The Scenic Route: Lingular Metastasectomy Through the Right Chest

Metastasectomy for isolated pulmonary metastasis can improve disease-free and overall-survival in well-selected patients. When feasible, a minimally invasive wedge resection is the preferred approach. However, a hostile ipsilateral chest can hinder surgical resection. In this report, we describe the resection of an isolated metastasis in the lingula through the right chest and anterior mediastinum using a robotic-assisted thoracoscopic approach in a patient with a prior left thoracotomy and pleurodesis.