Please use this identifier to cite or link to this item: http://hdl.handle.net/10553/46683
DC FieldValueLanguage
dc.contributor.authorLopez, Luisen_US
dc.contributor.authorVarela, Andresen_US
dc.contributor.authorFreixinet, Jorgeen_US
dc.contributor.authorQuevedo, Santiagoen_US
dc.contributor.authorPujol, Javier Lopezen_US
dc.contributor.authorde Castro, Felipe Rodriguezen_US
dc.contributor.authorSalvatierra, Angelen_US
dc.date.accessioned2018-11-23T07:02:49Z-
dc.date.available2018-11-23T07:02:49Z-
dc.date.issued1994en_US
dc.identifier.issn0003-4975en_US
dc.identifier.urihttp://hdl.handle.net/10553/46683-
dc.description.abstractTo assess the usefulness of extended cervical mediastinoscopy (ECM) in the staging of bronchogenic carcinoma, an ECM was performed prospectively in 50 patients with bronchogenic carcinoma of the left lung. The ECM was used after evaluation of disease operability and computed tomographic findings, and was performed simultaneously with standard cervical mediastinoscopy. In ECM, using the same cervical incision as in a standard cervical mediastinoscopy, dissection is performed behind the anterior face of the sternum. The aortic arch is reached at the level of the origin of the innominate artery. The mediastinoscope is then passed by sliding it along the left anterolateral face of the aortic arch until it reaches the aortopulmonary window. Extended cervical mediastinoscopy was considered positive when a nodal biopsy result consistent with a neofomative process or direct invasion of the mediastinal structures was found. Four patients with positive standard cervical mediastinoscopy and negative ECM were excluded. A false negative ECM was defined as the presence of infiltrated adenopathies at the paraaortic level detected on postoperative histologic study. The ECM was positive in 5 patients in whom operation was contraindicated. Resectability in the remaining 41 patients was 97.6%. Postoperative pathologic study showed infiltrated adenopathy in 3 patients (2 subcarinal, 1 subaortic) accounting for 40 true negatives (the subtarinal group is inaccessible by ECM). This study suggests that ECM has outstanding specificity (100%), sensitivity of 83.3%, and a diagnostic accuracy of 97.8%. A positive predictive value of 100% and a negative predictive value of 97.5% were also identified by this study. We conclude that ECM is a useful technique to assess involvement of the aortopulmonary window in the preoperative staging of bronchogenic carcinoma of the left lung.en_US
dc.languageengen_US
dc.relation.ispartofThe annals of thoracic surgeryen_US
dc.sourceThe Annals of Thoracic Surgery[ISSN 0003-4975],v. 57, p. 555-558en_US
dc.subject32 Ciencias médicasen_US
dc.subject3213 Cirugíaen_US
dc.subject.otherMediastinoscopyen_US
dc.subject.otherThoracic surgeryen_US
dc.subject.otherCase reporten_US
dc.titleExtended cervical mediastinoscopy: Prospective study of fifty casesen_US
dc.typeinfo:eu-repo/semantics/articleen_US
dc.typeArticleen_US
dc.identifier.doi10.1016/0003-4975(94)90544-4en_US
dc.identifier.scopus0028215346-
dc.contributor.authorscopusid56817239200-
dc.contributor.authorscopusid7102922310-
dc.contributor.authorscopusid7003392562-
dc.contributor.authorscopusid36780829100-
dc.contributor.authorscopusid24492551600-
dc.contributor.authorscopusid55942667000-
dc.contributor.authorscopusid7004412605-
dc.description.lastpage558en_US
dc.identifier.issue3-
dc.description.firstpage555en_US
dc.relation.volume57en_US
dc.investigacionCiencias de la Saluden_US
dc.type2Artículoen_US
dc.description.numberofpages4en_US
dc.utils.revisionen_US
dc.date.coverdateMarzo 1994en_US
dc.identifier.ulpgcen_US
dc.contributor.buulpgcBU-MEDen_US
dc.description.scieSCIE
item.grantfulltextnone-
item.fulltextSin texto completo-
crisitem.author.deptPatología médica-
crisitem.author.deptIU de Investigaciones Biomédicas y Sanitarias-
crisitem.author.deptCiencias Médicas y Quirúrgicas-
crisitem.author.deptPatología médica-
crisitem.author.deptIU de Investigaciones Biomédicas y Sanitarias-
crisitem.author.deptCiencias Médicas y Quirúrgicas-
crisitem.author.orcid0000-0002-7163-6853-
crisitem.author.parentorgIU de Investigaciones Biomédicas y Sanitarias-
crisitem.author.parentorgIU de Investigaciones Biomédicas y Sanitarias-
crisitem.author.fullNameFreixinet Gilart, Jorge Lorenzo-
crisitem.author.fullNameRodríguez De Castro, Felipe Carlos B.-
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