Mediastinoscopy in Iceland : indications and surgical outcome
INTRODUCTION: Mediastinoscopy is an important tool for staging lung cancer and evaluating mediastinal pathology. The objective of this retrospective study was to investigate the indications and safety of mediastinoscopy in a well defined cohort of patients.
MATERIAL AND METHODS: All patients that underwent mediastinoscopy in Iceland between 1983-2007 were included. Clinical information was obtained from patient charts and pathology reports rewied. The study-period was divided into 5-year periods for comparison.
RESULTS: Altogether 278 operations were performed but in 17 cases data was missing, leaving 261 patients for analysis (mean age 59 yrs, range 11-89, 159 males). A steady increase was seen in the number of operations, or from 16 to 85 during the first and last periods, respectively (p<0.01). Staging of lung cancer (61,3%), evaluation of mediastinal tumors (24,5%), and suspected sarcoidosis (8,8%) were the most common indications. Mean operating time was 30 minutes (range 10-320) and median hospital stay 1 day (range 0,5-26). The most common histological diagnosis were nonspecific changes (33,6%), lung cancer (23,8%) and sarcoidosis (12,7%). Seven patients (2.7%) had complications; including 4 (1.5%) with hoarsness due to left recurrent nerve injury, one (0,3%) with pneumothorax and two with >500 ml hemorrhage (1.1%). There were two operative deaths (<30 days), one due to major intraoperative bleeding.
CONCLUSIONS: The number of mediastinoscopies is increasing in Iceland, especially as a part of lung cancer staging. Mediastinoscopy is a safe procedure with low mortality and morbidity, where a specific diagnosis is obtained in most cases.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2010 |
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| Erschienen: |
2010 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:96 |
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| Enthalten in: |
Laeknabladid - 96(2010), 6 vom: 02. Juni, Seite 399-403 |
| Sprache: |
Isländisch |
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| Weiterer Titel: |
Miomaetisspeglanir á Islandi: árangur og ábendingar |
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| Beteiligte Personen: |
Olafsdottir, Thora Sif [VerfasserIn] |
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| Anmerkungen: |
Date Completed 12.08.2010 Date Revised 29.11.2019 published: Print Citation Status MEDLINE |
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| doi: |
10.17992/lbl.2010.06.299 |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM19855317X |
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| 245 | 1 | 0 | |a Mediastinoscopy in Iceland |b indications and surgical outcome |
| 246 | 3 | 3 | |a Miomaetisspeglanir á Islandi: árangur og ábendingar |
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| 500 | |a Date Completed 12.08.2010 | ||
| 500 | |a Date Revised 29.11.2019 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a INTRODUCTION: Mediastinoscopy is an important tool for staging lung cancer and evaluating mediastinal pathology. The objective of this retrospective study was to investigate the indications and safety of mediastinoscopy in a well defined cohort of patients | ||
| 520 | |a MATERIAL AND METHODS: All patients that underwent mediastinoscopy in Iceland between 1983-2007 were included. Clinical information was obtained from patient charts and pathology reports rewied. The study-period was divided into 5-year periods for comparison | ||
| 520 | |a RESULTS: Altogether 278 operations were performed but in 17 cases data was missing, leaving 261 patients for analysis (mean age 59 yrs, range 11-89, 159 males). A steady increase was seen in the number of operations, or from 16 to 85 during the first and last periods, respectively (p<0.01). Staging of lung cancer (61,3%), evaluation of mediastinal tumors (24,5%), and suspected sarcoidosis (8,8%) were the most common indications. Mean operating time was 30 minutes (range 10-320) and median hospital stay 1 day (range 0,5-26). The most common histological diagnosis were nonspecific changes (33,6%), lung cancer (23,8%) and sarcoidosis (12,7%). Seven patients (2.7%) had complications; including 4 (1.5%) with hoarsness due to left recurrent nerve injury, one (0,3%) with pneumothorax and two with >500 ml hemorrhage (1.1%). There were two operative deaths (<30 days), one due to major intraoperative bleeding | ||
| 520 | |a CONCLUSIONS: The number of mediastinoscopies is increasing in Iceland, especially as a part of lung cancer staging. Mediastinoscopy is a safe procedure with low mortality and morbidity, where a specific diagnosis is obtained in most cases | ||
| 650 | 4 | |a English Abstract | |
| 650 | 4 | |a Journal Article | |
| 700 | 1 | |a Gudmundsson, Gunnar |e verfasserin |4 aut | |
| 700 | 1 | |a Bjornsson, Johannes |e verfasserin |4 aut | |
| 700 | 1 | |a Gudbjartsson, Tomas |e verfasserin |4 aut | |
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