{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T11:14:34Z","timestamp":1740136474512,"version":"3.37.3"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2019,7,23]],"date-time":"2019-07-23T00:00:00Z","timestamp":1563840000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p\/>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>Cervical mediastinoscopy may become essential in patients with pathological lymph nodes at mediastinum after laryngectomy. However, having had a previous tracheostomy has been reported to be a contraindication for cervical mediastinoscopy.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>Between January 2010 and December 2017, cervical mediastinoscopy was performed for lung cancer staging in 1985 patients at the Department of Thoracic Surgery, Yedikule Chest Diseases and Thoracic Surgery Education and Research Hospital, Istanbul, Turkey. Eighteen of these patients (1%) had a permanent tracheostomy after total laryngectomy and cervical radiotherapy due to laryngeal carcinoma.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>Cervical mediastinoscopy was performed in 18 patients with a permanent tracheostomy after total laryngectomy. The negative predictive value of cervical mediastinoscopy was 13\/14 (93%). The average operative time was 63\u2009min (SD 12.0, range 50\u201390\u2009min). The negative predictive value of endobronchial ultrasonography was 4\/7 (57%). Positron emission tomography\u2013computed tomography had a positive predictive value of 3\/15 (20%) and a negative predictive value of 2\/3 (67%).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>Contrary to the claims of 2 textbooks, cervical mediastinoscopy is a viable method for patients with a tracheostomy after laryngectomy. The negative predictive values of standard cervical mediastinoscopy and mediastinoscopy for patients with a tracheostomy after total laryngectomy are approximately equivalent. Our results indicate that cervical mediastinoscopy is a feasible method in patients with a permanent tracheostomy when applied by experienced thoracic surgeons in specialized hospitals.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/icvts\/ivz178","type":"journal-article","created":{"date-parts":[[2019,7,9]],"date-time":"2019-07-09T15:09:33Z","timestamp":1562684973000},"page":"737-741","source":"Crossref","is-referenced-by-count":1,"title":["Transcervical mediastinoscopy in patients with a permanent tracheostomy: is it feasible?"],"prefix":"10.1093","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4928-1790","authenticated-orcid":false,"given":"Levent","family":"Cansever","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery, Yedikule Chest Diseases and Thoracic Surgery Education and Research Hospital, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yunus","family":"Seyrek","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Yedikule Chest Diseases and Thoracic Surgery Education and Research Hospital, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali Cevat","family":"Kutluk","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Yedikule Chest Diseases and Thoracic Surgery Education and Research Hospital, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hasan","family":"Akin","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Yedikule Chest Diseases and Thoracic Surgery Education and Research Hospital, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Celalettin Ibrahim","family":"Kocaturk","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Istinye University Medical Faculty, Liv Hospital Ulus, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehmet Ali","family":"Bedirhan","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Yedikule Chest Diseases and Thoracic Surgery Education and Research Hospital, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2019,7,23]]},"reference":[{"author":"Armstrong","key":"2019102505494672100_ivz178-B1"},{"key":"2019102505494672100_ivz178-B2","volume-title":"General Thoracic Surgery","author":"Ahmad","year":"2005","edition":"7th edn"},{"key":"2019102505494672100_ivz178-B3","doi-asserted-by":"crossref","DOI":"10.1177\/2050312115610128","article-title":"Endobronchial ultrasound-guided transbronchial needle aspiration in the staging of lung cancer patients","author":"Dziedzic","year":"2015","journal-title":"SAGE Open Med"},{"volume-title":"Pearson\u2019s Thoracic & Esophageal Surgery","year":"2008","author":"Griffith Pearson","key":"2019102505494672100_ivz178-B4"},{"key":"2019102505494672100_ivz178-B5","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1016\/S1010-7940(01)01044-2","article-title":"Cervical mediastinoscopy after total laryngectomy and radiotherapy: its feasbility","volume":"21","author":"Yamada","year":"2002","journal-title":"Eur J Cardiothorac Surg"},{"key":"2019102505494672100_ivz178-B6","volume-title":"Adult Chest Surgery","author":"Hong","year":"2015","edition":"2nd edn"},{"key":"2019102505494672100_ivz178-B7","first-page":"885","article-title":"Survival outcomes in advanced laryngeal cancer","volume":"140","author":"Meglawu","year":"2014","journal-title":"JAMA Otolaryngal Head Neck Surg"},{"key":"2019102505494672100_ivz178-B8","doi-asserted-by":"crossref","first-page":"1826","DOI":"10.1016\/j.athoracsur.2006.12.034","article-title":"Ratio of maximum standardized uptake value on FDG-PET of the mediastinal (N2) lymph nodes to the primary tumor may be a universal predictor of nodal malignancy in patients with non-small-cell lung cancer","volume":"83","author":"Cerfolio","year":"2007","journal-title":"Ann Thorac Surg"},{"key":"2019102505494672100_ivz178-B9","doi-asserted-by":"crossref","first-page":"843","DOI":"10.1016\/j.ejrad.2014.01.016","article-title":"Increasing the accuracy \u0131f 18F-FDG PET\/CT interpretation of \u2018mildly positive\u2019 mediastinal nodes in the staging of non-small cell lung cancer","volume":"83","author":"Moloney","year":"2014","journal-title":"Eur J Radiol"},{"key":"2019102505494672100_ivz178-B10","doi-asserted-by":"crossref","first-page":"787","DOI":"10.1093\/ejcts\/ezu028","article-title":"Revised ESTS guidelines for preoperative mediastinal lymph node staging for non-small-cell lung cancer","volume":"45","author":"De Leyn","year":"2014","journal-title":". 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