We performed video-assisted thoracoscopic surgery (VATS) combined with posterior surgery for two patients with dumbbell tumor at the thoracic level. The patients were a 35-year-old male and a 51-year-old female. Following the resection of the intra-spinal-canal portion of the tumor with posterior approach, the intra-thoracic lesion was resected using VATS instead of conventional approach in both patients. Complete resection of tumor was successfully performed without neurological complication. VATS is useful for the treatment of dumbbell tumor at the thoracic level.
