Robotic Resection of Ectopic Parathyroid Glands in the Superior Posterior Mediastinum

Ectopic parathyroid glands can present in a challenging location in the superior posterior mediastinum. Two patients with primary hyperparathyroidism were operated on for ectopic paraesophageal parathyroid glands in the superior posterior mediastinum. Sestamibi scan, computed tomography (CT) scan, a...

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Published inJournal of laparoendoscopic & advanced surgical techniques. Part A Vol. 29; no. 5; p. 677
Main Authors Mansour, Daniel E, Lee, Madonna E, D'Souza, Desmond M, Merritt, Robert E, Kneuertz, Peter J
Format Journal Article
LanguageEnglish
Published United States 01.05.2019
Subjects
superior mediastinum
paraesophageal
robotic
ectopic parathyroid
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Summary:Ectopic parathyroid glands can present in a challenging location in the superior posterior mediastinum. Two patients with primary hyperparathyroidism were operated on for ectopic paraesophageal parathyroid glands in the superior posterior mediastinum. Sestamibi scan, computed tomography (CT) scan, and photon emission CT were used to identify the exact location of these glands. We describe a minimally invasive resection using a three-arm robotic-assisted thoracoscopic technique. Both lesions were completely resected with using the port-based robotic approach with expedited recovery. There was no perioperative morbidity. Patient had low postoperative pain scores and improved symptomatically. Robotic approach for resection of superior posterior mediastinal parathyroids is safe and effective in this challenging operative location.
ISSN:1557-9034
DOI:10.1089/lap.2018.0548