mediastinotomy

mediastinotomy

 [me″de-as″tĭ-not´ah-me] incision of the mediastinum.

me·di·as·ti·not·o·my

(mē'dē-as'ti-not'ŏ-mē), Incision into the mediastinum. [mediastinum + G. tomē, incision]

mediastinotomy

(mē′dē-ăs′tə-nŏt′ə-mē)n. Incision into the mediastinum.

mediastinotomy

A minimally invasive surgical procedure used to gain direct access to mediastinal structures for visualisation and biopsy.
 
Indications
Lesions or suspected lesions of the mediastinum which are inaccessible by mediastinoscopy; idiopathic mediastinal widening; cancer staging; confirmation of TB or sarcoidosis.
 
Complications
< 3%; haemorrhage, pneumothorax, vocal cord paralysis, oesophageal perforation.
Method
Anterior mediastinotomy is performed on either the left or right side; a transverse incision is made over the 2nd costal cartilage, which is removed entirely; the internal mammary vessels are divided, and the mediastinal pleura is deflected laterally, to allow entry into the extrapleural space; if needed, the excision can be extended to increased pulmonary and mediastinal access.

mediastinotomy

Pulmonology A minimally invasive surgical procedure used to gain direct access to mediastinal structures for visualization and biopsy Indications Lesions or suspected lesions of the mediastinum which are inaccessible by mediastinoscopy Indications Idiopathic mediastinal widening, cancer staging, confirmation of TB or sarcoidosis Complications < 3%; hemorrhage, pneumothorax, vocal cord paralysis, esophageal perforation. See Mediastinoscopy, Thoracotomy.

me·di·as·ti·not·o·my

(mē'dē-as'ti-not'ŏ-mē) Incision into the mediastinum. [mediastinum + G. tomē, incision]