Our technique of mediastinoscopy
- Authors: Segal I.Z.1
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Affiliations:
- Kazan State University named after V. I. Lenin
- Issue: Vol 50, No 5 (1969)
- Pages: 82-86
- Section: Innovation proposals
- URL: https://bakhtiniada.ru/kazanmedj/article/view/105360
- DOI: https://doi.org/10.17816/kazmj105360
- ID: 105360
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Abstract
Proposed by Carlens (1959) mediastinoscopy - diagnostic exploration of the anterior superior mediastinum by suprajugular access - presents data to solve the problem of the nature of the process in the lung, as well as operability in lung cancer [2, 4, 16, 23].
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##article.viewOnOriginalSite##About the authors
I. Z. Segal
Kazan State University named after V. I. Lenin
Author for correspondence.
Email: info@eco-vector.com
Associate Professor, Department of Tuberculosis
Russian Federation, KazanReferences
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Fig. 1. Direct connection of the anesthesia device adapter to the intubation tube when the transilluminator probe is located in its lumen.1 - transilluminator probe, 2 - intubation tube; 3 - adapter of anesthesia apparatus.
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Fig. 2. Connection of the anesthesia device adapter to the intubation tube using a V-shaped adapter during transillumination.1 - a V-shaped adapter; 2-an intubation tube; 3-an obturator; 4—a transilluminator probe; 5 - an adapter of an anesthetic apparatus.
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Fig. 3. Mediastinoscope made of transparent material
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Fig. 4. Esophageal transilluminator probe with inflatable coupling
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Fig. 5. Proximal trachea during mediastinoscopy. A picture in passing light.
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Fig. 6. Shadow images in the pretracheal canal during tracheal translucence, captured on a corpse (a) and in the experiment on a dog (b). The illuminated with transverse striation of the field correspond to the wall of the trachea. Intense oval-shaped shading is associated with lymph nodes.
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Fig. 7. Transilluminational patterns in the proximal part of the pretracheal canal. Experience on a dog. The image of the brachiocephalic artery, depending on the presence of blood in its lumen. Intense ribbon-like shading is the brachiocephalic artery filled with blood (a). The vessel, freed from blood, is indistinctly differentiated under the same conditions (b).
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