1-5, 56073, Koblenz, Germany. b.witte@kk-koblenz.de
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D001706:Biopsy; D006801:Humans; D008168:Lung / Q000473:pathology; D008175:Lung Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D008197:Lymph Node Excision; D020707:Mediastinoscopes; D008481:Mediastinoscopy / Q000379:methods*; D019060:Minimally Invasive Surgical Procedures; D009367:Neoplasm Staging; D020535:Video-Assisted Surgery