Surgical endoscopy · 2016
Prevertebral cervical approach: a pure endoscopic surgical technique for posterior mediastinum parathyroid adenomas.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
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Martos-Martínez Juan Manuel, Sacristán-Pérez Cristina, Pérez-Andrés Marina, Durán-Muñoz-Cruzado Virginia María, Pino-Díaz Verónica, Padillo-Ruiz Francisco Javier
Аннотация
BACKGROUND: Parathyroid gland mediastinal ectopia is an unusual but challenging condition in surgical management of hyperparathyroidism. Posterior mediastinum parathyroid ectopia is rare, and glands need to be removed either with a broad open cervical or thoracic approach. In recent years, several minimally invasive approaches to mediastinal parathyroid glands have been described, but for posterior mediastinum adenomas, proposed techniques are transthoracic.
METHODS: The aim of this paper is to describe, to our best knowledge for the first time, a standardized pure endoscopic cervical technique to approach posterior mediastinal parathyroid adenomas which we have used in three patients.
RESULTS: The technique was applied in three patients which excellent surgical, postoperative, and cosmetic results.
CONCLUSIONS: Endoscopic prevertebral approach is a feasible, sure and inexpensive standardized pure endoscopic cervical approach to posterior mediastinal parathyroid adenomas, which may result in a less aggressive surgical option when compared with thoracic approaches.
METHODS: The aim of this paper is to describe, to our best knowledge for the first time, a standardized pure endoscopic cervical technique to approach posterior mediastinal parathyroid adenomas which we have used in three patients.
RESULTS: The technique was applied in three patients which excellent surgical, postoperative, and cosmetic results.
CONCLUSIONS: Endoscopic prevertebral approach is a feasible, sure and inexpensive standardized pure endoscopic cervical approach to posterior mediastinal parathyroid adenomas, which may result in a less aggressive surgical option when compared with thoracic approaches.