title: [Videothoracoscopic excision of mediastinal parathyroid adenoma in primary hyperparathyroidism].
abstract: BACKGROUND
  Primary hyperparathyroidism is a disease caused by elevated secretion of parathyroid hormone from pathological parathyroid glands. After the diagnosis, the success of its surgical solution depends predominantly on surgical management and experience of the surgeons. A special group is formed by ectopic localizations of pathologically enlarged parathyroid glands in the mediastinum, which require a modified surgical approach. When the adenoma is deep in the mediastinum, sternotomy or thoracotomy is indicated; alternatively, a minimally invasive approach can be used - videothoracoscopic thymectomy.
  
  
  METHODS
  We present a case of a patient with normocalcemic recurrent primary hyperparathyroidism. This patient underwent a minimally invasive video-assisted thymectomy after scintigraphic confirmation of parathyroid adenoma in the mediastinum.
  
  
  CONCLUSIONS
  The removal of parathyroid adenoma in the mediastinum using the videothoracoscopic method is safe. Compared to sternotomy, this method improves the postoperative period, reduces the length of stay and provides more comfort to patients. We recommend considering the videothoracoscopic method in cases where the pathologically enlarged parathyroid gland is localized in the inferior and anterior mediastinum.
  
  
  BACKGROUND
  primary hyperparathyroidism adenoma of glandula parathyroidea - mediastinum miniinvasive.
authors.forename: P
authors.initials: P
authors.lastname: Libánský
authors.forename: P
authors.initials: P
authors.lastname: Broulík
authors.forename: M
authors.initials: M
authors.lastname: Fialová
authors.forename: J
authors.initials: J
authors.lastname: Kubinyi
authors.forename: R
authors.initials: R
authors.lastname: Lischke
authors.forename: D
authors.initials: D
authors.lastname: Táborská
authors.forename: J
authors.initials: J
authors.lastname: Tvrdoň
authors.forename: J
authors.initials: J
authors.lastname: Šedý
authors.forename: S
authors.initials: S
authors.lastname: Adámek
mesh_terms: D000236:Adenoma / Q000000981:diagnostic imaging / Q000601:surgery*; D000368:Aged; D001706:Biopsy; D006801:Humans; D049950:Hyperparathyroidism, Primary / Q000000981:diagnostic imaging / Q000601:surgery*; D008477:Mediastinal Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D010280:Parathyroid Glands / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D010282:Parathyroid Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D019275:Radiopharmaceuticals; D000072098:Single Photon Emission Computed Tomography Computed Tomography; D017256:Technetium Tc 99m Sestamibi; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods; D013906:Thoracoscopy
chemical_list: D019275:Radiopharmaceuticals; D017256:Technetium Tc 99m Sestamibi