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Abstract
Poor results in the treatment of lung cancer have led to the development of several
techniques designed to obtain tissue for diagnosis and to determine the feasibility
of resection. Although mediastinoscopy has obtained great popularity, we have been
dissatisfied with it because of the low yield of positive results and the attendant
increases in length of operations and hospitalizations. We have modified the old technique
of thoracoscopy, using a sterilized sigmoidoscope inserted through an intercostal
space with the patient positioned and prepared for thoracotomy. Although most frequently
used in patients with lung cancer, this procedure also has been helpful in patients
with coin lesions, mediastinal tumors, and penetrating wounds of the chest. Although
we agree that mediastinoscopy is useful in selected patients, we believe that thoracoscopy
offers a greater number of patients a reliable means of obtaining the proper diagnosis
more efficiently.
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References
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Article info
Footnotes
☆Presented at the Thirty-fourth Annual Meeting of the Central Surgical Association, Buffalo, N. Y., March 3–5, 1977.
Identification
Copyright
© 1977 Published by Elsevier Inc.
