A 19-year-old male who presented with cough and fever was found to hav
e an 8-cm cyst in his left lung, Video-assisted thoracoscopic left low
er lobectomy was performed, The cyst had to be decompressed by needle
aspiration prior to retrieval through a 5-cm minithoracotomy. The pati
ent was discharged on postoperative day 4 in good condition, The techn
ical aspects form the basis of this report.