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Review
. 2024 Jun 26;16(13):2343.
doi: 10.3390/cancers16132343.

Uniportal Video-Assisted Thoracoscopic Segmentectomy for Early-Stage Non-Small Cell Lung Cancer: Overview, Indications, and Techniques

Takuya Watanabe  1 , Masayuki Tanahashi  1 , Eriko Suzuki  1 , Naoko Yoshii  1 , Takuya Kohama  1 , Kensuke Iguchi  1 , Takumi Endo  1
Affiliations
Review

Uniportal Video-Assisted Thoracoscopic Segmentectomy for Early-Stage Non-Small Cell Lung Cancer: Overview, Indications, and Techniques

Takuya Watanabe et al. Cancers (Basel). .

Abstract

Twenty years have passed since uniportal video-assisted thoracoscopic surgery (VATS) was first reported. Several reports have already proven the minimal invasiveness of uniportal VATS. In addition, two large clinical trials recently demonstrated the benefits of segmentectomy for small peripheral early-stage non-small cell lung cancer. Uniportal VATS segmentectomy is considered the most beneficial minimally invasive surgery for patients with early-stage lung cancer. However, a high level of skill and experience are required to achieve this goal. Only a few reports have discussed specific techniques, particularly for complex segmentectomies. In this Special Issue, we reviewed previous reports on uniportal VATS segmentectomy regarding the indications, instrument selection, marking of the tumor location, methods of intersegmental plane identification, and lymph node dissection, including our own techniques with video content.

Keywords: U-VATS; VATS; early-stage; non-small cell lung cancer; segmentectomy; single-port; thoracic surgery; uniportal VATS; uniportal video-assisted thoracoscopic surgery.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
Patient position.
Figure 2
Figure 2
Our uniportal VATS approach and setting. (A) Right side. (B) Left side.
Figure 3
Figure 3
Smoke evacuation device in the surgical field.
Figure 4
Figure 4
Uniportal VATS instruments. (A) The curved forceps and suction device. (B) Hook-type electrocautery. (C) Curved suction soft coagulator. (D) CS two-way handle.
Figure 5
Figure 5
The tips of a uniportal VATS lymph node dissection. (A) Taping and control of the azygos vein during upper mediastinal lymph node dissection. (B) Taping between the superior and inferior pulmonary veins during lower mediastinal lymph node dissection.
Figure 6
Figure 6
Thread control during intersegmental plane stapling.
Figure 7
Figure 7
Our experience with uniportal VATS segmentectomy.
See this image and copyright information in PMC

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