Uniportal VATS

Uniportal video-assisted thoracoscopic pneumonectomy

Diego Gonzalez-Rivas, Maria Delgado, Eva Fieira, Lucía Mendez, Ricardo Fernandez, Mercedes de la Torre


Video-assisted thoracoscopic surgery (VATS) was introduced nearly 2 decades ago and has experienced an exponential increase for lung cancer treatment. A pneumonectomy can be performed by video-assisted thoracoscopic surgery and the lung usually fits through the incision as usually used for VATS lobectomy. The most common approach for pneumonectomy is undertaken with 3 or 4 incisions, including a utility incision of about 3-6 cm. However, this resection is amenable by using only a single utility-incision. This chapter describes the technique for pneumonectomies by single-incision thoracoscopic approach with no rib spreading.

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