SS  Vol.4 No.5 , May 2013
Robotic Mediastinal Parathyroidectomy in a Patient with Maxillary Giant Cell Tumor
Abstract

A 50-year-old woman with a maxillary giant cell tumor had primary hyperparathyroidism from a mediastinal parathyroid adenoma. Computed tomography showed a mildly enhanced, oval soft tissue nodule (2.5 × 1.5 × 1.7 cm) at the anterosuperior mediastinum. Mediastinal parathyroidectomy was performed with a 3-arm surgical robot. After surgery, the plasma parathyroid hormone level decreased markedly (before surgery, 70.5 pg/ml; after surgery, 5.5 pg/ml; normal reference range, 1.6 to 6.9 pg/ml). The 3-dimensional visualization, high-dexterity, and full range of motion of the robotic system provided an efficient and safe surgical procedure for the mediastinal tumor. The purpose of this case study is to show the feasibility and effectiveness of robot assisted dissection for mediastinal parathyroid gland and to demonstrate the giant cell tumor of the bone can regress after resection of parathyroid adenoma.


Cite this paper
I. Al-Githmi, "Robotic Mediastinal Parathyroidectomy in a Patient with Maxillary Giant Cell Tumor," Surgical Science, Vol. 4 No. 5, 2013, pp. 255-257. doi: 10.4236/ss.2013.45049.
References

[1]   C. F. Russell, A. J. Edis, D. A. Scholz, P. F. Sheedy and J. A. van Heerden, “Mediastinal Parathyroid Tumors: Experience with 38 Tumors Requiring Mediastinotomy for Removal,” Annals of Surgery, Vol. 193, No. 6, 1981, pp. 805-809. doi:10.1097/00000658-198106000-00016

[2]   K. Cupisti, C. Dotzenrath, D. Simon, H. D. Roher and P. E. Goretzki, “Therapy of Suspected Intrathoracic Parathyroid Adenomas. Experiences Using Open Transthoracic Approach and Video-Assisted Thoracoscopic Surgery,” Langenbeck’s Archives of Surgery, Vol. 386, No. 7, 2002, pp. 488-493. doi:10.1007/s00423-001-0254-x

[3]   R. J. Landreneau, S. R. Hazelrigg, P. F. Ferson, et al., “Thoracoscopic Resection of 85 Pulmonary Lesions,” The Annals of Thoracic Surgery, Vol. 54, No. 3, 1992, pp. 415-420. doi:10.1016/0003-4975(92)90430-C

[4]   J. Bonder, C. Profanter, R. Prommegger, A. Greiner, R. Margreiter and T. Schmid, “Mediastinal Parathyroidectomy with the da Vinci Robot: Presentation of New Technique,” The Journal of Thoracic and Cardiovascular Surgery, Vol. 127, No. 6, 2004, pp. 1831-1832. doi:10.1016/j.jtcvs.2003.12.036

[5]   Z. Meng, M. Zhu, Q. He, et al., “Clinical Implications of Brown Tumor Uptake in Whole-Body 99mTc-Sesta-Mibi Scans for Primary Hyperparathyroidism,” Nuclear Medicine Communications, Vol. 32, 2011, pp. 708-715. doi:10.1097/MNM.0b013e328347b582

 
 
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