Inabnet W B, Chu C A
Division of Laparoscopic Surgery, Department of Surgery, Mount Sinai Medical Center, One Gustave L. Levy Place, Box 1259, New York, NY 10029, USA.
Surg Endosc. 2003 Oct;17(10):1678. doi: 10.1007/s00464-002-4538-1.
Ectopic mediastinal parathyroid adenomas are rare lesions that typically necessitate either median sternotomy or thoracotomy. More recently, video-assisted thoracoscopy has been used to excise mediastinal parathyroid adenomas. Herein we describe a novel technique in which we used a minimally invasive transcervical endoscopic-assisted approach to excise an anterior mediastinal parathyroid adenoma in a young man with a history of spontaneous pneumothorax. Intraoperative parathormone monitoring confirmed the excision of all hypersecreting parathyroid tissue, thereby obviating the need for a conventional neck exploration.
异位纵隔甲状旁腺腺瘤是罕见的病变，通常需要正中胸骨切开术或开胸手术。最近，电视辅助胸腔镜已被用于切除纵隔甲状旁腺腺瘤。在此，我们描述一种新技术，即采用微创经颈内镜辅助方法，为一名有自发性气胸病史的年轻男性切除前纵隔甲状旁腺腺瘤。术中甲状旁腺激素监测证实所有分泌过多的甲状旁腺组织均已切除，从而无需进行传统的颈部探查。
