Descending necrotizing mediastinitis and the proposal of a new classification.

ABSTRACT:

Objective

We aimed to clarify the clinical features and surgical outcomes of descending necrotizing mediastinitis (DNM) to provide a guide for its surgical treatment, focusing on the type of extension and the deployed procedures.

Methods

As a joint study of the Japan Broncho-esophagological Society and the Japanese Association for Chest Surgery (JBES1703/JACS1806 study), the clinical data of consecutive patients with DNM who underwent surgical drainage between 2012 and 2016 were collected from 131 participating institutions. The infection limited to the area superior to the carina level was defined as type I; while spreading to the lower mediastinum (LM) as type II. The LM infection limited to the anterior LM, that spread to both the anterior and posterior LM and that limite

SUBMITTER: Sugio K 

PROVIDER: S-EPMC9390273 | biostudies-literature | 2021 Dec

REPOSITORIES: biostudies-literature