To report the outcomes of a single-port subxiphoid robotic technique for the excision of ectopic mediastinal parathyroid adenomas.
Key Findings:
Single-port subxiphoid robotic excision was successful in 100% of cases with no conversions or intraoperative complications.
Mean operative time was 150 minutes with estimated blood loss of less than 50 mL.
Intraoperative PTH levels decreased by over 80% post-excision in both patients, meeting Miami criteria.
Both patients were discharged on postoperative day one with normalized ionized calcium at one-week follow-up.
Final pathology confirmed parathyroid adenoma in both cases.
Interpretation:
The series demonstrates the safety and feasibility of a true uniportal single-port subxiphoid robotic approach for ectopic mediastinal parathyroid adenomas.
Limitations:
The case series includes only two patients, limiting generalizability.
Long-term outcomes and potential complications were not assessed.
Conclusion:
The single-port robotic approach may serve as a minimally invasive alternative for selected patients with ectopic mediastinal parathyroid adenomas.
