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A 69-year-old male patient with a history of melanoma and prostate cancer was found to have a 2.6 cm PET-avid, slowly enlarging, left upper lobe lung nodule that was suspicious for either metastasis or primary lung cancer. Due to the deep location of the nodule, a wedge resection was not recommended. A diagnostic and therapeutic uniportal video-assisted thoracoscopic surgery (U-VATS) left upper lobe trisegmentectomy was performed uneventfully. Final pathology confirmed the presence of metastasis from prostate cancer without lymph node involvement. His recovery was uneventful and he was discharged two days after surgery. In this video, we demonstrate our technique for left upper lobe lingula-sparing lobectomy (trisegmentectomy). More importantly, the video demonstrates that a thorough lymphadenectomy can be effectively performed during U-VATS lung resections.

Uniportal video-assisted thoracoscopic surgery left upper lobe trisegmentectomy using flexible tip 3D video scope