Uniportal video-assisted thoracoscopic surgery (VATS) lobectomy with en bloc lymphadenectomy for a large central type carcinoma at right upper lobe

A 59-year-old man had a persistent cough for 6 weeks. After admission, the contrast-enhanced chest CT revealed a 7 cm × 6 cm × 6 cm tumor in diameter at the right upper lobe. Flexible bronchoscopy detected a neoplasm at the orifice to the anterior segmental bronchus of the right upper lobe. The biopsy revealed as adenocarcinoma. Preoperative imaging studies defined the disease as stage IIb–IIIa (T3N0–1M0) non-small cell lung cancer (NSCLC). Other preoperative workup confirmed the patient was operable, and a uniportal video-assisted thoracic surgery (VATS) right upper lobectomy with systematic lymph node dissection was performed. The final pathological result showed a pT3N2M0 (IIIa) adenocarcinoma.