Totalis Situs inversus (SIT) is an rare condition. There are few reports in literature describing thoracic surgery in patients with this anomaly. This video is the first report of a thoracoscopic lung resection of a pulmonary mass in a patient with SIT. A 70 year-old was diagnosed with SIT condition .A thoracoscopic approach through a single 4 cm incision was made in the left 5th intercostal space with no rib spreading. The left lung composed of three lobes and vascular and bronquial anatomy was exactly as a normal right side lung. Azygos vein, superior vena cava, and paratracheal space were mirror images of normal condition.A middle lobectomy with lymphadenectomy was performed.The patient was discharged on the second post-operative day. Dr Diego Gonzalez-Rivas, MD, FECTS Dr Fernandez Prado, MD Minimally Invasive Thoracic Surgery Unit (UCTMI). Coruña, Spain
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