Video-assisted thoracoscopic superior segmentectomy of the right lower lobe

Sublobar resections are still controversial for lung cancer, but for patients who can’t tolerate lobectomy, such as those suffering from cardiopulmonary comorbidities and aged people, sublobar resections are better choices. Lobectomy and sublobar resections have similar surgical effect on patients with tumors ≤2 cm. A 64-year-old patient with chronic obstructive pulmonary disease (COPD) and poor pulmonary function on pre-operation evaluation underwent thoracoscopic superior segementectomy with systemic mediastinal lymph node dissection. Three holes were adopted, the major operation hole was a 3 cm mini-incision in the 4^th intercostal space of anterior axillary line. The patient has recovered well after the surgery.