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. 2015 Aug 7:1:10.
doi: 10.3978/j.issn.2221-2965.2015.07.05. eCollection 2015.

Uniportal video-assisted thoracoscopic right upper sleeve lobectomy

William Guido  1 , Diego Gonzalez-Rivas  2   3 , Liang Duang  3 , Yang Yang  3 , Wentao Li  3 , Gening Jiang  3
Affiliations

Uniportal video-assisted thoracoscopic right upper sleeve lobectomy

William Guido et al. J Vis Surg. .

Abstract

Background: The development of minimally invasive thoracic surgery in recent years is undeniable, VATS has evolved from the conventional three-port technique to an uniportal approach, without compromising the type of cases that can be operated successfully.

Methods: Thanks to the continuous progress of uniportal video-assisted thoracoscopic surgery (VATS) the complexity of cases performed by this approach has improved remarkably since the first procedures were made, recent advances in surgical thoracoscopic technology had made feasible to achieve vascular and bronchial sleeve lobectomies. Anatomic variants in patients can increase the technical difficulty of the procedure making the process more challenging.

Results: In this case the sleeve right upper lobectomy was performed by uniportal VATS despite the obstruction of the right pulmonary artery (PA) for the bronchial anastomosis.

Conclusions: In the hands of experienced surgeons in uniportal VATS with background in thoracoscopic suturing, sleeve lobectomies are feasible and safe to perform even when anatomic variants increase the complexity of the case.

Keywords: Sleeve lobectomy; bronchial resection; bronchoplasty; lobectomy; uniportal video-assisted thoracoscopic surgery (VATS).

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Conflict of interest statement

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

Figures

Figure 1
Figure 1
Uniportal video-assisted thoracoscopic right upper sleeve lobectomy (12). This video shows a complex case of a sleeve right upper lobectomy performed by uniportal VATS. VATS, video-assisted thoracoscopic surgery. Available online: http://www.asvide.com/articles/618
See this image and copyright information in PMC

References

    1. Yan TD, Black D, Bannon PG, et al. Systematic review and meta-analysis of randomized and nonrandomized trials on safety and efficacy of video-assisted thoracic surgery lobectomy for early-stage non-small-cell lung cancer. J Clin Oncol 2009;27:2553-62. - PubMed
    1. Kaseda S, Aoki T, Hangai N, et al. Better pulmonary function and prognosis with video-assisted thoracic surgery than with thoracotomy. Ann Thorac Surg 2000;70:1644-6. - PubMed
    1. Gonzalez D, de la Torre M, Paradela M, et al. Video-assisted thoracic surgery lobectomy: 3-year initial experience with 200 cases. Eur J Cardiothorac Surg 2011;40:e21-8. - PubMed
    1. Gonzalez D, Paradela M, Garcia J, et al. Single-port video-assisted thoracoscopic lobectomy. Interact Cardiovasc Thorac Surg 2011;12:514-5. - PubMed
    1. Gonzalez-Rivas D, Paradela M, Fernandez R, et al. Uniportal video-assisted thoracoscopic lobectomy: two years of experience. Ann Thorac Surg 2013;95:426-32. - PubMed