Abstract
BACKGROUND: Complete thoracoscopic surgery has advanced, and its indication has also been extended to complex procedures. The aim of this study is to investigate the feasibility of complete single-utility-port thoracoscopic lobectomy with rib resection. METHODS: A patient was diagnosed with lung cancer and single-rib metastasis. The patient received lobectomy and segment costectomy through complete single-utility-port thoracoscopic surgery. The literature was also reviewed. RESULTS: The tumor was staged at T1N1M1. The patient made an uneventful recovery and was dismissed on day 4 after surgery. At the last follow-up, the patient was alive and well, with no evidence of the disease at 18 months postoperatively. CONCLUSIONS: Highly selected cases of lung cancer with single-rib metastasis are appropriate candidates for complete single-utility-port thoracoscopic resection.