Surgical analysis of the mediastinum has evolved, and newer
techniques like videomediastinoscopy or transcervical mediastinal
lymphadenectomy are safe and additional correct than
ancient mediastinoscopy. at a similar time, nonsurgical,
needle-based techniques like eus-na and ebus-na have
been developed. the sensitivity of those techniques is fairly
similar, however the needle-based techniques have the next fn rate
that limits their utility, particularly in patients with normal-sized
mediastinal nodes.
the quality of surgical staging preoperatively may be a major
issue, and that it seems that the distinction between high- and
poor-quality staging is seemingly to be a lot of larger than differences
between numerous surgical and nonsurgical techniques. invasive
mediastinal staging remains vital in several patients with
lung cancer. careful attention to mediastinal staging is crucial
and, ideally, ought to be addressed in a very multidisciplinary fashion.
Jumat, 27 Juli 2012
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