Radical video-assisted mediastinoscopic lymphadenectomy (VAMLA)--technique and first results

Eur J Cardiothorac Surg. 2002 Feb;21(2):348-51. doi: 10.1016/s1010-7940(01)01125-3.


Exact pretherapeutic lymph node staging of lung cancer is of special importance for selecting patients for neoadjuvant therapy or for video-assisted thoracoscopic resection. Staging is usually performed by computerized tomography scan and mediastinoscopy. However, these methods do not reach the accuracy of open nodal dissection. Therefore, we developed a technique of radical video-assisted mediastinoscopic lymphadenectomy (VAMLA). In a prospective study, all VAMLA procedures were documented. Lymph nodes were counted and compared to open lymphadenectomy. In 40/46 patients, radical paratracheal and subcarinal dissection was achieved by VAMLA. An average number of 20.7 (5-60, SD 11.1) nodes was gained. This is comparable to our data from open lymphadenectomy.

MeSH terms

  • Adult
  • Aged
  • Female
  • Follow-Up Studies
  • Humans
  • Lung Neoplasms / pathology
  • Lung Neoplasms / surgery*
  • Lymph Node Excision / instrumentation
  • Lymph Node Excision / methods*
  • Male
  • Mediastinoscopy / methods*
  • Middle Aged
  • Prospective Studies
  • Sensitivity and Specificity
  • Thoracic Surgery, Video-Assisted / methods*
  • Treatment Outcome