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. 2020 Sep 2;6(4):135-144.
eCollection 2020 Oct 29.

Current role of uniportal video-assisted thoracic surgery for lung cancer treatment

Luciano Bulgarelli Maqueda  1   2 , Ricardo A J Luengo Falcón  2 , Chiao-Yun Tsai  3 , Alejandro García-Pérez  4 , Anna Minasyan  4 , Diego Gonzalez-Rivas  1   4
Affiliations

Current role of uniportal video-assisted thoracic surgery for lung cancer treatment

Luciano Bulgarelli Maqueda et al. J Clin Transl Res. .

Abstract

The use of video-assisted thoracic surgery (VATS) as an approach for early-stage lung cancer treatment has revealed benefits compared to open surgery by minimizing trauma to the patients. This trend has brought the evolution of VATS to less and less invasive methods, eventually leading to the development of Uniportal VATS (UniVATS) technique. This new approach has shown to be resourceful, proving its feasibility even for complex oncological procedures. Furthermore, data is starting to express some benefits over multiport VATS, thus spurring on its development towards newer and more complex procedures. It is also been adopted by the surgical community achieving fast evolution and worldwide diffusion. Here, we review the evolution of UniVATS, its current state of evidence, some basic technical aspects, the present role it has in lung cancer treatment and the ongoing development of the technique.

Relevance for patients: This article could help patients to understand how the UniVATS technique developed as part of the evolution of VATS, sharing its benefits and indications. Furthermore, patients would be able to understand technical aspects and the current applications of UniVATS for lung cancer treatment.

Keywords: NSCLC; VATS; lung cancer; review; uniportal.

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Figures

Figure 1
Figure 1. Image displaying the OR set up and team positioning for UniVATS.
Figure 2
Figure 2. Photography showing the instrument’s position during a subcostal UniVATS procedure.
Figure 3
Figure 3. Illustration demonstrating the da Vinci SP performing a sleeve resection during cadaveric tests.
See this image and copyright information in PMC

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