Advances in Uniportal Video-Assisted Thoracoscopic Surgery: Pushing the Envelope.

Journal: Thoracic surgery clinics
Published Date:

Abstract

Uniportal video-assisted thoracic surgery (VATS) represents a radical change in the approach to lung resection compared with conventional VATS. Because the placement of the surgical instruments and the camera is done through the same incision, uniportal VATS can pose a challenge for both the surgeon and the assistant. Recent industry improvements have made single-port VATS easier to learn. We can expect more developments of subcostal or embryonic natural orifice translumenal endoscopic surgery access, improvements in 3D image systems, single-port robotics, and wireless cameras. The advances in digital technology may facilitate the adoption of the uniportal VATS technique.

Authors

  • Diego Gonzalez-Rivas
    Minimally Invasive Thoracic Surgery Unit (UCTMI), Department of Thoracic Surgery, Coruña University Hospital, Xubias 84, Coruña 15006, Spain; Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, 507, Road Zhengmin, Shanghai 200433, China. Electronic address: diego.gonzalez.rivas@sergas.es.
  • Yang Yang
    Department of Gastrointestinal Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, China.
  • Calvin Ng
    Division of Cardiothoracic Surgery, The Chinese University of Hong Kong, Prince of Wales Hospital, 30-32 Ngan Shing Street, Shatin, NT, Hong Kong, China.