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Review
. 2016 Mar;8(Suppl 3):S308-18.
doi: 10.3978/j.issn.2072-1439.2016.02.53.

Global development and current evidence of uniportal thoracoscopic surgery

Cheng-Che Tu  1 , Po-Kuei Hsu  1
Affiliations
Review

Global development and current evidence of uniportal thoracoscopic surgery

Cheng-Che Tu et al. J Thorac Dis. 2016 Mar.

Abstract

In the era of video-assisted thoracoscopic surgery (VATS), uniportal and single incision thoracoscopic surgeries are gaining popularity. The spectrum of uniportal VATS indications is now almost equal to that of conventional VATS. For example, successful uniportal sleeve lobectomy, rib segmental resection, and management of intraoperative bleeding have all been reported. According to published data in the English-language literature, more than 9,545 uniportal VATS have been performed to date, including 1,293 lobectomies, 1,024 procedures for pneumothorax, and 6,845 sympathectomies. Of the 192 articles discussing this topic, 35 were conducted in Spain, and there were an increasing number of publications from China, Korea, and other Asian countries. There were 41 technical and review articles, all of which provided an excellent foundation of surgical concept and skill learning. The benefits of uniportal VATS include better surgical geometry and cosmetics. Regarding postoperative outcomes, thirteen out of the 15 articles reviewed showed that uniportal VATS has similar or superior outcomes to conventional VATS. Most studies demonstrated that uniportal VATS produced less postoperative pain and paresthesia. In conclusion, uniportal VATS can produce excellent operative outcome, which is becoming a mature surgical approach in thoracic disease, supported by fast-accumulating and abundant experience.

Keywords: Uniportal; single-port; thoracoscopic; video-assisted thoracoscopic surgery (VATS).

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Conflict of interest statement

Conflict of Interest: The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Number of uniportal video-assisted thoracoscopic surgeries performed worldwide each year.
Figure 2
Figure 2
Number of uniportal video-assisted thoracoscopic surgeries performed in different countries. HK, Hong Kong; UK, United Kingdom; USA, United States of America.
Figure 3
Figure 3
The numbers of four major types of uniportal thoracoscopic surgery performed in different countries. The four major types of surgery include: lobectomy, segmentectomy, wedge resection and surgery for pneumothorax. HK, Hong Kong; UK, United Kingdom; USA, United States of America.
See this image and copyright information in PMC

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