Mediastinoscopy
Mediastinoscopies are generally done to obtain Lymph Node Biopsies for the purpose of staging lung cancer. During a Standard Mediastinoscopy biopsies come from the following Lymph Node Stations:
• 2R (Right Upper Paratracheal Nodes)
• 2L (Left Upper Paratracheal Nodes)
• 4R (Right Lower Paratracheal Nodes)
• 4L (Left Lower Paratracheal Nodes)
• 7 (Subcarinal Nodes NOT R or L)

If doing a Chamberlain Procedure (Parasternal Mediastinoscopy) biopsies come from the following Lymph Node Stations:
• 5 (Sub-aortic)
• 6 (Para-aortic)

 

• Mediastinoscopes short & long

• Light cord to illuminate into the medistinum

• Black Bovie Cord

• Needle Irrigator / Aspirator (not shown)

• Silver Suction Tips x 2

• Suction Cautery (attaches to Black Bovie Cord)

• Biopsy Forceps (back left of instrument pan)

o Small Straight
o Small Up-biting
o Large Straight
o Large Up-Biting

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