International journal of surgery case reports · 2024
Robotic transthoracic approach to ectopic mediastinal parathyroid adenoma: A case report.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Dowling Gavin P, Hehir Cian M, Daly Gordon R, Shuhaibar Maher N, Walshe Peter
Аннотация
INTRODUCTION: Ectopic parathyroid adenomas represent an important cause of refractory hyperparathyroidism. While most ectopic mediastinal parathyroid adenomas can be accessed through a transcervical approach, this is not always feasible, posing a significant challenge.
CASE PRESENTATION: We report the case of a 60-year-old female patient who presented with symptomatic hyperparathyroidism. Sestamibi scan was performed and failed to identify a parathyroid adenoma. Bilateral neck exploration was performed on twice, with normal parathyroid glands excised on both occasions. At this stage, a repeat sestamibi and CT scan revealed a suspected parathyroid adenoma in the mediastinum. A transthoracic robotic parathyroidectomy was performed, and the adenoma successfully excised. A full serological and symptomatic recovery was achieved.
DISCUSSION: Mediastinal parathyroid adenomas can pose significant diagnostic and treatment challenges.
CONCLUSION: A robotic transthoracic approach demonstrates a safe method for the removal of parathyroid adenomas which are inaccessible transcervically, with low morbidity to patients.
CASE PRESENTATION: We report the case of a 60-year-old female patient who presented with symptomatic hyperparathyroidism. Sestamibi scan was performed and failed to identify a parathyroid adenoma. Bilateral neck exploration was performed on twice, with normal parathyroid glands excised on both occasions. At this stage, a repeat sestamibi and CT scan revealed a suspected parathyroid adenoma in the mediastinum. A transthoracic robotic parathyroidectomy was performed, and the adenoma successfully excised. A full serological and symptomatic recovery was achieved.
DISCUSSION: Mediastinal parathyroid adenomas can pose significant diagnostic and treatment challenges.
CONCLUSION: A robotic transthoracic approach demonstrates a safe method for the removal of parathyroid adenomas which are inaccessible transcervically, with low morbidity to patients.