(Cervical Mediastinoscopy; Cervical Mediastinal Exploration; CME)
|The Lungs (Cut-away View)|
|Copyright © Nucleus Medical Media, Inc.|
Reasons for Procedure
- Cancer of the lungs , bronchi, and chest tissue
- Lymphoma—cancer in the lymphatic system (eg, Hodgkin’s disease )
- Sarcoidosis —a condition that causes swelling (inflammation) in organs like the lungs, liver, lymph nodes, and spleen
- Chylothorax—leakage of lymphatic fluid into the chest
- Damage to organs in the chest
- Pneumothorax (collapsed lung)
- Previous mediastinoscopy or chest or neck surgery
- Diabetes or other chronic disease
What to Expect
Prior to Procedure
- Take any medicines before the procedure
- Stop medicines like insulin , aspirin , or blood-thinning medicines
- You will be asked to remove any jewelry, glasses, contact lenses, or dentures.
- You may be given medicines to help you feel sleepy and relaxed.
- Be sure to tell your doctor if you have any allergies.
- You will need someone to drive you home after the procedure.
Description of the Procedure
- You will lie on the operating table on your back.
- Your skin will be cleaned with an antiseptic solution.
- The doctor will make a small cut at the base of your neck, just above your breastbone.
- The doctor will separate the muscles of the lower neck and place the mediastinoscope through the opening.
- The light from the mediastinoscope will help the doctor see the space between your lungs and heart.
- The doctor may take tissue samples from the lymph nodes or other parts of your chest.
- When she is finished, the doctor will remove the mediastinoscope and close the opening with stitches.
- The wound will be covered with a dressing.
Immediately After the Procedure
How Long Will It Take?
How Much Will It Hurt?
Average Hospital Stay
- You will be taken to the recovery room after the procedure until the anesthetic wears off.
- Your doctor may order a chest x-ray to check for bleeding or air inside your chest space.
- You may feel sleepy for several hours or even 1-2 days following anesthesia. Do not drive during this time.
You may have a sore throat from the tube placement.
- Use throat lozenges.
- Gargle with warm water.
Keep your wound clean and dry.
- Wash your hands before touching the wound.
- Use a soft washcloth to gently wipe the wound with soap and water.
- Change the dressing as instructed by your doctor.
- Be sure to follow your doctor’s instructions.
Call Your Doctor
- Redness, swelling, pain, or bleeding from the wound
- Chest pain
- Swelling in the neck
- Difficulty swallowing
- Hoarseness that lasts for more than a few days or worsens
- Shortness of breath
- Signs of infection, including fever and chills
- Joint pain, fatigue, stiffness, rash, or other new symptoms
American Cancer Society http://www.cancer.org/
American Lung Association http://www.lungusa.org/
American Thoracic Society http://www.thoracic.org/
Canadian Cancer Society http://www.cancer.ca/
Health Canada http://www.hc-sc.gc.ca/
Kellicker PG. Lymph node biopsy. EBSCO Health Library website. Available at: http://www.ebscohost.com/healthLibrary. Updated November 11, 2010. Accessed May 10, 2010.
Mason RJ, Broadduss VC, Murray JF, Nadel JA. Murray and Nadel’s Textbook of Respiratory Medicine. 4th ed. 2005: Saunders. Available at: http://www.mdconsult.com. Accessed May 10, 2010.
Mediastinoscopy. Harvard Health Publications website. Available at: http://www.health.harvard.edu/diagnostic-tests/mediastinoscopy.htm. Accessed December 8, 2010.
Pinto S. Sarcoidosis. EBSCO Nursing Reference Center website. Available at: http://www.ebscohost.com/thisTopic.php?marketID=16&topicID=860. Published June 29, 2005. Updated November 11, 2008. Accessed May 10, 2010.
6/6/2011 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.
- Reviewer: Marcin Chwistek, MD
- Review Date: 06/2013 -
- Update Date: 06/20/2013 -