Department of Thoracic Surgery, The First Affiliated Hospital of Soochow University, Medical College of Soochow University, Suzhou, 215000, China.
Institute of Thoracic Surgery, The First Affiliated Hospital of Soochow University, Suzhou, 215000, China.
J Cardiothorac Surg. 2024 Apr 16;19(1):228. doi: 10.1186/s13019-024-02729-4.
The ectopic superior parathyroid in the tracheoesophageal groove and paraesophageal region is rare. Hyperparathyroidism results when these glands become hyperfunctioning. That may necessitate surgical intervention in the form of parathyroidectomy, which requires a transsternal or transthoracic approach due to a deeply seated mediastinal parathyroid gland. Minimally invasive strategies have emerged recently as an alternative approach with less morbidity.
We present a case of the paraesophageal ectopic parathyroid gland in the superior posterior mediastinum, which was successfully treated with thoracoscopic resection.
The current imaging tools improve the thoracoscopic management of mediastinal parathyroid glands. Video-assisted thoracoscopic surgery (VATS) can provide access and exposure to ectopic parathyroid adenoma with low morbidity and financial burden.
位于气管食管沟和食管旁的异位甲状旁腺非常少见。这些腺体功能亢进会导致甲状旁腺功能亢进。这可能需要通过胸骨切开术或经胸入路进行甲状旁腺切除术，因为这些甲状旁腺位于纵隔深处。最近出现了微创策略作为一种替代性方法，其具有较低的发病率。
我们介绍了一例位于后上纵隔食管旁的异位甲状旁腺腺瘤，成功地通过胸腔镜切除进行了治疗。
目前的成像工具提高了纵隔甲状旁腺的胸腔镜管理水平。电视辅助胸腔镜手术（VATS）可以提供微创途径，以低发病率和经济负担的方式来处理异位甲状旁腺腺瘤。
