Theissing J
HNO. 1975 Aug;23(8):237-9.
The problems of routine mediastinoscopy such as the differential diagnosis of unrecognisable specific pathology of the mediastinum or lung, assessment of the operability of malignancy in the thorax prior to surgery, and the execution of minor mediastinal surgery are discussed. It is recommended that mediastinoscopy may also be performed where no radiological abnormality exists, and it is considered necessary that it is performed with biopsy where bronchial carcinoma has already been positively identified. Personal experience shows that previous mediastinoscopy or mediastinal irradiation are not contraindications to this procedure, but an adequate thoracic surgical unit and adequate after-care are essential prerequisites.
本文讨论了常规纵隔镜检查存在的问题，如纵隔或肺部难以识别的特定病理的鉴别诊断、术前评估胸部恶性肿瘤的可切除性以及实施小型纵隔手术。建议在无放射学异常的情况下也可进行纵隔镜检查，并且在已确诊支气管癌时进行活检被认为是必要的。个人经验表明，既往纵隔镜检查或纵隔放疗并非该手术的禁忌证，但具备足够的胸外科团队及完善的术后护理是必不可少的前提条件。
