Resection of ectopic mediastinal parathyroid glands with the da Vinci robotic system
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Resection of ectopic mediastinal parathyroid glands with the da Vinci robotic system. / Ismail, M; Maza, S; Swierzy, M; Tsilimparis, N; Rogalla, P; Sandrock, D; Rückert, R I; Müller, J M; Rückert, J C.
in: BRIT J SURG, Jahrgang 97, Nr. 3, 01.03.2010, S. 337-43.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Resection of ectopic mediastinal parathyroid glands with the da Vinci robotic system
AU - Ismail, M
AU - Maza, S
AU - Swierzy, M
AU - Tsilimparis, N
AU - Rogalla, P
AU - Sandrock, D
AU - Rückert, R I
AU - Müller, J M
AU - Rückert, J C
N1 - (c) 2010 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.
PY - 2010/3/1
Y1 - 2010/3/1
N2 - BACKGROUND: Mediastinal ectopic parathyroid adenoma is a frequent cause of persistent or recurrent hyperparathyroidism, traditionally treated by open surgery. Thoracoscopic access is associated with reduced morbidity in mediastinal surgery. The aim of this study was to evaluate the feasibility and effectiveness of robot-assisted dissection for mediastinal ectopic parathyroid glands.METHODS: Two patients with recurrent secondary hyperparathyroidism and three with complicated primary hyperparathyroidism were operated on between July 2004 and August 2008 for ectopic mediastinal parathyroid glands. Fusion of single-photon emission computed tomography and computed tomography led to an exact identification of the culprit glands. Surgery was performed thoracoscopically with the da Vinci robotic system using a three-trocar approach.RESULTS: All procedures were completed successfully with the robotic system. No perioperative morbidity or mortality was noted. Median operating time was 58 (range 42-125) min. Intraoperative parathyroid hormone reduction indicated complete resection. Median hospital stay was 3 (range 2-4) days.CONCLUSION: Robot-assisted dissection is a promising approach for resection of ectopic parathyroid glands in remote narrow anatomical locations such as the mediastinum.
AB - BACKGROUND: Mediastinal ectopic parathyroid adenoma is a frequent cause of persistent or recurrent hyperparathyroidism, traditionally treated by open surgery. Thoracoscopic access is associated with reduced morbidity in mediastinal surgery. The aim of this study was to evaluate the feasibility and effectiveness of robot-assisted dissection for mediastinal ectopic parathyroid glands.METHODS: Two patients with recurrent secondary hyperparathyroidism and three with complicated primary hyperparathyroidism were operated on between July 2004 and August 2008 for ectopic mediastinal parathyroid glands. Fusion of single-photon emission computed tomography and computed tomography led to an exact identification of the culprit glands. Surgery was performed thoracoscopically with the da Vinci robotic system using a three-trocar approach.RESULTS: All procedures were completed successfully with the robotic system. No perioperative morbidity or mortality was noted. Median operating time was 58 (range 42-125) min. Intraoperative parathyroid hormone reduction indicated complete resection. Median hospital stay was 3 (range 2-4) days.CONCLUSION: Robot-assisted dissection is a promising approach for resection of ectopic parathyroid glands in remote narrow anatomical locations such as the mediastinum.
KW - Adenoma
KW - Adult
KW - Feasibility Studies
KW - Female
KW - Humans
KW - Intraoperative Care
KW - Male
KW - Mediastinal Neoplasms
KW - Middle Aged
KW - Parathyroid Glands
KW - Parathyroid Neoplasms
KW - Parathyroidectomy
KW - Preoperative Care
KW - Robotics
KW - Tomography, Emission-Computed, Single-Photon
KW - Tomography, X-Ray Computed
U2 - 10.1002/bjs.6905
DO - 10.1002/bjs.6905
M3 - SCORING: Journal article
C2 - 20095017
VL - 97
SP - 337
EP - 343
JO - BRIT J SURG
JF - BRIT J SURG
SN - 0007-1323
IS - 3
ER -
