Video-assisted mediastinoscopic lymphadenectomy

This article or the following section is not adequately provided with supporting documents ( e.g. individual evidence ). Information without sufficient evidence could be removed soon. Please help Wikipedia by researching the information and including good evidence.

The Video Assisted Mediastinoscopic lymphadenectomy (abbreviation VAMLA ) is a surgical procedure for the removal of lymph nodes ( lymph node ) in the region of the mediastinum . It is mostly used for diagnostic purposes when bronchial carcinoma is suspected .

The surgery is generally performed by a chest surgeon .

Precise pretherapeutic lymph node staging in lung cancer is of particular importance for the selection of patients for neoadjuvant therapy in advanced stages or minimally invasive video-assisted thoracoscopic resection of early stages. Lymph node staging by computed tomography, mediastinoscopy, or PET has limited precision. The gold standard of lymph node staging is systematic lymphadenectomy for tumor removal. The technique of systematic video-assisted mediastinoscopic lymphadenectomy (VAMLA) is comparable in precision to open lymphadenectomy, but can be performed pretherapeutically and minimally invasively.

literature

• M. Hurtgen, G. Friedel, H. Toomes, P. Fritz: Radical video-assisted mediastinoscopic lymphadenectomy (VAMLA) - technique and first results . In: Eur J Cardiothorac Surg , 2002, 21 (2), pp. 348-351.
• B. Witte, M Wolf, M. Huertgen, H. Toomes: Video-Assisted Mediastinoscopic Surgery: Clinical Feasibility and Accuracy of Mediastinal Lymph Node Staging. In: Ann Thorac Surg , 2006, 82 (5), pp. 1821-1827.

This article is about a health issue. It is not used for self-diagnosis and does not replace a diagnosis by a doctor. Please note the information on health issues !