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Review
. 2014 Aug;47(4):327-32.
doi: 10.5090/kjtcs.2014.47.4.327. Epub 2014 Aug 5.

Single-port thoracic surgery: a new direction

Calvin S H Ng  1
Affiliations
Review

Single-port thoracic surgery: a new direction

Calvin S H Ng. Korean J Thorac Cardiovasc Surg. 2014 Aug.

Abstract

Single-port video-assisted thoracic surgery (VATS) has slowly established itself as an alternate surgical approach for the treatment of an increasingly wide range of thoracic conditions. The potential benefits of fewer surgical incisions, better cosmesis, and less postoperative pain and paraesthesia have led to the technique's popularity worldwide. The limited single small incision through which the surgeon has to operate poses challenges that are slowly being addressed by improvements in instrument design. Of note, instruments and video-camera systems that are narrower and angulated have made single-port VATS major lung resection easier to perform and learn. In the future, we may see the development of subcostal or embryonic natural orifice translumenal endoscopic surgery access, evolution in anaesthesia strategies, and cross-discipline imaging-assisted lesion localization for single-port VATS procedures.

Keywords: DynaCT; Hookwire; Hybrid; Magnetic anchoring and guidance systems; Natural orifice translumenal endoscopic surgery; Non-intubated lung resection.

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Figures

Fig. 1
Fig. 1
Illustration of the positions of the surgeon and assistants during single-port video-assisted thoracic surgery lung resection. During surgery, the surgeon and the assistant may exchange positions for more ergonomic access. (A) Surgeon cranial. (B) Surgeon caudal.
Fig. 2
Fig. 2
Endoscopic vein harvesting device with an instruments channel, a carbon dioxide insufflator channel, an endoscope, and a lens cleaning system, as an example of an integrated instrument design for single-port video-assisted thoracic surgery surgery.
Fig. 3
Fig. 3
(A, B) Advanced single-incision endoscopic platforms for natural orifice translumenal endoscopic surgery, such as the Anubiscope, are being developed to allow more complex surgical procedures to be performed.
Fig. 4
Fig. 4
Hybrid operating room with capabilities for performing image-guided video-assisted thoracic surgery. Ground-glass opacity in the right lower lobe located by real-time on-table DynaCT, with a frozen section showing adenocarcinoma, followed by image-guided single-port video-assisted thoracic lobectomy.
See this image and copyright information in PMC

References

    1. Ng CS, Lau KK, Gonzalez-Rivas D, Rocco G. Evolution in surgical approach and techniques for lung cancer. Thorax. 2013;68:681. - PubMed
    1. Ng CS. Uniportal VATS in Asia. J Thorac Dis. 2013;5(S3):S221–5. - PMC - PubMed
    1. Ng CS, Rocco G, Yim AP. Video-assisted thoracoscopic surgery (VATS) pleurodesis for pneumothorax. Multimed Man Cardiothorac Surg. 2005;2005 doi: mmcts.2004.000349. - PubMed
    1. Gonzalez D, Paradela M, Garcia J, Dela Torre M. Single-port video-assisted thoracoscopic lobectomy. Interact Cardiovasc Thorac Surg. 2011;12:514–5. - PubMed
    1. Gonzalez-Rivas D, Fieira E, Mendez L, Garcia J. Single-port video-assisted thoracoscopic anatomic segmentectomy and right upper lobectomy. Eur J Cardiothorac Surg. 2012;42:e169–71. - PubMed

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