title: Transcervical extended mediastinal lymphadenectomy.
abstract: Transcervical extended mediastinal lymphadenectomy (TEMLA) is a new procedure for bilateral excision of all nodal stations of the mediastinum, except for the pulmonary ligament nodes (station 9) and the most distal left lower paratracheal nodes (station 4L). The procedure is performed through a transverse 5-8 cm incision in the neck with elevation of the sternum with a traction device facilitating the access to the mediastinum. Most of the procedure is performed with an open technique, while the removal of the subcarinal (station 7) and periesophageal nodes (station 8) is performed with the mediastinoscopy assisted technique and excision of the paraaortic nodes (station 6), the aorta-pulmonary window nodes (station 5) and, sometimes, the prevascular nodes (station 3A) is performed with the aid of a videothoracoscope introduced to the mediastinum through the neck incision, without violating the pleura.
authors.affiliation: Department of Thoracic Surgery, Pulmonary Hospital in Zakopane, ul. Gładkie 1, 34-500 Zakopane, Poland.
authors.forename: Marcin
authors.initials: M
authors.lastname: Zielinski
authors.forename: Jaroslaw
authors.initials: J
authors.lastname: Kuzdzal
authors.forename: Tomasz
authors.initials: T
authors.lastname: Nabialek
authors.forename: Lukasz
authors.initials: L
authors.lastname: Hauer
authors.forename: Juliusz
authors.initials: J
authors.lastname: Pankowski
authors.forename: Bogdan
authors.initials: B
authors.lastname: Dziadzio