Minimally invasive removal of mediastinal ectopic parathyroid glands: A single-center experience
Background: The last few years have seen the emergence of minimally invasive mediastinal parathyroidectomy. Here, we report our single-center experience with this procedure. Materials and Methods: Between December 2002 and September 2017, we performed minimally invasive mediastinal parathyroidectomy...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Health/LWW
2019-01-01
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| Series: | Formosan Journal of Surgery |
| Subjects: | |
| Online Access: | http://www.e-fjs.org/article.asp?issn=1682-606X;year=2019;volume=52;issue=1;spage=6;epage=10;aulast=Chou |
| _version_ | 1797712681198682112 |
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| author | Pin-Li Chou Yin-Kai Chao Yun-Hen Liu |
| author_facet | Pin-Li Chou Yin-Kai Chao Yun-Hen Liu |
| author_sort | Pin-Li Chou |
| collection | DOAJ |
| description | Background: The last few years have seen the emergence of minimally invasive mediastinal parathyroidectomy. Here, we report our single-center experience with this procedure.
Materials and Methods: Between December 2002 and September 2017, we performed minimally invasive mediastinal parathyroidectomy in 12 patients with primary (n = 4) or secondary (n = 8) hyperparathyroidism (median age: 54.5 years; interquartile range: 50.5 − 62.75 years). The following variables were retrospectively collected from clinical records: demographic characteristics, results of imaging studies, surgical approach, complications, and final pathological diagnosis.
Results: Technetium-99 m sestamibi examinations were performed for preoperative localization of the ectopic parathyroid glands in 11 patients (91.67%). All cases successfully underwent minimally invasive mediastinal parathyroidectomy, without the necessity to convert to open surgery. The most commonly used minimally invasive approach was video-assisted thoracoscopic surgery (n = 10; 83.33%) followed by mediastinoscopy (n = 2; 16.67%). The anatomical locations of the ectopic glands were as follows: intrathymic in six patients (50%), within the aortopulmonary window in 1 patient (8%), and in other intrathoracic sites in five patients (42%). Parathyroid adenomas and parathyroid hyperplasias were diagnosed in 5 (42%) and seven patients (58%), respectively. There were no perioperative deaths, and the median length of hospital stay was 5.5 days.
Conclusion: Minimally invasive removal of mediastinal ectopic parathyroid glands is safe and feasible if their anatomical position is accurately determined. Surgical approaches depend on gland location and the surgeon's preference. |
| first_indexed | 2024-03-12T07:25:19Z |
| format | Article |
| id | doaj.art-8e598b7162e6409c8b1ce06985482dfc |
| institution | Directory Open Access Journal |
| issn | 1682-606X |
| language | English |
| last_indexed | 2024-03-12T07:25:19Z |
| publishDate | 2019-01-01 |
| publisher | Wolters Kluwer Health/LWW |
| record_format | Article |
| series | Formosan Journal of Surgery |
| spelling | doaj.art-8e598b7162e6409c8b1ce06985482dfc2023-09-02T22:10:20ZengWolters Kluwer Health/LWWFormosan Journal of Surgery1682-606X2019-01-0152161010.4103/fjs.fjs_33_18Minimally invasive removal of mediastinal ectopic parathyroid glands: A single-center experiencePin-Li ChouYin-Kai ChaoYun-Hen LiuBackground: The last few years have seen the emergence of minimally invasive mediastinal parathyroidectomy. Here, we report our single-center experience with this procedure. Materials and Methods: Between December 2002 and September 2017, we performed minimally invasive mediastinal parathyroidectomy in 12 patients with primary (n = 4) or secondary (n = 8) hyperparathyroidism (median age: 54.5 years; interquartile range: 50.5 − 62.75 years). The following variables were retrospectively collected from clinical records: demographic characteristics, results of imaging studies, surgical approach, complications, and final pathological diagnosis. Results: Technetium-99 m sestamibi examinations were performed for preoperative localization of the ectopic parathyroid glands in 11 patients (91.67%). All cases successfully underwent minimally invasive mediastinal parathyroidectomy, without the necessity to convert to open surgery. The most commonly used minimally invasive approach was video-assisted thoracoscopic surgery (n = 10; 83.33%) followed by mediastinoscopy (n = 2; 16.67%). The anatomical locations of the ectopic glands were as follows: intrathymic in six patients (50%), within the aortopulmonary window in 1 patient (8%), and in other intrathoracic sites in five patients (42%). Parathyroid adenomas and parathyroid hyperplasias were diagnosed in 5 (42%) and seven patients (58%), respectively. There were no perioperative deaths, and the median length of hospital stay was 5.5 days. Conclusion: Minimally invasive removal of mediastinal ectopic parathyroid glands is safe and feasible if their anatomical position is accurately determined. Surgical approaches depend on gland location and the surgeon's preference.http://www.e-fjs.org/article.asp?issn=1682-606X;year=2019;volume=52;issue=1;spage=6;epage=10;aulast=ChouMediastinal parathyroid glandsminimally invasive surgeryvideo-assisted thoracoscopic surgery |
| spellingShingle | Pin-Li Chou Yin-Kai Chao Yun-Hen Liu Minimally invasive removal of mediastinal ectopic parathyroid glands: A single-center experience Formosan Journal of Surgery Mediastinal parathyroid glands minimally invasive surgery video-assisted thoracoscopic surgery |
| title | Minimally invasive removal of mediastinal ectopic parathyroid glands: A single-center experience |
| title_full | Minimally invasive removal of mediastinal ectopic parathyroid glands: A single-center experience |
| title_fullStr | Minimally invasive removal of mediastinal ectopic parathyroid glands: A single-center experience |
| title_full_unstemmed | Minimally invasive removal of mediastinal ectopic parathyroid glands: A single-center experience |
| title_short | Minimally invasive removal of mediastinal ectopic parathyroid glands: A single-center experience |
| title_sort | minimally invasive removal of mediastinal ectopic parathyroid glands a single center experience |
| topic | Mediastinal parathyroid glands minimally invasive surgery video-assisted thoracoscopic surgery |
| url | http://www.e-fjs.org/article.asp?issn=1682-606X;year=2019;volume=52;issue=1;spage=6;epage=10;aulast=Chou |
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