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Video-assisted right inferior parathyroidectomy

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Video-assisted right inferior parathyroidectomy

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關鍵字

parathyroidectomy,hyperparathyroidism,minimally invasive,video-assisted surgery

媒體類型

手術影片

期間

03'00''

刊物

2005-05

普通的

最愛

Favorites Media

音訊

副標題

數位出版

WeBSurg.com, May 2005;5(05).
URL: http://www.websurg.com/doi-vd01en1796b.htm

Video-assisted right inferior parathyroidectomy

1. Skin access 00'11''

The operation is performed through a central unique skin incision. We open the linea alba. We put a retractor inside. We don’t use gas. This is a young male and the preoperative localization showed an inferior right adenoma. So we are on the right side now. The right lobe is under the retractor, and the other retractor is as usual on the strap muscle. We put all the instruments through the same skin incision. This is a small medial vein and underneath we are supposed to find the adenoma. This is the vertebral plane on the right side. We try to find the recurrent nerve now with 2 spatulas, the aspirator spatula and another one. We dissect the space to better visualize the adenoma.

2. Recurrent nerve 01'38''

And now we can feel the adenoma underneath the vessels. We find the recurrent nerve, and the inferior thyroid artery,

3. Adenoma 01'50''

and the adenoma is underneath the recurrent nerve. Now we can visualize very well and we are ready to cut the pedicle of the adenoma. We have seen the nerve and we can cut safely.

4. Vascular pedicle of adenoma 02'20''

The adenoma is now outside. We can check the intraoperative PTH as usual.

5. End of procedure 02'34''

We wait for the quick PTH value. We then close the skin in the same way.