Uniportal video-assisted thoracic surgery right upper lobectomy with systemic lymphadenectomy

Safety and effectiveness of uniportal video-assisted thoracoscopic surgery compared to triportal surgery: a single institution experience

Introduction

Uniportal video-assisted thoracoscopic surgery (VATS) has increasingly been used in thoracic surgery during the last decade.

Aim

To assess the safety and effectiveness of uniportal VATS compared to triportal VATS.

Material and methods

Data of a total of 318 patients between 2009 and 2019 who underwent uniportal and triportal VATS were reviewed. Bivariate statistical analysis using Pearson's χ² test was performed.

Results

Our data showed statistical differences only in complications and hospital stay between the 2 groups.

Conclusions

Uniportal VATS has a safe post-operative outcome and is comparable to triportal VATS.

Uniportal video-assisted thoracic surgery for complicated pulmonary resections

In the past 20 years, video-assisted thoracic surgery has made a great progress, from 4-ports to 2-ports, and eventually to this revolutionary approach-uniportal video-assisted thoracic surgery (VATS). It can share the same instruments, the same surgical principles, the same strategies of trouble-shooting and the same postoperative short-term outcomes with conventional VATS via the improvement of instruments and surgical skills. And it has already been safe to adopt uniportal VATS in complicated pulmonary resections. In this study, we shared five video clips about uniportal VATS for complicated pulmonary resections: sleeve resection, segmentectomy, pneumonectomy and angioplasty. We hope these video clips can be instrumental for young surgeons.

Uniportal video-assisted thoracoscopic combined segmentectomy for lung cancer with incomplete fissure

This video clip demonstrated a performance of uniportal video-assisted thoracoscopic surgery combined segmentectomy. The patient had a potential invasive nodule located near the bifurcation of right bronchus, 3-dimensional reconstruction image showed the fissure between posterior segment of upper lobe and superior segment of lower lobe was incomplete. An up-to-down approach was applied in this operation with the en bloc resection of the two segments. Pathological report was adenocarcinoma with negative margin (TNM stage: T1aN0M0).

Uniportal video-assisted thoracic surgery right upper lobectomy with systemic lymphadenectomy

This video demonstrated a performance of uniportal video-assisted thoracoscopic surgery (VATS) right upper lobectomy with systemic lymphadenectomy. The patient had a malignant mass in his right upper lobe. The operator took a posterior to anterior approach to dissection the right upper lobe, the adjacent structures were clearly demonstrated after the entire dissection of mediastinal lymph nodes. Postoperative pathological report suggested the stage of the tumor was T1bN0M0 (stage IA).