Abstract: Objective:To explore the clinical application of cervical incision combined with videoassisted thoracoscopic surgery approach in cerviomediastinal benign tumor resection.Methods:We retrospectively analyzed clinical data of six patients with cervicomediastinal tumor undergoing resection via a cervical incision combined with videoassisted thoracoscopic surgery.Results:All the six patients were successfully completed the surgery，without conversion to open surgery or any other surgical related complications.The average operative time was（108.3±16.9）min，and intraoperative bleeding was（51.7±16.3）ml.The postoperative hospitalization stay was（4.3±1.0）d with short cervical drainage[（1.3±0.5）d]and chest tube[（（2.7±0.8）d] indwelling time.Pathological reports demonstrated four cystic lymphangiomas，one nodular goiter and one lipomyoma.No tumor recurrence was seen during 6～32 months followup period.Conclusion:Cerviomediastinal benign tumor resection via cervical incision combined with videoassisted thoracoscopic approach is safe and effective.

Key words: cervical incision, videoassisted thoracoscopic surgery, cerviomediastinal benign tumor, surgical approach