Related Experiment Video
Updated: Mar 16, 2026
Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach
Published on: September 15, 2023
Prevertebral cervical approach: a pure endoscopic surgical technique for posterior mediastinum parathyroid adenomas
Juan Manuel Martos-Martínez1, Cristina Sacristán-Pérez2, Marina Pérez-Andrés2
1General and Digestive Surgery Department, Virgen del Rocío University Hospital, Avda, Manuel Siurot S/N, 41013, Seville, Spain. jmmartos66@gmail.com.
Background:
Parathyroid gland mediastinal ectopia is an unusual but challenging condition in surgical management of hyperparathyroidism. Posterior mediastinum parathyroid ectopia is rare, and glands need to be removed either with a broad open cervical or thoracic approach. In recent years, several minimally invasive approaches to mediastinal parathyroid glands have been described, but for posterior mediastinum adenomas, proposed techniques are transthoracic.
Methods:
The aim of this paper is to describe, to our best knowledge for the first time, a standardized pure endoscopic cervical technique to approach posterior mediastinal parathyroid adenomas which we have used in three patients.
Results:
The technique was applied in three patients which excellent surgical, postoperative, and cosmetic results.
Conclusions:
Endoscopic prevertebral approach is a feasible, sure and inexpensive standardized pure endoscopic cervical approach to posterior mediastinal parathyroid adenomas, which may result in a less aggressive surgical option when compared with thoracic approaches.
