Thoracoscopic and Transmanubrial Approach for Mediastinal Tumor Extending to the Neck.

The combination of thoracoscopic and transmanubrial approaches provides good visualization and maneuverability of the cervicothoracic junction area. Here we report the case of a young woman with a mediastinal tumor extending to the neck who first underwent a thoracoscopic approach followed by a transmanubrial approach. This procedure was superior in terms of technical advantages and preserved function as well as minimally invasive and cosmetically pleasing. The preceding thoracoscopic approach made it easier to understand the location relationships between the tumor and anatomic structures in the transmanubrial approach. This combined procedure is appropriate for mediastinal tumors extending to the neck.