Evidence map›Paper›PMID 39733582›Full record

ArticleInternational journal of surgery case reports2025

Robotic transthoracic approach to ectopic mediastinal parathyroid adenoma: A case report.

Gavin P Dowling, Cian M Hehir, Gordon R Daly, Maher N Shuhaibar, Peter Walshe

Abstract readCase Reports
In one paragraph

Article in International journal of surgery case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Gavin P DowlingDepartment of Surgery, Royal College of Surgeons in Ireland (RCSI) University of Medicine and Health Sciences, Dublin, Ireland; Department of Surgery, Beaumont Hospital, Dublin, Ireland. Electronic address: gavindowling@rcsi.com.
Cian M HehirDepartment of Surgery, Royal College of Surgeons in Ireland (RCSI) University of Medicine and Health Sciences, Dublin, Ireland; Department of Surgery, Beaumont Hospital, Dublin, Ireland.
Gordon R DalyDepartment of Surgery, Royal College of Surgeons in Ireland (RCSI) University of Medicine and Health Sciences, Dublin, Ireland; Department of Surgery, Beaumont Hospital, Dublin, Ireland.
Maher N ShuhaibarDepartment of Surgery, Mater Misericordiae University Hospital, Dublin, Ireland.
Peter WalsheDepartment of Surgery, Royal College of Surgeons in Ireland (RCSI) University of Medicine and Health Sciences, Dublin, Ireland; Department of Surgery, Beaumont Hospital, Dublin, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEctopic parathyroid adenomas represent an important cause of refractory hyperparathyroidism. While most ectopic mediastinal parathyroid adenomas can be accessed through a transcervical approach, this is not always feasible, posing a significant challenge. CASE PRESENTATION: We report the case of a 60-year-old female patient who presented with symptomatic hyperparathyroidism. Sestamibi scan was performed and failed to identify a parathyroid adenoma. Bilateral neck exploration was performed on twice, with normal parathyroid glands excised on both occasions. At this stage, a repeat sestamibi and CT scan revealed a suspected parathyroid adenoma in the mediastinum. A transthoracic robotic parathyroidectomy was performed, and the adenoma successfully excised. A full serological and symptomatic recovery was achieved. DISCUSSION: Mediastinal parathyroid adenomas can pose significant diagnostic and treatment challenges.

conclusionA robotic transthoracic approach demonstrates a safe method for the removal of parathyroid adenomas which are inaccessible transcervically, with low morbidity to patients.

Indexed as

Case reportMediastinumParathyroid adenomaParathyroidectomyRobotic surgery

Identifiers

PMID39733582
PMCPMC11743912

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