A 31-year-old male presented with a history of persistent cough and pneumonia. A CT scan showed extensive adhesions in the pleural cavity and a 15 mm aortic branch. A left lower lobectomy was performed, using one camera port and a utility incision. The inferior aspect of the lung and its vascular elements were dissected first. The lower bronchus, a small artery branch for segment 6, and the fissure were then dissected.
