Subxiphoid approach with sternum retractor for mediastinal tumor cephalad to brachiocephalic vein.

The subxiphoid approach for mediastinal tumors involves resecting the tumor via incisions made below the xiphoid process (1). Because the camera is inserted through the midline subxiphoid region, the operative view of the neck region and locations of the bilateral intercostal nerves are easily accessible, especially with the help of a sternum retractor. Here, we introduce a case of mediastinal tumor cephalad to the brachiocephalic vein resected via the subxiphoid approach.