Abstract
Mesothelial cysts represent 5% to 10% of mediastinal tumors, and almost all are asymptomatic. Despite their benign behavior, surgical excision is the accepted treatment for symptomatic cysts or uncertain diagnosis. The are some concerns about indications for surgery in symptom-free patients with typical aspect on computed tomography. In the past decade, the advent of the video-assisted endoscopic techniques has simplified the treatment. Video-assisted thoracoscopic surgery has been reported to be a safe and effective procedure. We describe our first 3 cases of successful complete excision of mesothelial paratracheal cysts with video-assisted mediastinoscopy (VAM), including technical details.
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