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