Kitzis M, Briand O, Couffinhal J C, de Crepy B, Groussard O, Nakache J P, Andreassian B
Nouv Presse Med. 1982 Mar 13;11(12):909-13.
The value of the information provided by mediastinoscopy or cervical mediastinotomy was evaluated in 150 cases by means of tests measuring diagnostic efficiency with calculated agreement coefficient. An accurate histological diagnosis was made in 100 out of 116 mediastinal syndromes (adenopathy, mediastinal or paramediastinal tumors). In cases with negative results exploratory surgery is required. The operability of bronchial carcinoma was assessed in 34 cases selected for their location and radiological extension. A negative mediastinoscopy makes it very unlikely that an inoperable cancer will be found. In bronchial carcinoma, mediastinoscopy is recommended whenever the risk attending excision of a tumor with lymph node involvement is to be weighed against the high operative risk in a debilitated patient. The usefulness of these exploratory procedures is enhanced by anterior mediastinotomy in cases with anterior tumor and in some left-sided bronchial cancers.
通过计算一致性系数来测量诊断效率的测试，对150例患者评估了纵隔镜检查或颈部纵隔切开术所提供信息的价值。116例纵隔综合征（淋巴结病、纵隔或纵隔旁肿瘤）中有100例获得了准确的组织学诊断。结果为阴性的病例需要进行探查性手术。根据肿瘤位置和放射学扩展情况选择了34例病例评估支气管癌的可切除性。纵隔镜检查结果为阴性时，发现不可切除癌症的可能性极小。对于支气管癌，只要权衡切除伴有淋巴结受累肿瘤的风险与身体虚弱患者的高手术风险，就建议进行纵隔镜检查。对于前纵隔肿瘤和一些左侧支气管癌病例，前纵隔切开术可提高这些探查性手术的效用。
