Ten-Year Experience on 644 Patients Undergoing Single-Port (Uniportal) Video-Assisted Thoracoscopic Surgery

Why should we prefer the single port access thoracic surgery?

“…Among possible clinical advantages, pain control after uniportal VATS has been reported to be superior to conventional, three-port access VATS. On the contrary, uniportal VATS versus three port access VATS have no significant differences between surgical material costs (4).…”

“…A 30-degree 10-mm videothoracoscope was introduced in the superior side of incision and was used for visualization while articulating instruments help bring the operative fulcrum inside the chest (3). Through the same incision, several instruments can be introduced parallel to the videothoracoscope while their mutual position can be changed during the procedure as needed (4). The camera-holding assistant should stand at the ipsilateral footstool side of the operator to achieve a better coplanar point of view.…”

Uniportal thoracoscopic surgery: from medical thoracoscopy to non-intubated uniportal video-assisted major pulmonary resections

“…Advances in visualization with the use of large sized monitors and high performance fiber-optics have now made earlier challenges with this technique easily surmountable. Rocco popularized the approach, utilizing a uniportal approach for minor procedures such as pneumothorax and wedge resections and reported it in several publications in the early 2000s (18)(19)(20). The work of Rocco was further enhanced by our team with the development of the uniportal approach for lobectomy (21).…”

Subxiphoid Uniportal Approach is it Just a Trend or the Future of VATS

“…As a natural development within this field, attempts began to reduce the surgical trauma more and more, instead of four wounds to conduct the operation surgeons began to perform operations through three or two surgical incisions [3,4]. Yamamoto was the first to think of using a single intercostal incision to perform simple thoracic operations with reporting a small series [5], followed by Rocco, who proved that this technique was feasible and safe [6]. Gonzalez's success in conducting the first anatomical resection through one intercostal incision opened doors for the use with this technique in other more complex procedures [7][8][9].…”