We report a complete videothoracoscopic resection of a posterior media
stinal tumor (neurilemmoma) in a 43-year-old man. The tumor was locate
d in the right cupula of pleura and well demarcated. The tumor was mob
ilized under videothoracoscopic guidance and extracted from the thorac
ic cavity through a trocar site. The postoperative course was uneventf
ul, and the postoperative pain could be reduced.