左胸腔镜机器人辅助下切除左下气管旁甲状旁腺腺瘤,治愈原发性甲状旁腺功能亢进症。

Matthew L Inra, Dominick Guerrero, Adin Reisner, Subroto Paul, Brett A Miles
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引用次数: 0

摘要

我们为您介绍一例继发于原发性甲状旁腺功能亢进症的症状性高钙血症患者,患者38岁,男性。经过评估,发现甲状旁腺激素过多的来源是一个位于中纵隔的腺瘤。具体来说,它位于左侧气管旁间隙,沿着主动脉弓的较小曲线。我们在讨论该病例时通过相应的视频演示了必要的设备和设置,以及从微创经胸途径进入气管旁主动脉下位置的 5 个手术步骤。同时还讨论了该手术的隐患。目的是让其他外科医生更容易重复此手术。
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Left Thoracoscopic Robot-Assisted Excision of a Left Lower Paratracheal Parathyroid Adenoma for Cure of Primary Hyperparathyroidism.

We present a case of a 38-year-old male patient with symptomatic hypercalcemia secondary to primary hyperparathyroidism. After evaluation, the source of the excess parathyroid hormone was found to be an adenoma localized to the middle mediastinum. Specifically, it was located in the left paratracheal space along the lesser curve of the aortic arch. We discuss this case with a corresponding video to demonstrate the necessary equipment and setup as well as the 5 operative steps recommended to access this paratracheal subaortic location from a minimally invasive transthoracic approach. The pitfalls for this operation are also discussed. The purpose is to make this operation more reproducible for other surgeons.

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来源期刊
CiteScore
2.00
自引率
6.70%
发文量
80
期刊介绍: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery is the first journal whose main mission is to disseminate information specifically about advances in technology and techniques that lead to less invasive treatment of cardiothoracic and vascular disease. It delivers cutting edge original research, reviews, essays, case reports, and editorials from the pioneers and experts in the field of minimally invasive cardiothoracic and vascular disease, including biomedical engineers. Also included are papers presented at the annual ISMICS meeting. Official Journal of the International Society for Minimally Invasive Cardiothoracic Surgery
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