Anterior mediastinotomy for parathyroidectomy

American Journal of Surgery
Nagesh B RavipatiRodolfo Argueta

Abstract

Approximately 2% of ectopic parathyroid glands reside within the mediastinum in a location that requires a thoracic approach. All patients with mediastinal parathyroid tumors who underwent anterior mediastinotomy were included in this review. Over the course of 16 years, 10 patients with primary hyperparathyroidism underwent anterior mediastinotomy. There were 6 men and 4 women with a median age of 65. Seven patients had undergone at least one previous cervical exploration. Preoperative calcium levels were 11.3 +/- .8 mg/dL. Nine patients had preoperative localization with radionuclide scans and 9 patients also had preoperative computerized tomography or magnetic resonance imaging scans. An abnormal gland was removed in all cases. Nine of 10 patients had normalization of their calcium levels. Anterior mediastinotomy after preoperative imaging has proven to be a technically feasible, safe, and effective method for the surgical management of patients with sporadic primary hyperparathyroidism and mediastinal parathyroid tumors.

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Citations

Jul 14, 2010·Langenbeck's Archives of Surgery·Maurizio IacoboneGennaro Favia
Jul 15, 2009·Endocrine·Hitomi ImachiToshihiko Ishida
Jul 6, 2014·Annals of Thoracic Medicine·Efstratios ApostolakisChristos Prokakis
Jun 5, 2010·World Journal of Surgery·Vincent ArnaultJean-Louis Kraimps
Nov 27, 2015·International Journal of Hyperthermia : the Official Journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group·Ming-An YuMing-De Lv
Jul 16, 2019·International Journal of Hyperthermia : the Official Journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group·Xin LiMing-An Yu
Dec 20, 2018·Clinical Case Reports·Yoshito NishimuraFumio Otsuka
Dec 8, 2020·Internal Medicine·Kenichi YokotaHiroshi Itoh

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