Bartel M, Rupprecht H, Leube A
Z Erkr Atmungsorgane. 1976 Jul;146(1):54-61.
Complications of 735 mediastinoscopies are evaluated. In the small number of early complications the bleedings and unjuries of pleura dominate in the described group of patients. At no time a thoracotomy was necessary. The danger of bleeding from an aneurysma of the aorta is pointed out, which is rare but possible early complication. The inoculated metastases do not deteriorate the prognosis of the bronchogenic cancer, if the mediastinoscopy is strictly limited to the paratracheal and tracheobronchial lymphnodes. The observation of a metastasis in the collar cicatrix following three months after mediastinoscopy due to cancer of the oesophagus is described. The low number of observed complications in the opinion of the writers does not justify to limit the range of indications for mediastinoscopy, its diagnostic value is high.
对735例纵隔镜检查的并发症进行了评估。在所描述的患者组中，早期并发症数量较少，其中出血和胸膜损伤占主导。任何时候都无需开胸手术。指出了主动脉瘤出血的风险，这是一种罕见但可能出现的早期并发症。如果纵隔镜检查严格限于气管旁和气管支气管淋巴结，则种植性转移不会恶化支气管癌的预后。描述了1例因食管癌行纵隔镜检查3个月后在颈部瘢痕处出现转移的情况。作者认为，观察到的并发症数量较少，不足以限制纵隔镜检查的适应证范围，其诊断价值很高。
