{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T19:02:56Z","timestamp":1777921376231,"version":"3.51.4"},"reference-count":24,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2019,12,1]],"date-time":"2019-12-01T00:00:00Z","timestamp":1575158400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2019,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>\n                      Minimally invasive (video-assisted thoracoscopic surgery) mediastinal parathyroidectomy has been described as a technique for surgical management of primary hyperparathyroidism due to ectopic parathyroid adenoma. Herein, we present the largest cohort of patients (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20098) treated with robot-assisted mediastinal parathyroidectomy and describe our technique for this procedure, pre- and intraoperative variables, and postoperative outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>A single surgeon, single institution case series of eight consecutive robot-assisted mediastinal parathyroidectomies performed from April 2013 to March 2018. Preoperative workup, intraoperative variables, and postoperative outcomes were evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Of the eight patients, seven were women. Average age was 54 years (range: 28\u201369) and average body mass index 33.6 (range: 24.8\u201342.9). Seven patients had a preoperative diagnosis of primary hyperparathyroidism with preoperative parathyroid hormone (PTH) and calcium levels (PTH: 137 (70\u2013192); Ca\n                      <jats:sup>2+<\/jats:sup>\n                      : 10.9 (10.2\u201312), and one patient had preoperative diagnosis of thymoma. Preoperative imaging studies included computed tomography (CT)-sestamibi (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20093), CT neck (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20094), CT chest (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20096), and neck ultrasound (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20096). Intraoperative PTH measurements found &gt;50% reduction in all cases. Average length of surgery was 108.6 minutes (range: 76\u2013186); average blood loss 26 cc. All specimens were parathyroid adenomas, with an average size of 16\u2009mm (range: 7\u201335\u2009mm). Seven of eight patients were discharged on postoperative day 1. No complications or recurrences occurred at a median follow-up of 18.5 days (range: 15\u20131,066 days).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Robot-assisted thoracoscopic parathyroidectomy is a safe and effective technique, with immediate improvement in PTH levels. Thorough clinical, biochemical, and radiologic preoperative workup assists in operative planning and may improve diagnostic accuracy of anterior mediastinal masses.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lap.2019.0266","type":"journal-article","created":{"date-parts":[[2019,6,12]],"date-time":"2019-06-12T10:35:13Z","timestamp":1560335713000},"page":"1561-1564","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Robot-Assisted Thoracoscopic Mediastinal Parathyroidectomy: A Single Surgeon Case Series"],"prefix":"10.1177","volume":"29","author":[{"given":"Benjamin B.","family":"Scott","sequence":"first","affiliation":[{"name":"Department of Surgery and Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark W.","family":"Maxfield","sequence":"additional","affiliation":[{"name":"Division of Thoracic Surgery and Interventional Pulmonology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryoko","family":"Hamaguchi","sequence":"additional","affiliation":[{"name":"Harvard Medical School, Boston, Massachusetts."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer L.","family":"Wilson","sequence":"additional","affiliation":[{"name":"Division of Thoracic Surgery and Interventional Pulmonology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael S.","family":"Kent","sequence":"additional","affiliation":[{"name":"Division of Thoracic Surgery and Interventional Pulmonology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sidhu P.","family":"Gangadharan","sequence":"additional","affiliation":[{"name":"Division of Thoracic Surgery and Interventional Pulmonology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,12,4]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-200205000-00008"},{"key":"e_1_3_2_3_2","first-page":"ED40","article-title":"Ectopic parathyroid adenoma presenting as a mediastinal mass","volume":"11","author":"Vaidya A","year":"2017","unstructured":"Vaidya A, , Gouri M, , Sudha HM, , Mysorekar V, , Balekudura A. Ectopic parathyroid adenoma presenting as a mediastinal mass. J Clin Diagn Res, 2017; 11:ED40\u2013ED42.","journal-title":"J Clin Diagn Res"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2005.10.049"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0032-1327628"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1308\/003588415X14181254789088"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198106000-00016"},{"key":"e_1_3_2_8_2","first-page":"999","article-title":"Thoracoscopic excision of enlarged mediastinal parathyroid glands","volume":"116","author":"Prinz RA","year":"1994","unstructured":"Prinz RA, , Lonchyna V, , Carnaille B, , Wurtz A, , Proye C. Thoracoscopic excision of enlarged mediastinal parathyroid glands. 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