Once a BC is found in the adult, surgical resection is indicated
regardless of the presence or absence of symptoms.3,,5 The
traditional surgical approach to mediastinal BC is open thoracotomy.
With the advancement of VATS techniques and instruments, thoracoscopic
removal of the cyst has been performed with no mortality and minimal
morbidity.6,,7,,8 Nevertheless, there are reports of
intraoperative or postoperative bleeding due to a vascular injury and
other complications during or after cyst resections.5,,7