We report a case of a 50-year-old man with hyperparathyroidism seconda
ry to chronic renal failure who underwent extirpation of a mediastinal
ectopic parathyroid gland by a transcervical approach under mediastin
oscopy. This procedure provides an excellent approach to the mediastin
al ectopic parathyroid gland, and is less invasive than median sternot
omy or thoracotomy.