TITLE:
Robotic Mediastinal Parathyroidectomy in a Patient with Maxillary Giant Cell Tumor
AUTHORS:
Iskander Al-Githmi
KEYWORDS:
Surgery/Incisions/Exposure/Techniques; Surgical Equipment; Hormones; Mediastinum
JOURNAL NAME:
Surgical Science,
Vol.4 No.5,
May
7,
2013
ABSTRACT: A 50-year-old woman with a maxillary giant cell tumor had primary hyperparathyroidism from a
mediastinal parathyroid adenoma. Computed tomography showed a
mildly enhanced, oval soft tissue nodule (2.5 × 1.5 × 1.7 cm) at the
anterosuperior mediastinum. Mediastinal parathyroidectomy was performed with a
3-arm surgical robot. After surgery, the plasma parathyroid hormone level
decreased markedly (before surgery, 70.5 pg/ml; after surgery, 5.5 pg/ml; normal
reference range, 1.6 to 6.9 pg/ml). The 3-dimensional visualization,
high-dexterity, and full range of motion of the robotic system
provided an efficient and safe surgical procedure for the mediastinal tumor. The purpose of this case study is to show the
feasibility and effectiveness of robot assisted dissection for mediastinal
parathyroid gland and to demonstrate the giant cell tumor of the bone can regress after resection of
parathyroid adenoma.