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Transcervical endoscopic-assisted mediastinal parathyroidectomy with intraoperative parathyroid hormone monitoring

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Abstract

Ectopic mediastinal parathyroid adenomas are rare lesions that typically necessitate either median sternotomy or thoracotomy. More recently, video-assisted thoracoscopy has been used to excise mediastinal parathyroid adenomas. Herein we describe a novel technique in which we used a minimally invasive transcervical endoscopic-assisted approach to excise an anterior mediastinal parathyroid adenoma in a young man with a history of spontaneous pneumothorax. Intraoperative parathormone monitoring confirmed the excision of all hypersecreting parathyroid tissue, thereby obviating the need for a conventional neck exploration.

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Authors and Affiliations

  1. Division of Laparoscopic Surgery, Department of Surgery, Mount Sinai Medical Center, One Gustave L. Levy Place, Box 1259, New York, NY 10029, USA

    W. B. Inabnet & C. A. Chu

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  1. W. B. Inabnet
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  2. C. A. Chu
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Correspondence to W. B. Inabnet.

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Inabnet, W., Chu, C. Transcervical endoscopic-assisted mediastinal parathyroidectomy with intraoperative parathyroid hormone monitoring . Surg Endosc 17, 1678 (2003). https://doi.org/10.1007/s00464-002-4538-1

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  • DOI: https://doi.org/10.1007/s00464-002-4538-1

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