Minimally invasive removal of mediastinal ectopic parathyroid glands: A single-center experience
| Autor: | Yin-Kai Chao, Yun-Hen Liu, Pin-Li Chou |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Parathyroidectomy
medicine.medical_specialty medicine.medical_treatment lcsh:Surgery 030209 endocrinology & metabolism Aortopulmonary window Mediastinoscopy 03 medical and health sciences 0302 clinical medicine Interquartile range 030225 pediatrics Mediastinal parathyroid glands Ectopic parathyroid medicine minimally invasive surgery Hyperparathyroidism medicine.diagnostic_test business.industry Perioperative lcsh:RD1-811 medicine.disease Surgery video-assisted thoracoscopic surgery Video-assisted thoracoscopic surgery business |
| Zdroj: | Formosan Journal of Surgery, Vol 52, Iss 1, Pp 6-10 (2019) |
| Popis: | Background: The last few years have seen the emergence of minimally invasive mediastinal parathyroidectomy. Here, we report our single-center experience with this procedure. Materials and Methods: Between December 2002 and September 2017, we performed minimally invasive mediastinal parathyroidectomy in 12 patients with primary (n = 4) or secondary (n = 8) hyperparathyroidism (median age: 54.5 years; interquartile range: 50.5 − 62.75 years). The following variables were retrospectively collected from clinical records: demographic characteristics, results of imaging studies, surgical approach, complications, and final pathological diagnosis. Results: Technetium-99 m sestamibi examinations were performed for preoperative localization of the ectopic parathyroid glands in 11 patients (91.67%). All cases successfully underwent minimally invasive mediastinal parathyroidectomy, without the necessity to convert to open surgery. The most commonly used minimally invasive approach was video-assisted thoracoscopic surgery (n = 10; 83.33%) followed by mediastinoscopy (n = 2; 16.67%). The anatomical locations of the ectopic glands were as follows: intrathymic in six patients (50%), within the aortopulmonary window in 1 patient (8%), and in other intrathoracic sites in five patients (42%). Parathyroid adenomas and parathyroid hyperplasias were diagnosed in 5 (42%) and seven patients (58%), respectively. There were no perioperative deaths, and the median length of hospital stay was 5.5 days. Conclusion: Minimally invasive removal of mediastinal ectopic parathyroid glands is safe and feasible if their anatomical position is accurately determined. Surgical approaches depend on gland location and the surgeon's preference. |
| Databáze: | OpenAIRE |
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