Radioisotope-navigated video-assisted thoracoscopic operation for ectopic mediastinal parathyroid

Surgery ◽  
2002 ◽  
Vol 132 (1) ◽  
pp. 17-19 ◽  
Author(s):  
Naoyoshi Onoda ◽  
Tetsuro Ishikawa ◽  
Nobuya Yamada ◽  
Terue Okamura ◽  
Hideki Tahara ◽  
...  
Keyword(s):  
Video Assisted ◽  
Thoracoscopic Operation ◽  
Mediastinal Parathyroid

Video-Assisted Thoracoscopic Operation for Interruption of Patent Ductus Arteriosus in Adults

1997 ◽  
Vol 63 (1) ◽  
pp. 175-179 ◽  
Author(s):  
Jaw-Ji Chu, MD ◽  
Chau-Hsiung Chang, MD ◽  
Pyng Jing Lin, MD ◽  
Hui-Ping Liu, MD ◽  
Feng-Chun Tsai, MD ◽  
...  
Keyword(s):  
Patent Ductus Arteriosus ◽  
Ductus Arteriosus ◽  
Video Assisted ◽  
Thoracoscopic Operation ◽  
Patent Ductus

scholarly journals Video-assisted thoracoscopic surgery for ectopic mediastinal parathyroid tumor: subxiphoid and lateral thoracic approach

2019 ◽  
Vol 11 (7) ◽  
pp. 2932-2938 ◽  
Author(s):  
Hiromitsu Nagano ◽  
Takashi Suda ◽  
Hisato Ishizawa ◽  
Takahiro Negi ◽  
Hiroshi Kawai ◽  
...  
Keyword(s):  
Thoracoscopic Surgery ◽  
Parathyroid Tumor ◽  
Video Assisted ◽  
Thoracic Approach ◽  
Mediastinal Parathyroid ◽  
Video Assisted Thoracoscopic Surgery

scholarly journals Sėkmingas minimaliai invazinis chirurginis pleuros empiemos gydymas

2014 ◽  
Vol 13 (3) ◽  
pp. 168-176
Author(s):  
Žymantas Jagelavičius ◽  
Vytautas Jovaišas ◽  
Algis Kybartas ◽  
Arūnas Žilinskas ◽  
Lina Lukoševičiūtė ◽  
...  
Keyword(s):  
Thoracic Surgery ◽  
Lung Ventilation ◽  
Pleural Empyema ◽  
Video Assisted Thoracic Surgery ◽  
Video Assisted ◽  
Prolonged Air Leak ◽  
Rising Incidence ◽  
The Right ◽  
Thoracoscopic Operation ◽  
Preoperative Factors

Įvadas / tikslasPleuros empiema – viena iš seniausiai žinomų krūtinės ligų ir iki šiol yra susijusi su didėjančiu sergamumu visame pasaulyje. Kaip ir daugelyje chirurgijos sričių, gydant pūlinėmis pleuros ligomis sergančius ligonius populiarėja minimaliai invazinės chi­rurginės procedūros. Tačiau torakoskopinė operacija vis dar negali pakeisti atvirosios visais empiemų atvejais. Šiame straips­nyje supažindiname su mūsų atliekamų torakoskopinių pleuros empiemos operacijų metodika ir aptariame pradinę patirtį.Ligoniai ir metodaiNuo 2011 m. sausio iki 2013 m. rugsėjo torakoskopiškai buvo operuoti 49 ligoniai, sergantys pleuros empiema. Visi pacientai operuoti sukėlus bendrinę nejautrą, naudojant vieno plaučio ventiliaciją. Visos torakoskopinės operacijos buvo padarytos per dvi arba tris angas krūtinėje. Tais atvejais, kai sėkmingai atlikti torakoskopiniu būdu empiemektomijos nepavykdavo, būdavo pereinama į atvirąją (torakotominę) operaciją.RezultataiSėkmingai videotorakoskopinė operacija buvo atlikta 36 (73,5 %) ligoniams, o 13 (26,5 %) atvejų prireikė konversijos į atvirą operaciją. Pleuros ertmės sąaugos ir negalėjimas iki galo pašalinti ant plaučio paviršiaus susidariusio jį kaustančio šarvo buvo pagrindinės konversijų priežastys. Dešimt (20 %) ligonių patyrė tokių pooperacinių komplikacijų kaip ligos atkrytis, ilgesnį laiką besiskiriantis pro drenus oras, žaizdos infekcija.IšvadosPleuros empiemos atveju minimaliai invazinė chirurgija yra saugi ir pakankamai efektyvi. Tačiau turėtume ieškoti tam tikrų veiksnių, kurie padėtų atrinkti asmenis, tinkamus sėkmingai torakoskopinei pleuros empiemos operacijai.Reikšminiai žodžiai: pleuros empiema, piotoraksas, videoasistuojamoji krūtinės chirurgija, empiemektomija, dekortikacija Successful video-assisted thoracic surgery for pleural empyemaŽymantas Jagelavičius, Vytautas Jovaišas, Algis Kybartas, Arūnas Žilinskas, Lina Lukoševičiūtė, Ričardas Janilionis, Narimantas Evaldas Samalavičius Background / ObjectiveFew thoracic conditions present such a considerable challenge as does pleural empyema. The disease is known since Hip­pocrates’ time, nonetheless it is still associated with the rising incidence all over the world. Minimally invasive procedures be­come more and more popular in many fields of surgery as well as in patients with pleural empyema. However, video-assisted thoracoscopy cannot replace open surgery in all empyema cases. In this report, we would like to present our thoracoscopic technique and preliminary experience in treating patients with pleural empyema.Patients and methodsDuring the period from January 2011 till September 2013, thoracoscopic empyemectomy was performed in 49 patients. All patients were operated on under general anaesthesia using single lung ventilation. All procedures were performed through two or three ports. Conversion to thoracotomy was performed when it was impossible to make successfully thoracoscopic empyemectomy.ResultsA video-assisted thoracoscopic operation was successful in 36 (73.5%) patients, whereas in 13 (26.5 %) cases a conversion was required. Pleural space adhesions and inability to remove completely the peel from the underlying lung were the main reasons for conversion. Ten (20%) patients had postoperative complications such as recurrence of disease, prolonged air leak, or wound infection.ConclusionsMinimally invasive surgery is a safe and effective treating of patients with pleural empyema. However, we should search for preoperative factors of identifying the right persons who could be cured successfully by video-assisted thoracoscopic sur­gery.Key words: pleural empyema, pyothorax, video-assisted thoracic surgery, empyemectomy, debridement, decortication

