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[Uniportal Video-assisted Thoracoscopic Surgery Lobectomy]. | LitMetric

[Uniportal Video-assisted Thoracoscopic Surgery Lobectomy].

Kyobu Geka

Department of Thoracic Surgery, Tokyo Metropolitan Bokutoh Hospital, Tokyo, Japan.

Published: September 2024

AI Article Synopsis

Article Abstract

Uniportal video-assisted thoracoscopic surgery( VATS) is a thoracoscopic surgery in which a camera and multiple forceps are inserted into one wound and the operation is performed under complete monitoring. Since Diego Gonzalez-Rivas reported on lobectomy in 2011, various other procedures such as pneumonectomy, segmentectomy, sleeve, double sleeve, and carina reconstruction have been performed. Now, it is performed not only in Asia and Europe, but also in South America, the Middle East, and other parts of the world. The advantage of uniportal VATS is that the wound is small and only one intercostal space is damaged, which reduces postoperative wound pain and preserves cosmetic appearance. In addition, since the camera and forceps enter through the same wound, the operation can be performed intuitively, and in case of bleeding or other emergencies, a port can be added to switch multi-portal VATS or extend the wound to shift thoracotomy. On the other hand, the disadvantages are the insertion of multiple forceps through one wound, which may limit operability and interference, and tend to be solo surgery, which requires the skill of the surgeon. This time, the video of uniportal VATS for each lung lobe will be presented and the surgical techniques will be explained.

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