mediastinoscopy
What is mediastinoscopy? : The virtual space we call the mediastinum, which is simply defined as the space between the heart and the lung; Reaching this area by entering from the neck with a special instrument (mediastinoscope) and advancing it outside and in front of the trachea is the process of taking samples from here. This procedure is performed under general anesthesia, the patient is put to sleep during the procedure. The patient is hospitalized on the morning of the operation, in fact, he can be sent home after he is completely awake, but we prefer to keep the patient in the hospital for one night.
When to perform mediastinoscopy: The most common application is the preoperative staging of Lung Cancer. If cancer cells are seen in the lymph node biopsy taken from here, surgery is not recommended to the patient, he is directed to other treatment methods. It is often used for the diagnosis of lymph nodes and masses located in the mediastinum. Is there a risk? It does not carry great risks when it is performed in experienced hands, but it is possible to encounter some problems in the operation performed on the vital area, which is rich in blood vessels. (0.08%).
Side effects seen:
Bleeding
Tracheal injuries
Stroke
Esophageal injuries
hoarseness
wound inflammation
hematoma
cardiac arrhythmia
Who should not undergo this procedure: Patients with excessively large goiter, inominate artery aneurysms, and patients with permanent tracheostomy (a hole opened from the throat to the trachea to breathe) are not performed. It can be applied for the second time and in those who have had heart surgery before, depending on the situation.
