Single Incision VATS Right Upper Lobectomy for Bronchiectasis in a Patient With Severe Pleural Adhesions

A 54-year-old woman was admitted to the author’s clinic with complaints of a cough producing bloody sputum for the past six months. No etiological factors had been detected during medical examinations. Chest-computed tomography showed localized bronchiectasis in the right upper lobe, and it was recommended that the patient undergo a VATS lobectomy.

A single incision was made over the right 5th intercostal space in the midaxillary line. There were dense pleural adhesions that were dissected by LigaSure and blunt dissection. The pulmonary artery branches, veins, and bronchus were dissected and stapled. The fissure was divided and a single drain was placed. The drain was removed on the second postoperative day, and the patient was discharged uneventfully on postoperative day four.

During the asymptomatic six-month follow-up, no early or late postoperative pain complaint was observed. Definitive pathological examination revealed saccular-type bronchiectasis.