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mediastinoscopy after stent implantation： a good method for diagnosis and treatment of severe superior vena cava syndrome

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Chinese Medical Journal 2010年第15期123卷 2138-2141页

作者： WU Wei-dong CHEN Chun LIN Ruo-bai KANG Ming-qiang ZHENG Wei Department of Thoracic Surgery Fujian Medical University Union Hospital Fuzhou Fujian 350001 China

Superior vena cava syndrome （SVCS） is a clinical syndrome caused by compression or invasion of the superior vena cava or thrombus formation within the superior vena cava.SVCS is typically the most common emergency a... 详细信息

关键词： stent mediastinoscopy superior vena cava syndrome diagnosis

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mediastinoscopy in Assessing Mediastinal Lymphadenopathy and Lung Disease

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Open Journal of Thoracic Surgery 2017年第4期7卷 55-61页

作者： Iskander Al-Githmi Department of Surgery Division of Cardiothoracic Surgery King Abdulaziz University Hospital Jeddah KSA

Background: mediastinoscopy is the gold standard procedure for the pathological staging and diagnosis of mediastinal diseases. The aim of the study is to describe the significance of anterior cervical mediastinoscopy in evaluating patients with mediastinal lymphadenopathy and lung parenchymal disease. Material and Methods: From January 2014 until June 2017 we conducted a retrospective study of 52 consecutive patients with mediastinal lymphadenopathy and lung parenchymal disease who underwent anterior cervical mediastinoscopy. The main indications for cervical mediastinoscopy were isolated mediastinal lymphadenopathy, undetermined lung mass with mediastinal lymphadenopathy, and the clinical staging of patients with lung cancer. Results: The study subjects consisted of 37 men and 15 women, aged 13 to 87 (mean age 50.8). Eight patients had mediastinoscopy for staging lung cancer, 27 patients had mediastinoscopy to diagnose isolated mediastinal lymphadenopathy, and 17 patients had mediastinoscopy for an undetermined lung parenchymal mass. Among the patients with isolated mediastinal lymphadenopathy, sarcoidosis was diagnosed in 6, tuberculosis in 9, reactive lymph nodes in 4, metastasis in 5 and lymphoma in 3. Lymph node metastasis (N2, N3) was found in 5 patients with lung cancer. There was no surgical-related mortality or morbidity. Conclusions: mediastinoscopy is a safe and reliable procedure in diagnosing mediastinal diseases and is still the first choice among the investigative modalities in the clinical staging of bronchogenic carcinoma.

关键词： mediastinoscopy Mediastinum Lymphadenopathy Lung Cancer

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Mantle cell lymphoma with endobronchial involvement:A case report

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World Journal of Clinical Cases 2022年第8期10卷 2604-2609页

作者： Yi-Zong Ding Dao-Qiang Tang Xiao-Jing Zhao Department of Thoracic Surgery Renji HospitalSchool of MedicineShanghai Jiao Tong UniversityShanghai 200127China Department of Pathology Renji HospitalSchool of MedicineShanghai Jiao Tong UniversityShanghai 200127China

BACKGROUND Mantle cell lymphoma(MCL)is a subtype of Non-Hodgkin’s lymphoma(NHL).MCL frequently affects extranodal sites while endobronchial involvement is uncommon.Only 5 cases of MCL with endobronchial involvement have been previously reported.CASE SUMMARY A 56-year-old male patient arrived at the hospital complaining of a dry cough.A mass in the right upper lobe of the lung was revealed in Chest computed tomography(CT).Right lung hilar and mediastinal lymphadenopathies were also found by CT scan.The patient was diagnosed with central-type lung cancer with multiple lymph node metastases after positron emission tomography(PET)CT scan examination.The fiber optic bronchoscope examination revealed diffuse neoplasm infiltration in the inlet of the right up lobar bronchus.The patient was finally diagnosed with MCL based on the bronchoscopy and mediastinoscopy biopsy results.CONCLUSION MCL could masquerade as central type lung cancer.An endobronchial biopsy examination is necessary for the early diagnosis of MCL.

关键词： Mantle cell lymphoma Endobronchial involvement Central type lung cancer Endobronchial biopsy Bronchoscopy mediastinoscopy Case report

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Natural orifice transesophageal thoracoscopic surgery:A review of the current state

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World Journal of Gastrointestinal Endoscopy 2010年第1期2卷 3-9页

作者： Brian G Turner Denise W Gee Gastrointestinal Unit Massachusetts General Hospital55 Fruit StreetBostonMA 02114United States Department of Surgery Massachusetts General Hospital15 Parkman StreetBostonMA 02114United States

Since the concept of Natural Orifice Translumenal Endoscopic Surgery(NOTES) was introduced,it has continued to gain significantly in popularity and enthusiasm for its potential clinical applications.The ability to perform conventional laparoscopic and thoracoscopic procedures without the creation of scars and perhaps faster and less painful recovery has prompted a worldwide devotion to further this field.While intraabdominal NOTES has rapidly transitioned from animal models to human trials,applying the NOTES concept to perform thoracic procedures has been slower to gain momentum.The goal of this review is to summarize the current state of transesophageal NOTES thoracoscopy by looking at its potential for diagnostic and therapeutic interventions as well as the challenges in transitioning to human trials.

关键词： Natural orifice translumenal endoscopic surgery Transesophageal Thoracoscopy mediastinoscopy Esophagotomy Natural orifice Endoscopy

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Is there a role for surgery in stage ⅢA-N2 non-small cell lung cancer?

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中国肺癌杂志 2008年第5期11卷 615-621页

作者： Paul E.VAN SCHIL Michèle DE WAELE Jeroen M.HENDRIKS Patrick R.LAUWERS Department of Thoracic and Vascular Surgery University of Antwerp

The role of surgery in stage ⅢA-N2 non-small cell lung cancer(NSCLC) remains controversial.Most important prognostic factors are mediastinal downstaging and complete surgical resection.Different restaging techniques exist to evaluate response after induction therapy and these are subdivided into non-invasive,invasive and alternative or minimally invasive techniques.In contrast to imaging or functional studies,remediastinoscopy provides pathological evidence of response after induction therapy.Although techn...

关键词： Induction therapy Intraoperative compilations Lung neoplasms mediastinoscopy Neoplasm staging Postoperative

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电视纵隔镜在胸部疾病治疗中的应用

电视纵隔镜在胸部疾病治疗中的应用

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作者：毛宇强中国医科大学

学位级别：硕士

目的讨论电视纵隔镜在胸部疾病治疗中的应用价值。方法对2007年2月至2009年4月开展的8例经肋间单一切口纵膈镜手术患者的资料进行回顾性分析,经右胸纵膈镜手术2例,经左胸纵膈镜手术6例。结果8名患者术后均无出血,引流少,无发热,无胸腔积... 详细信息

目的讨论电视纵隔镜在胸部疾病治疗中的应用价值。方法对2007年2月至2009年4月开展的8例经肋间单一切口纵膈镜手术患者的资料进行回顾性分析,经右胸纵膈镜手术2例,经左胸纵膈镜手术6例。结果8名患者术后均无出血,引流少,无发热,无胸腔积液,恢复良好,复查CT示：肿瘤切除完整,无残留,术后第三天内拔除引流,术后第4天内出院,术后病理结果分别为神经鞘瘤5例、神经纤维瘤3例。结论电视纵膈镜可以作为切除纵膈肿物的方法之一。

关键词： mediastinoscopy mediastinal mass

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