Robotic-Assisted, Thoracoscopic Mediastinal Parathyroidectomy for Persistent Hyperparathyroidism

Persistent / recurrent primary hyperparathyroidism is a challenging surgical problem. In a subset of these patients, the source of excess PTH production will be an ectopic parathyroid gland in the mediastinum. A number of these glands will be inaccessible through a low cervical incision. Minimally invasive approaches to these glands are preferable due to the pain and potential morbidity associated with an open thoracotomy. Robotic assisted surgery with its enhanced three-dimensional visualization and improved dexterity may be beneficial in these patients. In this video we present a case of robotic assisted, thoracoscopic resection of an ectopic, mediastinal parathyroid adenoma, in a 23-year old patient, with persistent primary hyperparathyroidism following neck exploration.


Session: Podium Video Presentation

Program Number: V015

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