How to Find the Limit Between Station 2 and Station 4 During Mediastinoscopy? Francesco Leo, MD, Nicolas Venissac, MD, Daniel Pop, MD, Sabrina Khelef,

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Presentation transcript:

How to Find the Limit Between Station 2 and Station 4 During Mediastinoscopy? Francesco Leo, MD, Nicolas Venissac, MD, Daniel Pop, MD, Sabrina Khelef, MD, Jérôme Mouroux, MD The Annals of Thoracic Surgery Volume 81, Issue 3, Pages 1150-1152 (March 2006) DOI: 10.1016/j.athoracsur.2004.12.026 Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 The distance from the sternal notch and the upper aortic arch is assessed by computed tomographic scan. To determine the distance to apply during mediastinoscopy (the surgical station 2 lower limit) we subtract 20 mm. The Annals of Thoracic Surgery 2006 81, 1150-1152DOI: (10.1016/j.athoracsur.2004.12.026) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 The distance defined as surgical station 2 lower limit is reported on the upper valve of the video mediastinoscope by a strip. When the mediastinoscope is inserted through the cervical incision, the strip is at the level of the sternal notch and the instrument has a lateral deviation of about 45°, the point of contact with the mediastinum of the biopsy forceps is the limit between stations 2 and 4. The Annals of Thoracic Surgery 2006 81, 1150-1152DOI: (10.1016/j.athoracsur.2004.12.026) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions