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The Journal of Thoracic and Cardiovascular Surgery, Vol 106, 686-688, Copyright © 1993 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Outpatient mediastinoscopy

J Bonadies, RS D'Agostino, AF Ruskis and RB Ponn
Department of Surgery, Hospital of St. Raphael, New Haven, CT.

The reported experience with outpatient mediastinoscopy is limited. We have performed 65 mediastinoscopies in a hospital-based ambulatory surgical unit during the past 2 1/2 years. This represents 54% of our total mediastinoscopies during the period and 85% of the total for the past year. One patient was admitted overnight because of hypoxemia that was relieved by thoracentesis. All other patients were discharged from the outpatient recovery room without problems. No other early and no late complications occurred. The cost savings were substantial, and patient satisfaction was high. We conclude that mediastinoscopy can be performed safely in the outpatient setting in many patients.


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