“…While certainly, there are minimally-invasive surgeons who perform sleeve lobectomy, there are equally a significant number of surgeons that do not have the resources, staff, or training to perform complex minimally-invasive thoracic surgery. Notably, a substantial number of patients in the United States undergo lobectomy via thoracotomy, and the conversion rate, although declining, remains relatively high ( 4 ). The value of the hybrid VATS approach, therefore, is the potential for adoption of this technique among surgeons who would otherwise perform an open thoractomy.…”