VIDEO-ASSISTED MEDIASTINAL LYMPHADENECTOMY

Video-assisted mediastinal lymphadenectomy
the videomediastinoscope has allowed development of techniques
to finishly take away all mediastinal nodes, that has
been known as vamla. the feasibility of carrying out a whole
operation is reported to be 86% ( thanks to calcified or scarred
nodes ). 29 merely some studies of this technique are
revealed. 29–31 procedure-related complications are
uncommon ( 6% ) and that include recurrent nerve paralysis ( five
patients ), bleeding from the azygous vein ( 2 patients ), and
infection ( one patient ). 29, thirty at the time of thoracotomy, 19%
of patients had residual mediastinal nodes ( primarily involving
those vamla procedures that were deemed not completely
feasible ). 29 a few mediastinal stations seem to be quite completely
dissected ( stations 2r, 4r, 4l, and seven ), whereas residual
nodes were fairly common in others ( stations one, 2l, three, five ). thirty, 31
therefore, this procedure results in an areaial mediastinal lymphadenectomy,
albeit a rather complete lympha denectomy of
the foremost necessary nodal stations. parameters of sensitivity,
specificity, and fn and fp rates are reported as 88, 100, two,
and zero, respectively, in a very series of 130 patients that included
incomplete vamla procedures ( prevalence of n2, n3 disease
of 13% ), and 94%, 100, one, and zero, respectively among only
complete vamla cases