Mediastinal Parathyroid Adenoma With Osteitis Fibrosis Cystica Robot-Assisted Thoracic Surgical Resection

被引：4
|
作者：
Sridhar, Praveen [1 ]
Steenkamp, Devin W. [1 ]
Lee, Stephanie L. [1 ]
Ebright, Michael I. [1 ]
Litle, Virginia R. [1 ]
Fernando, Hiran C. [1 ]
机构：
[1] Boston Univ, Sch Med, Boston Med Ctr, Boston, MA USA
来源：
INNOVATIONS-TECHNOLOGY AND TECHNIQUES IN CARDIOTHORACIC AND VASCULAR SURGERY | 2014年 / 9卷 / 06期
关键词：
Mediastinal tumor; Robotics; Thoracoscopy; VATS; Thoracic surgery;
D O I：
10.1097/IMI.0000000000000108
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Mediastinal parathyroid adenomas can be resected by sternotomy or video-assisted thoracoscopic surgery. Robot-assisted thoracic surgical approaches have recently been described. We report robot-assisted thoracic surgical resection of a mediastinal parathyroid in a morbidly obese patient. Additional comorbidities included multiple pathological fractures related to hypercalcemia. Intraoperative parathyroid hormone levels confirmed successful removal of the adenoma. Hungry bone syndrome developed after surgery but eventually resolved. Robot-assisted thoracic surgery avoided the need for sternotomy and associated concerns related to poor bone healing. Robot-assisted thoracic surgery has potential advantages over video-assisted thoracoscopic surgery in patients with obesity because of easier instrument articulation within the thoracic cavity rather than at the chest wall.
引用
收藏
页码：445 / 447
页数：3
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