Application of uniportal video-assisted thoracic surgery (VATS) in pulmonary tumors.

Abstract

At present, lung cancer resection can be done by different approaches and methods, such as traditional thoracotomy, small incision thoracotomy, thoracoscopic surgery and robot surgery. Video-assisted thoracic surgery (VATS) lung cancer resection greatly reduces the trauma of traditional thoracotomy, and has obvious advantages in terms of hospital stay, complication rate, survival time and so on (1,2). However, with the development of the minimally invasive technique, the operation method has gradually developed from 4 ports, to 3 ports, to double-port and finally, to the uniportal approach, which can further reduce the trauma of patients. Since Rocco et al. reported the experience of uniportal VATS wedge resection for the first time in 2004 (3), the indications of uniportal VATS in the diagnosis and treatment of pulmonary diseases have been continuously expanded. For the first time in 2011, Gonzalez et al. reported a uniportal VATS lobectomy. A single thoracoscopic minimally invasive operation was performed with only a small incision of about 3 cm in length. All surgical equipment, including for thoracoscopy, passed through this small hole during the operation of lung cancer (4). Subsequently, Gonzalez has reported on more difficult types of uniportal VATS lung cancer resection, such as segmental resection (5), total pneumonectomy (6), lobectomy (7), bronchial sleeve lobectomy (8), and bronchial and pulmonary double sleeve lobectomy (9). So far, the uniportal VATS has basically covered all kinds of major resection of lung cancer. The technique has the advantages of less surgical trauma, less postoperative pain, faster recovery and less surgical scarring (10). The aim of this video is to show the operative points and postoperative rehabilitation of uniportal lung cancer minimally invasive surgery (Figure 1). Open in a separate window Figure 1 The operative points and postoperative rehabilitation of right upper lobectomy with uniportal VATS is depicted in this video (11). VATS, video-assisted thoracic surgery. Available online: http://www.asvide.com/article/view/29632