Resection of a large thymoma of 15 cm without thoracotomy nor sternotomy

Video-assisted thoracoscopic surgery (VATS) is an accepted approach for small (less than 5 cm), well encapsulated, non-invasive thymoma. However, larger thymoma are generally managed by standard sternotomy to achieve safe dissection and easier extraction of the specimen. We present the case of a patient who underwent the resection of a large 15 cm thymoma without thoracotomy nor sternotomy by using a bilateral thoracoscopy and subxiphoid extraction of the tumour.