Wedge resection is suitable for small peripheral lung tumours in patients with compromised lung function, or for metastasectomy. The development of endoscopic staplers makes it possible to use the VATS technique for most wedge resections.

Generally three ports are used - one for the camera(7th ICS, mid axillary line), posterior (5th ICS midscapular line) mainly used for grasping and an anterior axillary line 5th ICS port for the staplers.

VATS Wedge Resection