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Radioguided Parathyroidectomy via VATS Combined With Intraoperative Parathyroid Hormone Testing: The Surgical Approach of Choice for Patients With Mediastinal Parathyroid Adenomas?
Author(s) -
O'Herrin Jacquelyn K.,
Weigel Tracey,
Wilson Michael,
Chen Herbert
Publication year - 2002
Publication title -
journal of bone and mineral research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.882
H-Index - 241
eISSN - 1523-4681
pISSN - 0884-0431
DOI - 10.1359/jbmr.2002.17.8.1368
Subject(s) - medicine , primary hyperparathyroidism , parathyroidectomy , parathyroid hormone , parathyroid adenoma , hyperparathyroidism , mediastinum , parathyroid neoplasm , gamma probe , lesion , radiology , adenoma , surgery , cancer , sentinel lymph node , breast cancer , calcium
Despite the excellent results with bilateral exploration, minimally invasive parathyroidectomy has become the procedure of choice for patients with hyperparathyroidism in which a single parathyroid lesion can be localized preoperatively. In this article, we discuss a patient who presented with primary hyperparathyroidism for the first time and had a Tc‐99m sestamibi scan to localize a single parathyroid lesion in the left, anterior mid‐mediastinum. We subsequently performed a radioguided parathyroidectomy via video‐assisted thoracoscopic surgery (VATS) to resect this parathyroid adenoma and used intraoperative parathyroid hormone (PTH) testing to confirm cure and avoid neck exploration. We concluded that radioguided parathyroidectomy via VATS combined with intraoperative PTH testing is an effective approach for patients with primary hyperparathyroidism and mediastinal parathyroid lesions, and perhaps should be the technique of choice.