The routine approach for excision of a parathyroid adenoma is transcervical, but this approach is inadequate when the gland is located in the mediastinum. Traditionally, these cases have required a sternotomy or thoracotomy. We used a combined transcervical and video-assisted thoracoscopic surgery approach to resect a parathyroid adenoma that extended to the middle mediastinum.
MedranoCHazelriggSRLandreneauRJBoleyTMShawgoTGraschA. Thoracoscopic resection of ectopic parathyroid glands. Ann Thorac Surg2000; 69: 221–223.
7.
TailleferRBoucherYPotvinCLambertR. Detection and localization of parathyroid adenomas in patients with hyperparathyroidism using a single radionuclide imaging procedure with technetium-99m-sestamibi (double-phase study). J Nucl Med1992; 33: 1801–1807.
8.
AmarLGuignatLTissierF. Video-assisted thoracoscopic surgery as a first-line treatment for mediastinal parathyroid adenomas: strategic value of imaging. Eur J Endocrinol2004; 150: 141–147.
9.
AlesinaPFMokaDMahlstedtJWalzMK. Thoracoscopic removal of mediastinal hyperfunctioning parathyroid glands: personal experience and review of the literature. World J Surg2008; 32: 224–231.
10.
CupistiKDotzenrathCSimonDRoherHDGoretzkiPE. Therapy of suspected intrathoracic parathyroid adenomas. Experiences using open transthoracic approach and video-assisted thoracoscopic surgery. Langenbecks Arch Surg2002; 386: 488–493.
