Video-assisted thoracoscopic resection of a thoracic inlet schwannoma with neuroforaminal involvement: a case report

Tumors of the posterior mediastinum, particularly when involving the neural foramina, are typically resected via thoracotomy or by a hybrid method with a combination of video-assisted thoracoscopy and open surgery. However, in the appropriate anatomic and clinical context, a video-assisted thoracoscopic approach may be feasible, and such an approach may decrease postoperative pain and hospital length of stay. We present a patient with a benign schwannoma of the thoracic inlet and posterior mediastinum with symptomatic mass effect on surrounding structures. Extensive interdisciplinary discussion with the patient resulted in a minimally invasive, anterior surgical approach. We discuss the unusual surgical approach, complications, and recommendations for future similar cases.