What is the different approaches in the mediastinotomy codes?
Preoperative Diagnosis: Mediastinal lymphoma
Postoperative Diagnosis:Small cell carcinoma of the lung with mediastinal invasion
Procedure Performed: Bronchoscopy and mediastinotomy, [ right anterior approach
Anesthesia: General
Operative Indications: The patient is a middle-aged male with early superior vena cava syndrome and evidence of a large mid- and anterior mediastinal mass. Biopsy was advised to establish diagnosis and consider further treatment.
Operative Procedure: Under general anesthesia, a bronchoscopy was performed that did not disclose any intrinsic lesions of the airway.
There was external compression noted on the right stem bronchus. The patient was then prepared for anterior mediastinotomy on the right side.
Through a transverse incision, the anterior mediastinum was entered by resecting the anterior one-third of the second rib. All bleeding points were controlled including interruption of the internal mammary artery and vein. A large, anterior mediastinal mass was palpable. A biopsy was taken and was positive for probable small cell carcinoma. Hemostasis was completed. ]
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Asked 10/20/2011 10:03:48 AM
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