Fama' F, Berry M G, Linard C, Gioffre'-Florio M, Metois D
Department of Human Pathology, University Hospital of Messina, Messina, Italy.
Thorac Cardiovasc Surg. 2010 Apr;58(3):187-9. doi: 10.1055/s-0029-1185594. Epub 2010 Apr 7.
Ectopic parathyroid glands are frequently located in the thymus and may become hyperplasic in patients with secondary hyperparathyroidism. When medical management fails, surgical removal is required, using either a traditional open sternotomy approach or video-assisted thoracic surgery (VATS). We were able to excise large, bilateral, mediastinal parathyroid glands using only left VATS. To the authors' knowledge, this is the first reported case of the use of unilateral thoracoscopic subtotal thymectomy for the excision of bilateral ectopic mediastinal parathyroid glands.
异位甲状旁腺常位于胸腺内，在继发性甲状旁腺功能亢进患者中可能会增生。当内科治疗无效时，需要进行手术切除，可采用传统的开胸胸骨切开术或电视辅助胸腔镜手术（VATS）。我们仅通过左侧VATS就成功切除了双侧纵隔内的巨大甲状旁腺。据作者所知，这是首例报道的使用单侧胸腔镜下胸腺次全切除术切除双侧纵隔异位甲状旁腺的病例。
