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Video-assisted thoracic surgery left upper lobectomy with systematic lymphadenectomy.

A 62-year-old woman was referred to the Thoracic Surgery Department after computed tomography (CT) revealed a 1.0 cm × 1.1 cm mass peripherally in the left upper lobe with spicular formation during her routine medical examination. The nature of the mass was confirmed to be adenocarcinoma by transpercutaneous lung biopsy. No metastasis or contraindication for surgery was found. Video-assisted thoracic surgery (VATS) left upper lobectomy with systematic lymphadenectomy was performed. Total surgery time was 80 min and blood loss was 50 mL. Postoperative pathological exam suggested adenocarcinoma, without evidence of lymph node metastasis in any station (T1aN0M0 stage IA). The patient was discharged home on the 10(th) postoperative day.