Advanced Search

Home > Journals > The Journal of Cardiovascular Surgery > Past Issues > The Journal of Cardiovascular Surgery 1999 February;40(1) > The Journal of Cardiovascular Surgery 1999 February;40(1):157-60

ISSUES AND ARTICLES   MOST READ   eTOC

CURRENT ISSUETHE JOURNAL OF CARDIOVASCULAR SURGERY

A Journal on Cardiac, Vascular and Thoracic Surgery


Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,632

 

The Journal of Cardiovascular Surgery 1999 February;40(1):157-60

THORACIC PAPERS 

 ORIGINAL ARTICLES

Tho­rac­os­copic diag­nosis and treat­ment of med­i­as­tinal ­masses. Use­ful­ness of the Two Win­dows ­Method

Kaga K., Nishiumi N., Iwasaki M., Inoue H.

From the Depart­ment of Sur­gery Tokai Uni­ver­sity ­School of Med­i­cine, ­Japan

Back­ground. We ­report on the use­ful­ness of tho­rac­os­copic sur­gery by the Two Win­dows ­Method in med­i­as­tinal dis­eases. ­While the posi­tioning of the two-­window ­skin inci­sions was orig­i­nally ­decided for ­lung ­cancer, but we ­have ­been ­using pre­cisely the ­same ­method to ­biopsy and ­remove med­i­as­tinal ­lesions.
­Methods. Tho­rac­os­copic sur­gery by the Two Win­dows ­Method was per­formed in 40 ­cases in ­which it had ­been impos­sible to ­make a diag­nosis by non­in­va­sive ­methods. ­Access to the ­pleural ­cavity was ­achieved by ­making ­skin inci­sions in two ­places ante­rior and pos­te­rior to the infe­rior ­angle of the ­scapula in the ­fourth inter­costal ­space.
­Results. ­Biopsy was per­formed in 17 of the 40 ­patients to ­make a his­to­log­ical diag­nosis. It was pos­sible to ­make a defin­i­tive his­to­log­ical diag­nosis in all of the ­patients. Com­plete resec­tion of a med­i­as­tinal ­tumor was per­formed in 23 ­patients, and the resec­tion was con­cluded tho­rac­os­cop­i­cally by the Two Win­dows ­Method in 22 of ­these ­patients (95.7%), ­with the ­only excep­tion of one ­patient in ­whom we con­verted to stan­dard thor­a­cotomy ­because of intra­op­er­a­tive ­bleeding. ­There ­were no post­op­er­a­tive com­pli­ca­tions and no per­i­op­er­a­tive ­deaths.
Con­clu­sions. We con­clude ­that the Two Win­dows ­Method is ­also ­useful for the diag­nosis and com­plete resec­tion of med­i­as­tinal dis­eases and ­that ­this is a low-inva­sive and ­safe ­method.

language: English


FULL TEXT  REPRINTS

top of page