Mediastinoscopy in superior vena cava syndrome

Truong Thanh Thiet, Phan Si Hiep, Nguyen Thanh Hien, Nguyen Vo Anh Tu, Nguyen Hong Ngoc, Nguyen The Vu, To Kieu Dung, Hoang Phuong, Le Tien Dung, Nguyen Huu Lan

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Abstract

From 2007 to December 2017, 301 patients with mediastinal lymphadenopathy underwent MDS to establish a histological diagnosis. We have compared, the differences between the groups with (first group) or without (second group) superior vena cava syndrome in terms of operative time, intraoperative and postoperative complications, and results of pathologic examination. The mean age were 59.04 years (group 1) and 40.5 (group 2). Among the patients, 176 were males and 125 were females. Mean operative time for first (27 patients) and second (274 patients) groups was 44.8 and 34.3 minutes, respectively (p _ 0.00). No deaths and morbidity rates were 7.4% (group 1) and 1.1% (group 2), p=0.041. In the superior vena cava syndrome group, the lymph nodes biopsied were in paratracheal right sites (100%); histology showed carcinoma in 81.5% and lymphoma in 18.5%.

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