RT Journal Article SR Electronic T1 Early detection of mediastinal spread of pulmonary carcinoma by mediastinoscopy JF Thorax JO Thorax FD BMJ Publishing Group Ltd and British Thoracic Society SP 720 OP 724 DO 10.1136/thx.25.6.720 VO 25 IS 6 A1 M. Hájek A1 J. N. Homan Van Der Heide YR 1970 UL http://thorax.bmj.com/content/25/6/720.abstract AB To the great disappointment of all concerned, too many operations performed for pulmonary carcinoma still prove to be exploratory thoracotomies or non-curative resections, in spite of careful preoperative investigations. A follow-up study of 168 patients operated upon for pulmonary carcinoma clearly shows that such non-curative procedures yield very disappointing results. To reduce this number of unnecessary and often harmful operations mediastinoscopy was introduced as an aid in detecting mediastinal spread of the tumour. It was thought that such knowledge would make preoperative assessment more accurate and so make easier the decision whether to operate.