Smythe W R, Bavaria J E, Hall R A, Kline G M, Kaiser L R
Department of Surgery, University of Pennsylvania Medical Center, Philadelphia.
Ann Thorac Surg. 1995 Jan;59(1):236-8. doi: 10.1016/0003-4975(94)00571-n.
Mediastinal parathyroid tissue hyperfunctions in as much as 25% of the patients with primary hyperparathyroidism, and this may be responsible for causing conventional operative procedures to fail in as much as one-third of the cases. When lesions prove to not be accessible through a cervical incision, or when a mediastinal adenoma is diagnosed before cervical procedures, median sternotomy and angiographic ablation have been considered the only options for removal. However, thoracoscopy has theoretic advantages over both. Two patients underwent successful thoracoscopic removal of a hyperfunctioning ectopic mediastinal parathyroid adenoma and their cases are presented here.
在高达25%的原发性甲状旁腺功能亢进患者中存在纵隔甲状旁腺组织功能亢进，这可能是导致常规手术程序在多达三分之一的病例中失败的原因。当病变经证实无法通过颈部切口触及，或在颈部手术前诊断出纵隔腺瘤时，正中胸骨切开术和血管造影消融术被认为是唯一的切除选择。然而，胸腔镜检查在这两方面都具有理论优势。两名患者成功接受了胸腔镜下切除功能亢进的异位纵隔甲状旁腺腺瘤手术，本文介绍他们的病例。
