J Endocr Surg.  2023 Sep;23(3):85-88. 10.16956/jes.2023.23.3.85.

Indocyanine Green-Guided Video-Assisted Thoracoscopic Surgery for Resection of an Ectopic Mediastinal Parathyroid Adenoma

Affiliations
  • 1Department of Surgery, Amphia Hospital Breda, Breda, The Netherlands

Abstract

Over the years, the applications of indocyanine green (ICG) fluorescence have increased exponentially. Recently, it was introduced in parathyroid surgery. We describe a case in which a parathyroid adenoma in the upper posterior mediastinum was resected by means of ICG-guided video-assisted thoracoscopic surgery. ICG helped in intra-operative localization and demarcation of the adenoma facilitating in toto resection, thereby successfully treating primary hyperparathyroidism.

Keyword

Minimally invasive surgical procedures; Hyperparathyroidism; Fluorescence; Optical imaging; Indocyanine green
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