PT - JOURNAL ARTICLE AU - Mehmet Erol AU - Hüseyin Melek AU - Ahmet Bayram AU - Tayfun Kermenli AU - Funda Coskun AU - Elif Akyildiz AU - Cengiz Gebitekin TI - Diagnostic value of cervical mediastinoscopy: Report of 506 cases DP - 2013 Sep 01 TA - European Respiratory Journal PG - P453 VI - 42 IP - Suppl 57 4099 - http://erj.ersjournals.com/content/42/Suppl_57/P453.short 4100 - http://erj.ersjournals.com/content/42/Suppl_57/P453.full SO - Eur Respir J2013 Sep 01; 42 AB - IntroductionIn this study we present analysis of our cases that had diagnostic mediastinoscopy.ObjectivesThe most frequently applied area of mediastinoscopy is staging of lung cancer. The second most common use is for diagnostic procedures. It is a convenient and minimally invasive procedure for diagnosis of mediastinal adenopathies (LAP), and the masses. In this study we present analysis of our cases that had diagnostic mediastinoscopy.MethodsWe retrospectively evaluated our 1102 cases of cervical mediastinoscopy between 1997 - 2012. We included our 506 cases that we had diagnostic mediastinoscopy (45%). In all cases of with enlarged lymph nodes detected in thoracic computed tomography (CT) biopsy samples were taken.ResultsDiagnostic mediastinoscopy rate was 45% (506). we performed diagnostic video mediastinoscopy in 67 % of cases (340. Average procedure time was 26.4 min (18-48) and no intraoperative or postoperative mortality occured.Diagnosis was obtained in 93% of cases. Among cases, 31 (7%) did not have a positive pathological diagnosis in the lymph nodes biopsied. Sarcoidosis was a occupied the widest area in the diagnostic scale chart.ConclusionsIn order to perform a biopsy of mediastinal lymph nodes and masses; EBUS and EUS methods have been began to be used in recent years. However, expensive installation process and need of experienced endoscopist limits its widely use yet. These diagnostic methods are methods that complement each other. Mediastinoscopy allows the surgeon to see lesions with the naked eye and biopsy material ensures larger biopsy specimens compared to other methods. In addition, in cases that were not given a diagnosis with other methods mediastinoscopy ensures definite diagnosis.