Thoracoscopy as the Method of Choice in Diagnosis of Mediastinal Lymphadenopathy
Yusupbekov Abrorbek Axmedjanovich
National Cancer Research Center, Ministry of Healthcare of the Republic of Uzbekistan, Tashkent, Uzbekistan.
Krotov Nicolay Fedorovich
Oncology Institute named by N.N. Petrov" of Russian Ministry of Health, Saint-Petersburg, Russia.
Madiyorov Bakhtiyor Tashpulotovich *
National Cancer Research Center, Ministry of Healthcare of the Republic of Uzbekistan, Tashkent, Uzbekistan.
Rasulov Abdugaffar Elmanovich
National Cancer Research Center, Ministry of Healthcare of the Republic of Uzbekistan, Tashkent, Uzbekistan.
*Author to whom correspondence should be addressed.
Abstract
Aims: Determining the role of minimally invasive surgery in elucidating and differential diagnosis of patients with mediastinal lymphadenopathy.
Place and Duration of Study: The research was carried out in the National Cancer Research Center, MoH RUz in the period of 2001-2015.
Methodology and Study Design: Results of 45 diagnostic video assisted thoracoscopic operations in lymphadenopathy of mediastinum were retrospectively studied. Men were 17 (37.8%), women were 28 (62.2%). The age of patients ranged from 12 to 62 years, the median age was 38,46±12,1 years. Adequate material for the morphological study obtained in 100% of cases.
Results: In histological examination malignant lymphoma was diagnosed in 23 (51%), mediastinal form of lung cancer in 3 (6.6%), tuberculosis of intrathoracic lymph nodes in 11 (24.4%), sarcoidosis in 8 (17.7%) cases. The mean operative time was 22.9±12,3 min. Narcotic pain medications were not used. No deaths were observed after the procedure.
Conclusion: Videothoracoscopy showed high effectiveness and informativeness in the diagnosis of lymphoproliferative diseases of the mediastinum.
Keywords: Videothoracoscopy, lymphoma, mediastenum, diagnostics.