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Prevertebral cervical approach: a pure endoscopic surgical technique for posterior mediastinum parathyroid adenomas

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Abstract

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.

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Acknowledgments

The authors want to thank to Univadis (www.univadis.es) for his kind cession of use of base images for creating Fig. 4.

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Authors and Affiliations

  1. General and Digestive Surgery Department, Virgen del Rocío University Hospital, Avda, Manuel Siurot S/N, 41013, Seville, Spain

    Juan Manuel Martos-Martínez, Cristina Sacristán-Pérez, Marina Pérez-Andrés, Virginia María Durán-Muñoz-Cruzado, Verónica Pino-Díaz & Francisco Javier Padillo-Ruiz

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  1. Juan Manuel Martos-Martínez
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  2. Cristina Sacristán-Pérez
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  3. Marina Pérez-Andrés
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  4. Virginia María Durán-Muñoz-Cruzado
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  5. Verónica Pino-Díaz
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  6. Francisco Javier Padillo-Ruiz
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Correspondence to Juan Manuel Martos-Martínez.

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Disclosures

Drs. JM Martos-Martínez, C Sacristan Pérez, M Pérez-Andres, VM Duran-Muñoz-Cruzado, V Pino-Díaz, and FJ Padillo-Ruiz have no conflicts of interest or financial ties to disclose.

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Martos-Martínez, J.M., Sacristán-Pérez, C., Pérez-Andrés, M. et al. Prevertebral cervical approach: a pure endoscopic surgical technique for posterior mediastinum parathyroid adenomas. Surg Endosc 31, 1930–1935 (2017). https://doi.org/10.1007/s00464-016-5197-y

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  • DOI: https://doi.org/10.1007/s00464-016-5197-y

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