%0 Journal Article
%T Uniportal video assisted thoracoscopic lobectomy: going directly from open surgery to a single port approach
%A Carolina Carillo
%A Daniele Diso
%A Emanule Russo
%A Erino A. Rendina
%A Federico Venuta
%A Ilaria Onorati
%A Marco Anile
%A Miriam Patella
%A Sara Mantovani
%A Tiziano De Giacomo
%A Ylenia Pecoraro
%J SCIE-indexed Journal
%D 2014
%R 10.3978/j.issn.2072-1439.2014.08.28
%X During the last three decades video-assisted thoracoscopy (VATS) has completely changed the approach to surgical treatment of thoracic disorders. This procedure has been increasingly proposed to perform procedures with increasing technical complexity: from sympathectomy to major lung resections, including bronchial sleeve resections (1) with a technique almost identical to that used in open surgery (2). The increasing complexity of the surgical procedures performed with this minimally invasive approach has been accompanied by the reduction in the number of incisions (ports), from three to two to a single one (3). Also lung resections can now be performed with a single port video assisted approach, even in awake patients (4) and complete ambulatory setting. However, it was only recently that a robust series of patients undergoing major lung resection (lobectomy and pneumonectomy) was published showing encouraging results (5,6). This approach, although technically demanding, has completely changed our minimally invasive view. In terms of accuracy, efficacy and safety the uniportal approach is certainly comparable to the standard multiple port VATS, but the geometric configuration of the approach is completely different (7). The use of a single port favors a translational approach of VATS instruments along a sagittal plane; it enables the instruments to move in the direction of two parallel lines on that plane and approach the target lesion from a cranio-caudal perspective. This allows bringing the operative fulcrum inside the chest, in a fashion similar to open surgery (7). These geometrical and ergonomic advantages are accompanied by the obvious reduction of surgical trauma with a single port incision of 4-5 cm, and the consequent reduction of postoperative pain
%U http://jtd.amegroups.com/article/view/3029/html