STEP 2Endodissection

The mediastinal endodissector is then assembled and inserted into the upper mediastinum. This instrument features a tissue dilator at the tip, a 15-degree Hopkins fiberoptic device and a working channel for one 5-mm laparoscopic instrument. The tissue dilator is anatomically designed so that it can "ride" on the esophageal surface and opens an anterograde dissection space of 2-3 cm in the mediastinum. The tissue dilator of the mediastinoscope can be freely rotated 360 degrees. For full operation, the mediastinoscope is connected to a video camera, a xenon light source, and a flushing/suction device.

It is normal that the first steps of endoscopic dissection of the retrotracheal space are difficult due to the limited initial vision and the anatomical narrowing of the thoracic inlet. Microinstruments such as scissors, forceps or a coagulation/suction instrument as well as ultrasonic shears can be used through the working channel of the medi-astinoscope.

Was this article helpful?

0 0
How to Stay Young

How to Stay Young

For centuries, ever since the legendary Ponce de Leon went searching for the elusive Fountain of Youth, people have been looking for ways to slow down the aging process. Medical science has made great strides in keeping people alive longer by preventing and curing disease, and helping people to live healthier lives. Average life expectancy keeps increasing, and most of us can look forward to the chance to live much longer lives than our ancestors.

Get My Free Ebook

Post a comment