A mediastinal liposarcoma resected using a double approach with a thoracoscope.

[liposarcoma]

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 .