Uniportal video-assisted thoracic surgery for major lung resections: pitfalls, tips and tricks

Journal of Thoracic Disease
Mahmoud IsmailDiego Gonzalez-Rivas

Abstract

Nearly six years since inception, uniportal video-assisted thoracic surgery (VATS) has become a growing part of major lung resections and has revolutionized the way thoracic surgeons treat pulmonary lesions. This technique is being touted for various benefits. It ensures direct visualization together with a better exposure of the lung and allows the chance of a digital palpation of the lesion through a small incision. Postoperative pain is reduced due to the involvement of only one intercostal space without rib spreading and muscle disruption. The comfort and aesthetics factors are improved significantly since the oncological principles and radicality of open surgery are restored. As the surgeons gain more experience in uniportal-VATS lobectomy, more complex cases can be managed by this technique. The objectives of this work are to set the basic steps for performing major lung resections (lobectomy, bilobectomy and pneumonectomy) by utilizing uniportal-VATS and to analyze some common pitfalls that thoracic surgeons face when practicing this technique and provide practical tips and tricks on how to avoid.

Citations

May 6, 2019·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Luca BertolacciniGaetano Rocco
May 26, 2020·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Marina Paradela de la MorenaDiego Gonzalez-Rivas
Jun 20, 2019·Journal of Oncology·Maria Teresa CongedoStefano Margaritora
Nov 26, 2020·Psychiatric Services : a Journal of the American Psychiatric Association·Franco MascayanoLisa B Dixon
May 10, 2021·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Dong XieChang Chen

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