1959年Carlens[1]首次报道纵隔镜手术,主要用于上纵隔的探查和淋巴结摘除,由于当时所使用纵隔镜视野小、功能简单、操作不方便,因而此种技术发展较慢,一直未得到进一步扩大应用。电视纵隔镜(vedio mediastinoscopy,VM)的问世弥补了传统纵隔镜之不足,因而扩大了纵隔镜的应用范围 1959 Carlens [1] first reported mediastinoscopy, mainly for exploration of the mediastinum and lymph node dissection, due to the use of mediastinoscopy at the time of small field of vision, simple, inconvenient to operate, so this technology has been slow to develop, has not been Further expand the application. The advent of video mediastinoscopy (VM) has made up for the lack of traditional mediastinoscopy, thus expanding the scope of mediastinoscopy