Resección toracoscopia de una glándula paratiroidea hipersecretante mediastina

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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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Autores principales: Gramática (H), Luis, Mercado Luna, Andrés, Verasay, Guillermo, Brizuela, Adrián, Gramática, Luis
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2004
Materias:
Thoracoscopic
Parathyroid
Toracoscopia
Paratiroides
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/33313
Aporte de:
Revistas de la UNC de Universidad Nacional de Córdoba
id I10-R10article-33313
record_format ojs
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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