胸腔镜下切除异位甲状旁腺
Thoracoscopic resection of ectopic parathyroid glands.
作者信息
Medrano C, Hazelrigg S R, Landreneau R J, Boley T M, Shawgo T, Grasch A
机构信息
Division of Cardiothoracic Surgery, Southern Illinois University School of Medicine, Springfield 62794-9638, USA.
出版信息
Ann Thorac Surg. 2000 Jan;69(1):221-3. doi: 10.1016/s0003-4975(99)01127-3.
BACKGROUND
The vast majority of parathyroid glands in hyperparathyroidism can be resected through a cervical approach. In approximately 2% of the cases, the ectopic gland is in the mediastinum in a location that requires a thoracic approach.
METHODS
We report 7 such cases that were resected using video-assisted thoracic surgery to avoid the need for an open surgical procedure.
RESULTS
All glands were successfully identified preoperatively and subsequently resected. Hospital stay averaged less than 3 days with only one minor complication.
CONCLUSIONS
Ectopic mediastinal parathyroid glands may be safely and accurately resected using video-assisted thoracic surgery to avoid open approaches.
背景
甲状旁腺功能亢进症中绝大多数甲状旁腺可通过颈部入路切除。在约2%的病例中，异位甲状旁腺位于纵隔，需要采用胸部入路。
方法
我们报告7例此类病例，采用电视辅助胸腔镜手术切除，以避免开放性手术。
结果
所有甲状旁腺均在术前成功识别并随后切除。平均住院时间少于3天，仅出现1例轻微并发症。
结论
采用电视辅助胸腔镜手术可安全、准确地切除纵隔异位甲状旁腺，避免开放性手术入路。
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