Intraoperative radioguided thoracoscopic removal of ectopic parathyroid adenoma

被引：29

作者：

Ott, MC ^{[1
]}

Malthaner, RA ^{[1
]}

Reid, R ^{[1
]}

机构：

[1] Univ Western Ontario, London Hlth Sci Ctr, Div Thorac Surg, Dept Nucl Med, London, ON N6A 4G5, Canada

来源：

ANNALS OF THORACIC SURGERY | 2001年 / 72卷 / 05期

关键词：

D O I：

10.1016/S0003-4975(01)02652-2

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Twenty-five percent of primary hyperparathyroidism is caused by ectopic mediastinal parathyroid glands, with 2% of these not accessible to standard cervical surgical approaches. Advancement in video-assisted thoracoscopic surgical techniques has decreased the need for sternotomy to successfully remove these ectopic glands. The thoracoscopic approach, however, is limited by the surgeon's inability to, always accurately visualize ectopic glands. Intraoperative radionuclide-guided dissection, using a thoracoscopic approach, provides a novel adjunct to the removal of occult ectopic parathyroid glands. We report a case of an occult ectopic parathyroid adenoma removed thoracoscopically using an intraoperative handheld gamma probe. (C) 2001 by The Society of Thoracic Surgeons.

引用

页码：1758 / 1760

页数：3

共 5 条

[1] Relative contributions of technetium Tc 99m sestamibi scintigraphy, intraoperative gamma probe detection, and the rapid parathyroid hormone assay to the surgical management of hyperparathyroidism [J].