Mediastinoscopy and Mediastinotomy: Mediastinal Lymph Node Staging in Lung Cancer
MEDIASTINOTOMY AND MEDIASTINOSCOPY
Complete surgical resection is the key curative therapy for early-stage
bronchogenic carcinoma. To be effective, resection must be performed under
appropriate circumstances; not only must the patient be able to tolerate the
required operation but the cancer must also be sufficiently well localized for
complete surgical removal. Radical resection in the face of metastases to
mediastinal nodes is rarely curative. For this reason, mediastinal nodal staging
is essential. Cervical mediastinoscopy and left anterior mediastinotomy remain
the gold standard for sampling mediastinal lymph nodes. These procedures may
also aid in the diagnosis of lymphoma, sarcoidosis, and other diseases
affecting the mediastinum.

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