Transcervical mediastinoscopy in patients with a permanent tracheostomy: is it feasible?

Yükleniyor...
Küçük Resim

Tarih

2019

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

Oxford Univ Press

Erişim Hakkı

info:eu-repo/semantics/closedAccess

Özet

OBJECTIVES: Cervical mediastinoscopy may become essential in patients with pathological lymph nodes at mediastinum after laryngectomy. However, having had a previous tracheostomy has been reported to be a contraindication for cervical mediastinoscopy. METHODS: Between January 2010 and December 2017, cervical mediastinoscopy was performed for lung cancer staging in 1985 patients at the Department of Thoracic Surgery, Yedikule Chest Diseases and Thoracic Surgery Education and Research Hospital, Istanbul, Turkey. Eighteen of these patients (1%) had a permanent tracheostomy after total laryngectomy and cervical radiotherapy due to laryngeal carcinoma. RESULTS: Cervical mediastinoscopy was performed in 18 patients with a permanent tracheostomy after total laryngectomy. The negative predictive value of cervical mediastinoscopy was 13/14 (93%). The average operative time was 63min (SD 12.0, range 50-90min). The negative predictive value of endobronchial ultrasonography was 4/7 (57%). Positron emission tomography-computed tomography had a positive predictive value of 3/15 (20%) and a negative predictive value of 2/3 (67%). CONCLUSIONS: Contrary to the claims of 2 textbooks, cervical mediastinoscopy is a viable method for patients with a tracheostomy after laryngectomy. The negative predictive values of standard cervical mediastinoscopy and mediastinoscopy for patients with a tracheostomy after total laryngectomy are approximately equivalent. Our results indicate that cervical mediastinoscopy is a feasible method in patients with a permanent tracheostomy when applied by experienced thoracic surgeons in specialized hospitals.

Açıklama

Anahtar Kelimeler

Cervical Mediastinoscopy, Laryngeal Carcinoma, Tracheostomy, Radiotherapy

Kaynak

Interactive Cardiovascular and Thoracic Surgery

WoS Q Değeri

Q3

Scopus Q Değeri

Q2

Cilt

29

Sayı

5

Künye

Cansever, L., Seyrek, Y., Kutluk, A. C., Akin, H., Kocaturk, C. I., & Bedirhan, M. A. (2019). Transcervical mediastinoscopy in patients with a permanent tracheostomy: is it feasible? INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY, 29(5), 737–741. https://doi.org/10.1093/icvts/ivz178