視訊輔助胸腔鏡手術對異位縱膈腔副甲狀腺腺瘤切除,對於無法經由頸部手術和避免胸骨切開術,是一安全、有效、符合美容原則,及病患可以接受的方法。我們報告一位55歲女性病患因腎衰竭有長期洗腎病史,因為異位縱膈腔副甲狀腺腺瘤,造成持續性副甲狀腺功能過高症,經視訊輔助胸腔鏡手術,成功切除腺瘤。
Ectopic mediastinal parathyroid adenoma (EMPA) is not accessible by standard cervical surgical approaches. Although sternotomy is a common procedure for resecting EMPA, video-assisted thoracoscopic surgery (VATS) is a safe and effective alternative which produces aesthetically acceptable results. We describe a case of a 55-year-old woman on dialysis with chronic renal failure and persistent hyperparathyroidism resulting from an EMPA which was removed successfully by VATS.