A mediastinal liposarcoma resected using a double approach with a thoracoscope

We report a case of a 45-year-old woman who underwent a complete resection of a liposarcoma using thoracoscopic and cervical approaches. General checkup and computed tomography revealed a large mediastinal tumor occupying the thoracic outlet, which had reached the posterior thyroid region, and another small tumor at a subcarina. A cervical method for evaluating a neck lesion and a thoracoscopic (video-assisted thoracic surgery) approach for assessing a mediastinal lesion were performed. This double approach provided excellent visualization and enabled us to perform fine manipulation even within the narrow thoracic outlet region. The patient was disease free at 11 months after surgery.