scholarly journals Video-assisted Thoracoscopic Removal of an Ectopic Mediastinal Parathyroid Adenoma on CO2 Insufflation

2016 ◽  
Vol 77 (6) ◽  
pp. 1347-1352
Author(s):  
Kanetaka MAESHIRO ◽  
Ryoko ONO ◽  
Kenri AKAMINE ◽  
Chiaki SHINZATO ◽  
Youei TAKAMIYAGI ◽  
...  
Keyword(s):  
Parathyroid Adenoma ◽  
Video Assisted ◽  
Co2 Insufflation ◽  
Mediastinal Parathyroid Adenoma ◽  
Mediastinal Parathyroid

scholarly journals Comparison of video-assisted thoracic surgery with open surgery in the treatment of ectopic mediastinal parathyroid tumors

2017 ◽  
Vol 9 (12) ◽  
pp. 5171-5175 ◽  
Author(s):  
Hailei Du ◽  
Minmin Shi ◽  
Lianggang Zhu ◽  
Jiamin Che ◽  
Junbiao Hang ◽  
...  
Keyword(s):  
Thoracic Surgery ◽  
Open Surgery ◽  
Video Assisted Thoracic Surgery ◽  
Parathyroid Tumors ◽  
Video Assisted ◽  
Mediastinal Parathyroid

scholarly journals Video-assisted thoracoscopic surgery for primary hyperparathyroidism with ectopic parathyroid adenoma in thymus

2021 ◽  
pp. 42-42
Author(s):  
Radoica Jokic ◽  
Jelena Antic ◽  
Ivana Vorgucin ◽  
Mila Stajevic ◽  
Zoran Nikin ◽  
...  
Keyword(s):  
Primary Hyperparathyroidism ◽  
Parathyroid Adenoma ◽  
Bone Fractures ◽  
Thoracoscopic Surgery ◽  
Parathyroid Tissue ◽  
Normal Serum ◽  
Video Assisted ◽  
Ectopic Parathyroid ◽  
Mediastinal Parathyroid ◽  
Video Assisted Thoracoscopic Surgery

Introduction. Primary hyperparathyroidism (PHPT) is rare pathology in children (2-5:100,000). In more than 85% of patients, a single adenoma is present, and its extirpation is usually the only treatment a patient needs. In approximately 15-80%of cases, ectopic mediastinal parathyroid tissue can be found inside the thymus. Case outline. Our patient was a 13-year-old boy, who presented with multiple bone fractures in the previous period of time, and fatigue. PTH levels preoperatively were extremely high (1320 pg/ml - more than 19 times higher than normal). Serum calcium was also elevated (total 3.55 mmol/l; ionized 1.41 mmol/l). He was examined and diagnosed as PHPT by a pediatric endocrinologist. Imaging procedures for the preoperative localization of parathyroid adenomas were done (99mTc sestamibi scintigraphy and MRI suggested ectopic mediastinal parathyroid adenoma). The patient underwent video-assisted thoracoscopic surgery procedure. After exploration of the mediastinum and chest, no ectopic parathyroid tissue was found, so total thoracoscopic thymectomy was performed. Final pathological section confirmed parathyroid adenoma inside the thymus. Conclusion. We believe that if no parathyroid tissue is found during surgical exploration of mediastinum, in a child with preoperatively detected parathyroid adenoma in anterior mediastinum, recommendation is to think about possible intrathymal localization and consider removing the thymus. Greater sample size is necessary for higher reliability of this statement.

scholarly journals Mediastinal parathyroid cyst: a case resected under video assisted thoracoscopic surgery.

1998 ◽  
Vol 12 (6) ◽  
pp. 676-680 ◽  
Author(s):  
Yasuyuki Shibata ◽  
Hiroshi Niwa ◽  
Takeshi Yamada ◽  
Hisanori Kani ◽  
Katsutoshi Maemoto ◽  
...  
Keyword(s):  
Thoracoscopic Surgery ◽  
Parathyroid Cyst ◽  
Video Assisted ◽  
Mediastinal Parathyroid ◽  
Video Assisted Thoracoscopic Surgery
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