Robotic resection of a mediastinal parathyroid cyst

Go, Pauline H.; Watson, J. Tracy; Lu, Zhichun; Carlin, Arthur M.; Hammoud, Zane T.

doi:10.1007/s11748-015-0587-y

Cited by 5 publications

(7 citation statements)

References 9 publications

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“…The optimal surgical approach depends on the location and size of the cyst, as well as the individual experience of surgeons. Go et al reported a robotic resection of an MPC of 4.5 h, using four arms of the da Vinci Si system with two assistant ports 9 . In order to facilitate the operation, the patient twice underwent endobronchial ultrasound‐guided transbronchial needle aspiration (EBUS‐TBNA) and a total of 520 ml of fluid was aspirated from the cyst 9 .…”

Section: Discussionmentioning

confidence: 99%

Complete portal robotic resection of a giant mediastinal parathyroid cyst; A case report

et al. 2021

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Parathyroid cysts (PCs) are rare, benign, cystic lesions, and PCs that occur in the mediastinum (mediastinal parathyroid cysts [MPCs]) are even more rare. Surgical resection is recommended as the first choice of treatment for MPCs. Sternotomy, thoracotomy, and thoracoscopic approaches are the most common methods for resection of MPCs. Herein, we report a case of robotic right portal minimally invasive resection of a giant nonfunctional MPC in the right anterosuperior mediastinum.

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Section: Discussionmentioning

confidence: 99%

Complete portal robotic resection of a giant mediastinal parathyroid cyst; A case report

et al. 2021

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“…[2] Functioning mediastinal parathyroid cysts of the mediastinum are easy to diagnose due to the presence of symptoms of hyperparathyroidism and an evidence of mediastinal cysts. However, non-functioning mediastinal parathyroid cysts, which are seen in up to 60 to 80% of cases, are usually diagnosed incidentally and most commonly following the surgical excision.…”

Section: Discussionmentioning

confidence: 99%

“…In recent years, video-assisted thoracoscopic surgery, robotic surgery, and the use of intraoperative gamma probe scanning have come into question. [2] Furthermore, lately, it has been reported that robotic surgery is an effective and safe procedure for benign mediastinal lesions. [8] Total excision of the cyst is considered a curative treatment.…”

Section: Discussionmentioning

confidence: 99%

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Parathyroid cyst: A rare benign mediastinal cyst

Keskin¹,

Akdeniz²,

Ergin³

et al. 2017

Turk Gogus Kalp Dama

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ÖZParatiroid kistler, mediastende son derece nadir kistik oluşumlardır. İlk tanımlandığından bu yana, İngilizce literatürde yaklaşık 150 olgu bildirilmiştir. Hastalar genellikle kitlenin basısına bağlı semptomlar ile başvurmakla birlikte, hiperparatiroidi bulguları olguların yalnızca %20 ila %40'ında mevcuttur. Hastalığın ön tanısında paratiroid sintigrafisi faydalı olabilmekle birlikte, tanı genellikle cerrahi numunelerin ameliyat sonrası patolojik incelemesi ile konur. En uygun cerrahi işlem, kitlenin total rezeksiyonu olup, cerrahi seçenek lezyonun boyutuna ve yerine göre torakotomi veya median sternotomi olabilir. Bu yazıda, mediastinal kitlenin sağ hemitoraksa uzandığı 67 yaşında bir erkek olgu sunuldu.Anah tar söz cük ler: Kist; mediastinal; paratiroid. ABSTRACTParathyroid cysts are extremely rare cystic formations in the mediastinum. Since the first described case, there have been approximately 150 cases reported in the English literature. Patients often present with symptoms related to compression of the adjacent tissues, while only 20 to 40% of cases have an evidence of hyperparathyroidism. For preliminary diagnosis, parathyroid scintigraphy can be helpful, although most cases are diagnosed by postoperative pathological analysis of surgical samples. The most optimal surgical procedure is total excision of the mass, where the surgical approach of choice can be either thoracotomy or median sternotomy according to the size and localization of the lesion. Herein, we report a 67-year-old male case of a mediastinal mass extending to the right hemithorax.

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“…Classically accessed via cervical anterior approach, sternotomy, or thoracotomy, video-assisted thoracoscopic surgery (VATS) is now the mainstay of therapy for these surgically challenging lesions; however, the recent introduction of robotic surgery offers an alternative approach with distinct advantages (7)(8)(9)(10)(12)(13)(14)(15). The literature includes several reports of robotically resected mediastinal adenomas and cysts; however, to our knowledge, this is the first report of a robotically resected intrathymic functional PC (12)(13)(14)(15)(16).…”

Section: Introductionmentioning

confidence: 99%

An unusual etiology of hyperparathyroidism: robotic-assisted resection of a giant functional intrathymic parathyroid cyst

Davis

Yesantharao

et al. 2018

J. Vis. Surg.

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Parathyroid cysts (PCs) are relatively rare entities, with an even smaller proportion that functionally produce parathyroid hormone (PTH). Given associated hypercalcemia, often symptomatic, as well as potentially related osteoporosis and/or nephrolithiasis, resection of these functional cysts is often indicated. This case report details the management course for a patient who presented with primary hyperparathyroidism and was ultimately found to have a functional intrathymic PC. During initial workup, 4-dimensional computed tomography (4D-CT) of the neck demonstrated enlarged left upper and right lower parathyroid glands; however, the patient's hyperparathyroid state persisted even after bilateral neck exploration and resection of these two glands. Subsequent postoperative imaging of the mediastinum revealed a large (11 cm) thymic cyst. The patient consequently underwent uneventful robotic-assisted thoracoscopic excision of the mediastinal cyst. Intraoperative blood PTH levels dropped from 734 pg/mL preoperatively to 86 pg/nL 10 minutes following resection, consistent with surgical cure by the Miami Criteria. At two months postoperatively, the patient's serum total calcium (STC) was normal at 9.2 mg/dL. Final surgical pathology noted a 15-gram parathyroid gland, with cystic degeneration. As the robot becomes further integrated into the everyday practice of thoracic surgery, we believe this approach offers advantages over conventional video-assisted thoracoscopic surgery (VATS) for mediastinal resections. Advantages include better visualization and finer, more precise dissection, especially important in this case, given the proximity of vital structures and the small, but real, risk of parathyromatosis associated with intraoperative cyst rupture.

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Robotic resection of a mediastinal parathyroid cyst

Cited by 5 publications

References 9 publications

Complete portal robotic resection of a giant mediastinal parathyroid cyst; A case report

Complete portal robotic resection of a giant mediastinal parathyroid cyst; A case report

Parathyroid cyst: A rare benign mediastinal cyst

An unusual etiology of hyperparathyroidism: robotic-assisted resection of a giant functional intrathymic parathyroid cyst

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