July 2004
Thorax;Jul2004, Vol. 59 Issue 7, p547
Academic Journal
This article presents tools for the diagnosis of lung cancer. Anterior mediastinotomy, also known as the Chamberlain procedure, involves an incision in the second or third intercostal space just to the left of the sternum. This method is useful for visualising nodes in the aortopulmonary window. Video assisted thoracoscopy (VATS) has also been used to assess some lymph node stations not accessible by mediastinoscopy. Both VATS and anterior mediastinotomy require a general anaesthetic and, in most cases, an overnight stay in hospital. Transbronchial needle aspiration is used in many centres to obtain tissue from subcarinal and hilar lymph nodes.


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