THORACOSCOPIC PULMONARY WEDGE RESECTION Dr. Frank Alexander Baciewicz, from Harper Hospital, Wayne State University, Michigan, is presenting a case of a 34 year old male, HIV positive, who presents with a 1.5 cm lesion in the left lower lobe . This pictures shows part of the left upper and lower lobes. A 10 mm port is positioned in the left fifth intercostal space. The lesion is identified in the left lower lobe, which is grasped with a Babcock endoscopic clamp. An endoscopic US Surgical GIA-30 stapler with 4 rows of staples is positioned, and ready to fire. The left lower lobe wedge resection is almost completed. The wedge resection will be removed without contaminating the chest wall by placing it into a retrieval device. In this case a most cost-effective option has been chosen by utilizing a sterile glove. The resected 1.5 cm lesion revealed Kaposi's sarcoma and cytomegalovirus pneumonitis.