Right VATS Completion Pneumonectomy

This video shows a completion pneumonectomy performed totally by video-assisted thoracoscopic surgery (VATS) on a 64-year-old female non-smoker. The patient underwent a right middle and lower lobectomy by thoracotomy in May 2014 for a T2N0M0 adenocarcinoma of the right lower lobe. The post-operative stay was prolonged for 10 days due to empyema. Repeat PET/CT scan in October 2014 showed a local recurrence in the upper lobe at the previous staple line. The patient was referred to the author’s institution for a second opinion. Her lung function was adequate and there were no other evidence of metastatic disease. She underwent a right VATS completion pneumonectomy.