Thoracoscopic removal of a retrosternal parathyroid adenoma

A. I. Khripun; G. B. Makhuova; T. F. Avdeeva; M. P. Yusufov; M. Yu. Orlov; E. S. Bragina

doi:10.14341/serg12814

Thoracoscopic removal of a retrosternal parathyroid adenoma

A. I. Khripun, G. B. Makhuova, T. F. Avdeeva, M. P. Yusufov, M. Yu. Orlov, E. S. Bragina

https://doi.org/10.14341/serg12814

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Abstract

Primary hyperthyroidism is a common endocrine pathology, with parathyroid adenoma being the most frequent cause of this condition. A number of patients have deep-seated mediastinal adenomas which poses certain challenges in diagnostics and impose serious limitations for performing a surgery using a traditional transcervical approach. Nonetheless, the combination of modern tools of topical diagnostic investigations along with mini-invasive surgical methods allow to perform a radical operation in this group of patients with reduced injury rate. In this article we present a clinical case of surgical treatment of a 65-Year-Old female patient with primary hyperthyroidism caused by retrosternal parathyroid adenoma located in the aortic-pulmonal window. Preliminary diagnosis was based on Chest Computed Tomography (CCT scan) and technetium-99mTC scintigraphy. Considering complex anatomical and topographical location of the tumour it was decided to perform a thoracoscopic parathyroidectomy. The postoperative period was uneventful, with the laboratory values of parathormone being within reference range after the surgery. On the third day after the operation the patient was discharged. Further follow-up has not shown any signs of relapse.

Keywords

primary hyperparathyroidism, ectopic adenoma of the parathyroid gland, thoracoscopic surgery, parathyroidectomy

About the Authors

A. I. Khripun

N.I. Pirogov Russian National Research Medical University, Department of surgery and endoscopy, Department of additional professional education; V.M. Buyanov City Clinical Hospital
Russian Federation

Aleksey I. Khripun, MD, PhD, Professor

Moscow

Competing Interests:

Авторы декларируют отсутствие явных и потенциальных конфликтов интересов, связанных с содержанием настоящей статьи.

G. B. Makhuova

N.I. Pirogov Russian National Research Medical University, Department of surgery and endoscopy, Department of additional professional education; V.M. Buyanov City Clinical Hospital
Russian Federation

Gulmira B. Makhuova, MD, PhD

Moscow

Competing Interests:

T. F. Avdeeva

V.M. Buyanov City Clinical Hospital
Russian Federation

Tatyana F. Avdeeva, MD, PhD

Moscow

Competing Interests:

M. P. Yusufov

V.M. Buyanov City Clinical Hospital
Russian Federation

Magomed P. Yusufov, MD

Moscow

Competing Interests:

M. Yu. Orlov

N.I. Pirogov Russian National Research Medical University, Department of surgery and endoscopy, Department of additional professional education
Russian Federation

Maksim Yu. Orlov, MD

26, Bakinskaya St., 115516, Moscow

Competing Interests:

E. S. Bragina

N.I. Pirogov Russian National Research Medical University, Department of surgery and endoscopy, Department of additional professional education
Russian Federation

Ekaterina S. Bragina, MD

Moscow

Competing Interests:

References

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Supplementary files

	1. Рисунок 1. Аденома околощитовидной железы в аортопульмональном окне (КТ снимок, в режиме 3D модели).
	Subject
	Type	Исследовательские инструменты
	View (295KB)	Indexing metadata ▾

	2. Рисунок 2. Положение пациента на операционном столе.
	Subject
	Type	Исследовательские инструменты
	View (168KB)	Indexing metadata ▾

	3. Рисунок 3. Аденома околощитовидной железы в аортопульмональном окне (интраоперационная картина).
	Subject
	Type	Исследовательские инструменты
	View (387KB)	Indexing metadata ▾

	4. Рисунок 4. Удаленный препарат.
	Subject
	Type	Исследовательские инструменты
	View (357KB)	Indexing metadata ▾

Review

For citations:

Khripun A.I., Makhuova G.B., Avdeeva T.F., Yusufov M.P., Orlov M.Yu., Bragina E.S. Thoracoscopic removal of a retrosternal parathyroid adenoma. Endocrine Surgery. 2024;18(1):19-24. (In Russ.) https://doi.org/10.14341/serg12814

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND 4.0).

ISSN 2306-3513 (Print)
ISSN 2310-3965 (Online)

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	Title	Рисунок 1. Аденома околощитовидной железы в аортопульмональном окне (КТ снимок, в режиме 3D модели).
	Type	Исследовательские инструменты
	Date	2024-06-04
Digital Object Identifier	https://doi.org/10.14341/serg12814-6275

	Title	Рисунок 2. Положение пациента на операционном столе.
	Type	Исследовательские инструменты
	Date	2024-06-04
Digital Object Identifier	https://doi.org/10.14341/serg12814-6276

	Title	Рисунок 3. Аденома околощитовидной железы в аортопульмональном окне (интраоперационная картина).
	Type	Исследовательские инструменты
	Date	2024-06-04
Digital Object Identifier	https://doi.org/10.14341/serg12814-6277

	Title	Рисунок 4. Удаленный препарат.
	Type	Исследовательские инструменты
	Date	2024-06-04
Digital Object Identifier	https://doi.org/10.14341/serg12814-6278

User

Endocrine Surgery

Thoracoscopic removal of a retrosternal parathyroid adenoma

Full Text:

Abstract

Keywords

About the Authors

References

Supplementary files

Review

For citations:

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