Management of descending necrotizing mediastinitis using minimally invasive video-assisted thoracoscopic surgery

Ho Sung Son, Jong Ho Cho, Sung Min Park, Kyung Sun, Kwang Taik Kim, Sung Ho Lee

Research output: Contribution to journalArticlepeer-review

22 Citations (Scopus)


Early diagnosis and aggressive surgical drainage are very important for successful treatment of descending necrotizing mediastinitis (DNM). However, the surgical techniques used for DNM treatment remain controversial. The purpose of this study was to evaluate the effectiveness of video-assisted thoracoscopic surgery (VATS) and cervical drainage for the management of DNM. Nine patients diagnosed with DNM were treated from May 2001 to April 2004. The mean age of the patients was 51.1±15.0 years. VATS and cervical drainage, including debridement and drainage of the mediastinum and pleura, were performed simultaneously. The mean postoperative hospital stay was 20.6±6.6 days. One patient (11%) died of sepsis and renal failure on the 15th postoperative day. Minimal mastication difficulty developed in 2 patients (22%). The mean postoperative follow-up period was 28.7±14.7(5 to 52) months. All the survivors are in good health with no recurrences. VATS was safe, effective, and a less invasive surgical option for the management of DNM and should be considered as a good alternative therapeutic modality.

Original languageEnglish
Pages (from-to)379-382
Number of pages4
JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
Issue number6
Publication statusPublished - 2006 Dec
Externally publishedYes


  • Drainage
  • Mediastinitis
  • Minimal surgical procedure
  • Thoracic surgery
  • Video-assisted

ASJC Scopus subject areas

  • Surgery


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