Abstract
Indications of thoracoscopic surgery has been increasingly extended with the improvement in the instrument and operative procedure. Recently we successfully resected a large mediastinal teratoma which extended to the neck by thoracoscopic surgery with collar incision of the neck. A 35-year-old man was admitted to the hospital because of a tumor shadow on a chest X-ray film. Computed tomography and magnetic resonance imaging revealed that the tumor was a large mediastinal teratoma extending to the neck. Aiming at a minimally invasive surgery, we performed a thoracoscopic surgery combined with collar incision of the neck. After the upper portion of the tumor extending to the neck was divided by the transcervical approach, the tumor was extirpated by the thoracoscopic procedure. It is thought that the method is safe and minimally invasive even for large mediastinal benign tumors.
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