Resección toracoscopia de una glándula paratiroidea hipersecretante mediastina
In general experienced hands, the inferior parathyroid glands, localized in the thymus or low extrathyrnus are the malo cause or surgical therapeutic fallure. When they could not be approached through cervicotomy, or when they were diagnosed after surgery the sternotoxny or the angiographic ablation...
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Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2004
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I10-R10-article-333132021-06-29T15:33:46Z Resección toracoscopia de una glándula paratiroidea hipersecretante mediastina Gramática (H), Luis Mercado Luna, Andrés Verasay, Guillermo Brizuela, Adrián Gramática, Luis Thoracoscopic Parathyroid Toracoscopia Paratiroides In general experienced hands, the inferior parathyroid glands, localized in the thymus or low extrathyrnus are the malo cause or surgical therapeutic fallure. When they could not be approached through cervicotomy, or when they were diagnosed after surgery the sternotoxny or the angiographic ablation were chosen as treatment. The limited number of thoracoscopic approach whit good results published so far, moved us to use this inethod. Material and method: patient of 49 years with a 7 year secondary hiperprathyroidism due to CRI. After a sub total parathyroidectomy with bilateral thimectomy, the patient did not present clinical or laboratory irnprovement. Through a thoracic centellogram sixth MIBI, NMR and CAT, a tumor In the rniddle mediastinurn was fond. The mediastinal structures have been easlly Iclentified through a left thoracoscopic approach. At the level of the aortopulmonary winclow, a turnoral mass is located and, with a simple dissection, et is easily extracted in bag. The biopsy through freezlng conflrms the parathyroid etiolo, of the gland. Result: clinical and laboratory evolution has been favorable, with hospital discharged at the 3- day, and being asyrnptomatic after two years. Conclusion: the hipersecretant parathyroid glands, located in middle mediastinum, that can not be approach through cervicotorny, can he successfully approach through thoracoscopic technique Por lo general en manos experimentadas las paratiroides inferiores, de localización tímica o extratírnica baja, son la principal causa de fracaso terapéutico quirúrgico. Cuando no son accesibles por cervicotomía o bien se diagnosticaron posteriormente, la esternotoinía o la ablación angiográfica eran considerados corno los tratamientos de elección. El haberse publicado limitadas experiencias de abordaje toracoscópico con buenos resultados nos motivo al empleo de esta vía. Material y método: paciente de 49 años con hiperparatiroidismo secundario por JRC de 7 años de evolución. Luego de una paratiroidectornía sub-total con timectomía bilateral, no presenta mejoría clínica ni de laboratorio. Al ser estudiada con centellograma sesta-MIBI. RMN y TAC torácica es localiza un tumor en mediastino mcido. Abordaje toracoscópico izquierdo, identificándose con facilidad las estructuras mediastinales. A nivel de la ventana aortopulmonar se localiza una masa tumoral que con simples maniobras de disección es fácilmente extraída en bolsa. La biopsia por congelación confirma la etiología paratiroidea de la misma. Resultado: Evolución clínica y de laboratorio favorable con alta de sala al 3- día, encontrándose a los dos años asintomático. Conclusión: vemos con entusiasmo el abordaje toracoscópico de glándulas paratiroideas hipersecretantes ubicadas en mediastino medio que no hayan podido ser extraídas l)Od cervicotomia. Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2004-06-09 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion . . . application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/33313 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 61 No. 2 (2004); 70-73 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 61 Núm. 2 (2004); 70-73 Revista da Faculdade de Ciências Médicas de Córdoba; v. 61 n. 2 (2004); 70-73 1853-0605 0014-6722 spa https://revistas.unc.edu.ar/index.php/med/article/view/33313/33742 Derechos de autor 2021 Universidad Nacional de Córdoba http://creativecommons.org/licenses/by-nc/4.0 |
institution |
Universidad Nacional de Córdoba |
institution_str |
I-10 |
repository_str |
R-10 |
container_title_str |
Revistas de la UNC |
language |
Español |
format |
Artículo revista |
topic |
Thoracoscopic Parathyroid Toracoscopia Paratiroides |
spellingShingle |
Thoracoscopic Parathyroid Toracoscopia Paratiroides Gramática (H), Luis Mercado Luna, Andrés Verasay, Guillermo Brizuela, Adrián Gramática, Luis Resección toracoscopia de una glándula paratiroidea hipersecretante mediastina |
topic_facet |
Thoracoscopic Parathyroid Toracoscopia Paratiroides |
author |
Gramática (H), Luis Mercado Luna, Andrés Verasay, Guillermo Brizuela, Adrián Gramática, Luis |
author_facet |
Gramática (H), Luis Mercado Luna, Andrés Verasay, Guillermo Brizuela, Adrián Gramática, Luis |
author_sort |
Gramática (H), Luis |
title |
Resección toracoscopia de una glándula paratiroidea hipersecretante mediastina |
title_short |
Resección toracoscopia de una glándula paratiroidea hipersecretante mediastina |
title_full |
Resección toracoscopia de una glándula paratiroidea hipersecretante mediastina |
title_fullStr |
Resección toracoscopia de una glándula paratiroidea hipersecretante mediastina |
title_full_unstemmed |
Resección toracoscopia de una glándula paratiroidea hipersecretante mediastina |
title_sort |
resección toracoscopia de una glándula paratiroidea hipersecretante mediastina |
description |
In general experienced hands, the inferior parathyroid glands, localized in the thymus or low extrathyrnus are the malo cause or surgical therapeutic fallure. When they could not be approached through cervicotomy, or when they were diagnosed after surgery the sternotoxny or the angiographic ablation were chosen as treatment. The limited number of thoracoscopic approach whit good results published so far, moved us to use this inethod. Material and method: patient of 49 years with a 7 year secondary hiperprathyroidism due to CRI. After a sub total parathyroidectomy with bilateral thimectomy, the patient did not present clinical or laboratory irnprovement. Through a thoracic centellogram sixth MIBI, NMR and CAT, a tumor In the rniddle mediastinurn was fond. The mediastinal structures have been easlly Iclentified through a left thoracoscopic approach. At the level of the aortopulmonary winclow, a turnoral mass is located and, with a simple dissection, et is easily extracted in bag. The biopsy through freezlng conflrms the parathyroid etiolo, of the gland. Result: clinical and laboratory evolution has been favorable, with hospital discharged at the 3- day, and being asyrnptomatic after two years. Conclusion: the hipersecretant parathyroid glands, located in middle mediastinum, that can not be approach through cervicotorny, can he successfully approach through thoracoscopic technique |
publisher |
Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
publishDate |
2004 |
url |
https://revistas.unc.edu.ar/index.php/med/article/view/33313 |
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first_indexed |
2022-08-20T01:27:54Z |
last_indexed |
2022-08-20T01:27:54Z |
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