Robotic Resection of Ectopic Parathyroid Glands in the Superior Posterior Mediastinum.

Background

Ectopic parathyroid glands can present in a challenging location in the superior posterior mediastinum.

Methods

Two patients with primary hyperparathyroidism were operated on for ectopic paraesophageal parathyroid glands in the superior posterior mediastinum. Sestamibi scan, computed tomography (CT) scan, and photon emission CT were used to identify the exact location of these glands. We describe a minimally invasive resection using a three-arm robotic-assisted thoracoscopic technique.

Results

Both lesions were completely resected with using the port-based robotic approach with expedited recovery. There was no perioperative morbidity. Patient had low postoperative pain scores and improved symptomatically.

Conclusion

Robotic approach for resection of superior posterior mediastinal parathyroids is safe and effective in this challenging operative location.