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@article{Isaacs:2019:10.1002/bjs5.50207,
author = {Isaacs, K and Belete, S and Miller, B and Di, Marco A and Kirby, S and Barwick, T and Tolley, N and Anderson, J and Palazzo, F},
doi = {10.1002/bjs5.50207},
journal = {BJS Open},
pages = {743--749},
title = {Videoassisted thoracoscopic surgery for ectopic mediastinal parathyroid adenoma},
url = {http://dx.doi.org/10.1002/bjs5.50207},
volume = {3},
year = {2019}
}

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TY  - JOUR
AB  - Background: Primary hyperparathyroidism (pHPT) caused by an ectopic mediastinal parathyroid adenoma is uncommon. In the past, when the adenoma was not accessible from the neck, median sternotomy was advocated for safe and successful parathyroidectomy.  Video-assisted thoracoscopic surgical (VATS) parathyroidectomy represents a modern alternative approach for this problem.Methods:  Information was obtained related to patients undergoing VATS from a specific database, including clinical presentation, biochemistry, pre-operative imaging, surgical approach and patient outcomes. A comprehensive literature review was undertaken to draw comparisons with other publications.Results: Over a 2-year period, 9 patients underwent VATS parathyroidectomy for sporadic pHPT, of whom five had persistent pHPT following previous unsuccessful parathyroidectomy via cervicotomy, while four had had no previous parathyroid surgery. The mean operating time was 101 minutes (range 60 – 160). 8 patients were biochemically cured, with no major complications. 1 patient required conversion to a median sternotomy for removal of a thymoma that had resulted in false positive preoperative imaging.Conclusion: With appropriate pre-operative imaging, multidisciplinary input and expertise, VATS parathyroidectomy is an effective, safe and well-tolerated approach to an ectopic mediastinal parathyroid adenoma.
AU  - Isaacs,K
AU  - Belete,S
AU  - Miller,B
AU  - Di,Marco A
AU  - Kirby,S
AU  - Barwick,T
AU  - Tolley,N
AU  - Anderson,J
AU  - Palazzo,F
DO  - 10.1002/bjs5.50207
EP  - 749
PY  - 2019///
SN  - 2474-9842
SP  - 743
TI  - Videoassisted thoracoscopic surgery for ectopic mediastinal parathyroid adenoma
T2  - BJS Open
UR  - http://dx.doi.org/10.1002/bjs5.50207
UR  - http://hdl.handle.net/10044/1/70724
VL  - 3
ER  -

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