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Ann Thorac Surg 2000;69:221-223
© 2000 The Society of Thoracic Surgeons

Original Articles

Thoracoscopic resection of ectopic parathyroid glands

Cristina Medrano, MDa, Stephen R. Hazelrigg, MDa, Rodney J. Landreneau, MDb, Theresa M. Boley, MSNa, Tilitha Shawgo, RN, MSa, Anthony Grasch, PA-Ca

a Division of Cardiothoracic Surgery, Southern Illinois University School of Medicine, Springfield, Illinois, USA
b Division of Cardiothoracic Surgery, Allegheny University of the Health Sciences, Pittsburgh, Pennsylvania, USA

Address reprint requests to Dr Hazelrigg, Division of Cardiothoracic Surgery, SIU School of Medicine, 701 N 1st St, Room D314, Box 19638, Springfield, IL 62794-9638
e-mail: shazelrigg{at}siumed.edu

Background. The vast majority of parathyroid glands in hyperparathyroidism can be resected through a cervical approach. In approximately 2% of the cases, the ectopic gland is in the mediastinum in a location that requires a thoracic approach.

Methods. We report 7 such cases that were resected using video-assisted thoracic surgery to avoid the need for an open surgical procedure.

Results. All glands were successfully identified preoperatively and subsequently resected. Hospital stay averaged less than 3 days with only one minor complication.

Conclusions. Ectopic mediastinal parathyroid glands may be safely and accurately resected using video-assisted thoracic surgery to avoid open approaches.




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