Large thoracic duct cysts are rare and standard lateral thoracotomy is usua
lly used for resection. In the reported case the combination of an antero-l
ateral thoracotomy with a partial longitudinal median sternotomy (hemiclams
hell approach) allowed an excellent visualization and dissection of a large
thoracic duct cyst expanding in the anterior cervico-thoracic junction, an
d was associated with an uncomplicated recovery. (C) 2000 Elsevier Science
B.V. All rights reserved.