title: [A new surgical technique for thoracic parathyroid glands: video-assisted thoracoscopy with intraoperative Tc-MIBI scintigraphy].
abstract: Ectopic mediastinal parathyroid glands are uncommon (1-11% of all cases of hyperparathyroidism). Median sternotomy used to be performed to resect them, with large and painful incisions that prolonged the length of hospital stay. Current imaging techniques (thoracic computed tomography and Tc-mibi scan) can accurately locate the ectopic glands, allowing minimally invasive exploration. We report a new surgical technique: video-assisted thoracoscopic resection associated with intraoperative Tc-mibi scintigraphy for ectopic mediastinal parathyroid glands. This technique allows minimally invasive access and reduces complications and length of hospital stay. Therefore we believe that video-assisted thoracoscopy could become the technique of choice in patients with high surgical risk and a fifth ectopic parathyroid gland. We report the case of a 49-year-old man in whom surgery was successful.
authors.affiliation: Cirugía General y Aparato Digestivo, Hospital La Princesa, Madrid, Spain. rbarriga1@yahoo.es
authors.forename: Raquel
authors.initials: R
authors.lastname: Barriga-Sánchez
authors.forename: Eduardo
authors.initials: E
authors.lastname: Larrañaga
authors.forename: José Luis
authors.initials: JL
authors.lastname: García
authors.forename: Akiko
authors.initials: A
authors.lastname: Tamura
authors.forename: Ya-wua
authors.initials: YW
authors.lastname: Pun
authors.forename: Elena
authors.initials: E
authors.lastname: Martín
mesh_terms: D002828:Choristoma / Q000000981:diagnostic imaging* / Q000601:surgery*; D006801:Humans; D007430:Intraoperative Care; D008297:Male; D008875:Middle Aged; D010280:Parathyroid Glands / Q000000981:diagnostic imaging*; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals; D017256:Technetium Tc 99m Sestamibi; D013896:Thoracic Diseases / Q000000981:diagnostic imaging* / Q000601:surgery*; D020775:Thoracic Surgery, Video-Assisted
chemical_list: D019275:Radiopharmaceuticals; D017256:Technetium Tc 99m Sestamibi