“…Initially, SITS was used for simple procedures such as pulmonary wedge resection for pneumothorax and diffuse interstitial lung disease, and biopsy of mediastinal lymph nodes. Its application has since widened to include more complex and difficult procedures such as pleural decortication, mediastinal tumor resection, lobectomy, and pneumonectomy [2][3][4][5][6][7][8][9][10]. There are now more surgeons who are using SITS as the first-line surgical treatment for primary spontaneous pneumothorax (PSP).…”