Figure 2

Rib disarticulation and hilar dissection. The ribs are disarticulated posteriorly from their respective transverse processes and vertebral bodies. After chest wall resection is complete, hilar dissection including division of lobar vessels and airways for lobectomy along with complete peribronchial and mediastinal lymph node dissection is performed through the chest wall defect itself facilitated with the use of endoscopic stapling devices.