Kim Young Su, Kim Jhingook, Shin Sumin
Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea.
Korean J Thorac Cardiovasc Surg. 2014 Jun;47(3):317-9. doi: 10.5090/kjtcs.2014.47.3.317. Epub 2014 Jun 5.
Ectopic mediastinal parathyroid adenomas or hyperplasias account for up to 25% of primary hyperparathyroidism cases. Most abnormal parathyroid glands are found in the superior mediastinum within the thymus and can be removed through a cervical incision; however, a few of these glands are not accessible using standard cervical surgical approaches. Surgical resection has traditionally been performed via median sternotomy or thoracotomy. However, recent advancement in video-assisted thoracic surgery techniques has decreased the need for sternotomy or thoracotomy to remove these ectopic parathyroid glands. Here, we report a successful case of video-assisted thoracoscopic removal of a mediastinal parathyroid adenoma.
异位纵隔甲状旁腺腺瘤或增生占原发性甲状旁腺功能亢进病例的比例高达25%。大多数异常甲状旁腺位于胸腺内的上纵隔，可通过颈部切口切除；然而，其中一些腺体无法通过标准的颈部手术方法触及。传统上，手术切除是通过正中胸骨切开术或开胸术进行的。然而，电视辅助胸外科技术的最新进展减少了切除这些异位甲状旁腺所需的胸骨切开术或开胸术。在此，我们报告一例电视辅助胸腔镜切除纵隔甲状旁腺腺瘤的成功病例。
