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. 2002 Feb;21(2):348-51.
doi: 10.1016/s1010-7940(01)01125-3.

Radical video-assisted mediastinoscopic lymphadenectomy (VAMLA)--technique and first results

Martin Hürtgen  1 , Godehard Friedel, Heikki Toomes, Peter Fritz
Affiliations

Radical video-assisted mediastinoscopic lymphadenectomy (VAMLA)--technique and first results

Martin Hürtgen et al. Eur J Cardiothorac Surg. 2002 Feb.

Abstract

Exact pretherapeutic lymph node staging of lung cancer is of special importance for selecting patients for neoadjuvant therapy or for video-assisted thoracoscopic resection. Staging is usually performed by computerized tomography scan and mediastinoscopy. However, these methods do not reach the accuracy of open nodal dissection. Therefore, we developed a technique of radical video-assisted mediastinoscopic lymphadenectomy (VAMLA). In a prospective study, all VAMLA procedures were documented. Lymph nodes were counted and compared to open lymphadenectomy. In 40/46 patients, radical paratracheal and subcarinal dissection was achieved by VAMLA. An average number of 20.7 (5-60, SD 11.1) nodes was gained. This is comparable to our data from open lymphadenectomy.

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