Mediastinoscopy followed by uniportal video assisted fissureless right upper lobectomy for cT3 (chest wall involvement) tumour.

Uniportal video assisted thoracoscopic surgery is a widely adopted method for lung resections. One of the main advantages quoted in favour of this minimally invasive technique is the violation of only a single intercostal space and hence less post-operative pain. Fissureless lobectomy decreases the chances of post-operative air leak, especially when fissures are poorly formed. Tumour-abutting parietal pleura can be managed with uniportal video assisted thoracoscopic surgery, with resection of the cuff of the parietal pleura around the tumour, to achieve a negative margin. This video tutorial demonstrates a fissureless right upper lobectomy, in the presence of significant adhesions and pleural infiltration.