title: Prevertebral cervical approach: a pure endoscopic surgical technique for posterior mediastinum parathyroid adenomas.
abstract: Parathyroid gland mediastinal ectopia is an unusual but challenging condition in surgical management of hyperparathyroidism. Posterior mediastinum parathyroid ectopia is rare, and glands need to be removed either with a broad open cervical or thoracic approach. In recent years, several minimally invasive approaches to mediastinal parathyroid glands have been described, but for posterior mediastinum adenomas, proposed techniques are transthoracic.
  
  
  
  The aim of this paper is to describe, to our best knowledge for the first time, a standardized pure endoscopic cervical technique to approach posterior mediastinal parathyroid adenomas which we have used in three patients.
  
  
  
  The technique was applied in three patients which excellent surgical, postoperative, and cosmetic results.
  
  
  
  Endoscopic prevertebral approach is a feasible, sure and inexpensive standardized pure endoscopic cervical approach to posterior mediastinal parathyroid adenomas, which may result in a less aggressive surgical option when compared with thoracic approaches.
authors.affiliation: General and Digestive Surgery Department, Virgen del Rocío University Hospital, Avda, Manuel Siurot S/N, 41013, Seville, Spain. jmmartos66@gmail.com.
authors.forename: Juan Manuel
authors.identifier: 0000-0002-0424-3136
authors.initials: JM
authors.lastname: Martos-Martínez
authors.affiliation: General and Digestive Surgery Department, Virgen del Rocío University Hospital, Avda, Manuel Siurot S/N, 41013, Seville, Spain.
authors.forename: Cristina
authors.initials: C
authors.lastname: Sacristán-Pérez
authors.affiliation: General and Digestive Surgery Department, Virgen del Rocío University Hospital, Avda, Manuel Siurot S/N, 41013, Seville, Spain.
authors.forename: Marina
authors.initials: M
authors.lastname: Pérez-Andrés
authors.affiliation: General and Digestive Surgery Department, Virgen del Rocío University Hospital, Avda, Manuel Siurot S/N, 41013, Seville, Spain.
authors.forename: Virginia María
authors.initials: VM
authors.lastname: Durán-Muñoz-Cruzado
authors.affiliation: General and Digestive Surgery Department, Virgen del Rocío University Hospital, Avda, Manuel Siurot S/N, 41013, Seville, Spain.
authors.forename: Verónica
authors.initials: V
authors.lastname: Pino-Díaz
authors.affiliation: General and Digestive Surgery Department, Virgen del Rocío University Hospital, Avda, Manuel Siurot S/N, 41013, Seville, Spain.
authors.forename: Francisco Javier
authors.initials: FJ
authors.lastname: Padillo-Ruiz
mesh_terms: D000236:Adenoma / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D000368:Aged; D002828:Choristoma / Q000000981:diagnostic imaging / Q000601:surgery*; D004724:Endoscopy / Q000379:methods*; D005260:Female; D006801:Humans; D006961:Hyperparathyroidism / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D008477:Mediastinal Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D008875:Middle Aged; D009333:Neck; D010280:Parathyroid Glands; D010282:Parathyroid Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D016105:Parathyroidectomy / Q000379:methods*; D019275:Radiopharmaceuticals; D000072098:Single Photon Emission Computed Tomography Computed Tomography; D017256:Technetium Tc 99m Sestamibi; D020775:Thoracic Surgery, Video-Assisted
chemical_list: D019275:Radiopharmaceuticals; D017256:Technetium Tc 99m Sestamibi
keywords: Endoscopic surgical treatment; Parathyroid gland ectopia; Parathyroidectomy; Posterior mediastinum