Robotic resection of parathyroid adenoma in the middle mediastinum

Ectopic parathyroid adenomas present a diagnostic and surgical challenge, particularly when located in anatomically complex regions such as the middle mediastinum. This report describes the case of a 76-year-old male with primary hyperparathyroidism caused by a parathyroid adenoma situated anterior to the oesophagus and beneath the aortic arch. Robotic-assisted thoracoscopic resection enabled precise, minimally invasive excision with successful post-operative biochemical resolution. This case highlights the evolving role of robotic techniques in endocrine and thoracic surgery.