We report a 39-year-old male with accidental findings of
posterior mediastinum mass at right superior aspects, located
at T2 with close proximity to trachea, superior vena cava,
azygus vein, right subclavian artery and oesophagus. Apart
from intermittent right shoulder pain, there was no other
significant symptom. He opted for conservative management
initially, given the benign nature and proximity to important
structures. We postulated that robotic approach will be of
advantage for this particular case which was successfully
performed with uneventful recovery. This case illustrated the
advantages of robotic-assisted surgery, compared to
conventional VATS in otherwise potentially difficult case to
undertake.