Komplikationen bei der Mediastinoskopie — eine Möglichkeit der Sofortbehandlung

Kottmann, U.-R.; Jung, Hun Young; Wernitsch, W

doi:10.1055/s-0028-1096920

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“…However, other complications such as bronchial (17,20), or oesophageal (11,(17)(18)(19) lesions, mediastinitis, or any incident caused by anaesthesia were not seen, although these complications have been described in literature. There was also no sign of any implantation of metastases.…”

Section: Elevation Of the Diaphragmmentioning

confidence: 98%

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Complications of Mediastinoscopy

Kliems¹,

Savić²

1979

Endoscopy

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The purpose of this study is to report on complications experienced after 600 performed mediastinoscopies. Mediastinoscopy was indicated because of: 1. Suspicion of bronchial cancer: n = 292 (48.7%) ( = 48 (8%), d = 244 (40.7%), Suspicion of systemic disease: n = 248 (41.3%), Suspicion of mediastinal tumor: n = 33 (5.5%), Suspicion of metastases in lymph nodes caused by tumors of a different localisation, pleural process of unknown origin n = 27 (4.5%). Complications occurred in 3.7% of all cases; the most frequent of which were haemorrhage in 0.67% as well as paresis of the recurrent nerve in 1% which remained permanent in 0.33%. Furthermore, pneumothorax occurred in 0.8% of the cases, but had to be drained in one case only. Severe complications (eg death, bleeding, irreparable paresis of the recurrent nerve) occurred in 1.2% of all cases. We wish to mention a temporary elevation of the diaphragm on the right side, which can be looked upon as a complication rarely described in literature. We noted this in 1% of all cases and ascribe it to an irritation of the phrenic nerve.During the last two decades collar mediastinoscopy according to Carlens (1) developed into a superior bioptic procedure for evaluating the lymph nodes of the mediastinal zone (2-5). Indications, technique and efficiency of this method are well known in literature (6-16). Less attention has been paid to its side effects and complications (17-20) which form the basis of our report. Material and methodsThe following study presents the analysis of complications subsequent to 600 consecutively performed mediastinoscopies. Indications for mediastinoscopy were: Endoscopy 1 (1979) 9-12 Komplikationen bei der Mediastinoskopie Es wird über Komplikationen nach 600 konsekutiv durchgeführten Mediastinoskopien berichtet. Die Indikationen zu dieser Untersuchung vvaren: 1. Verdacht auf Bronchial-Ca: n = 292 (48,7%) ( = 48 (8%), c3' 244 (40,7%), 2. Verdacht auf Systemerkrankung: n = 248 (41,3%), 3. Verdacht auf Mediastinaltumor: n = 33 (5,5%), 4. Verdacht auf Lymphknotenmetastasen von Tumoren anderer Lokalisation, unklarer Pleuraprozeß: n = 27 (4,5%). Bei insgesamt 3,7% der Fälle traten Komplikationen auf. Die häufigsten Komplikationen waren die Blutung mit 0,67% sowie die Recurrensparese mit 1%, die in 0,33% bleibend war. Weiterhin trat in 0,8% ein Pneumothorax auf, der jedoch nur in einem Fall drainiert werden mußte. Schwere Komplikationen (Todesfall, Blutung, irreparable Recurrensparese) traten insgesamt in 1,2% auf. Es wird auf den rechtsseitigen, voriibergehenden Zwerchfellhochstand hingewiesen, eine in der Literatur ganz selten beschriebene Komplikation. Wir beobachten ihn in 1% der Falle und fiihren diese Komplikation auf eine Irritation des Nervus phrenicus zurück.

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Section: Elevation Of the Diaphragmmentioning

confidence: 98%

“…Indications, technique and efficiency of this method are well known in literature (6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16). Less attention has been paid to its side effects and complications (17)(18)(19)(20) which form the basis of our report.…”

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confidence: 94%

Complications of Mediastinoscopy

Kliems¹,

Savić²

1979

Endoscopy

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Komplikationen bei der Mediastinoskopie — eine Möglichkeit der Sofortbehandlung

Cited by 1 publication

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Complications of Mediastinoscopy

Complications of Mediastinoscopy

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