title: Uniportal video-assisted thoracoscopic bronchoplastic and carinal sleeve procedures.
abstract: Despite of the recent advanced with the video-assisted thoracoscopic surgery (VATS), the most common approach for bronchial and carinal resection is still the open surgery. The technical difficulties, the steep learning curve and the concerns about performing an oncologic and safe reconstruction in advanced cases, are the main reasons for the low adoption of VATS for sleeve resections. Most of the authors use 3-4 incisions for thoracoscopic sleeve procedures. However these surgical techniques can be performed by a single incision approach by skilled uniportal VATS surgeons. The improvements of the surgical instruments, high definition cameras and recent 3D systems have greatly contributed to facilitate the adoption of uniportal VATS techniques for sleeve procedures. In this article we describe the technique of thoracoscopic bronchial sleeve, bronchovascular and carinal resections through a single incision approach.
authors.affiliation: 1 Department of Thoracic Surgery and Minimally Invasive Thoracic Surgery Unit (UCTMI), Coruña University Hospital, 15006 Coruña, Spain ; 2 Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China ; 3 Department of Thoracic Surgery, Regional Oncological Center, Tyumen, Russian Federation ; 4 Department of Thoracic Surgery, University Medical Center, Ljubljana, Slovenia.
authors.forename: Diego
authors.initials: D
authors.lastname: Gonzalez-Rivas
authors.affiliation: 1 Department of Thoracic Surgery and Minimally Invasive Thoracic Surgery Unit (UCTMI), Coruña University Hospital, 15006 Coruña, Spain ; 2 Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China ; 3 Department of Thoracic Surgery, Regional Oncological Center, Tyumen, Russian Federation ; 4 Department of Thoracic Surgery, University Medical Center, Ljubljana, Slovenia.
authors.forename: Yang
authors.initials: Y
authors.lastname: Yang
authors.affiliation: 1 Department of Thoracic Surgery and Minimally Invasive Thoracic Surgery Unit (UCTMI), Coruña University Hospital, 15006 Coruña, Spain ; 2 Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China ; 3 Department of Thoracic Surgery, Regional Oncological Center, Tyumen, Russian Federation ; 4 Department of Thoracic Surgery, University Medical Center, Ljubljana, Slovenia.
authors.forename: Dmitrii
authors.initials: D
authors.lastname: Sekhniaidze
authors.affiliation: 1 Department of Thoracic Surgery and Minimally Invasive Thoracic Surgery Unit (UCTMI), Coruña University Hospital, 15006 Coruña, Spain ; 2 Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China ; 3 Department of Thoracic Surgery, Regional Oncological Center, Tyumen, Russian Federation ; 4 Department of Thoracic Surgery, University Medical Center, Ljubljana, Slovenia.
authors.forename: Tomaz
authors.initials: T
authors.lastname: Stupnik
authors.affiliation: 1 Department of Thoracic Surgery and Minimally Invasive Thoracic Surgery Unit (UCTMI), Coruña University Hospital, 15006 Coruña, Spain ; 2 Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China ; 3 Department of Thoracic Surgery, Regional Oncological Center, Tyumen, Russian Federation ; 4 Department of Thoracic Surgery, University Medical Center, Ljubljana, Slovenia.
authors.forename: Ricardo
authors.initials: R
authors.lastname: Fernandez
authors.affiliation: 1 Department of Thoracic Surgery and Minimally Invasive Thoracic Surgery Unit (UCTMI), Coruña University Hospital, 15006 Coruña, Spain ; 2 Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China ; 3 Department of Thoracic Surgery, Regional Oncological Center, Tyumen, Russian Federation ; 4 Department of Thoracic Surgery, University Medical Center, Ljubljana, Slovenia.
authors.forename: Jiang
authors.initials: J
authors.lastname: Lei
authors.affiliation: 1 Department of Thoracic Surgery and Minimally Invasive Thoracic Surgery Unit (UCTMI), Coruña University Hospital, 15006 Coruña, Spain ; 2 Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China ; 3 Department of Thoracic Surgery, Regional Oncological Center, Tyumen, Russian Federation ; 4 Department of Thoracic Surgery, University Medical Center, Ljubljana, Slovenia.
authors.forename: Yuming
authors.initials: Y
authors.lastname: Zhu
authors.affiliation: 1 Department of Thoracic Surgery and Minimally Invasive Thoracic Surgery Unit (UCTMI), Coruña University Hospital, 15006 Coruña, Spain ; 2 Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China ; 3 Department of Thoracic Surgery, Regional Oncological Center, Tyumen, Russian Federation ; 4 Department of Thoracic Surgery, University Medical Center, Ljubljana, Slovenia.
authors.forename: Gening
authors.initials: G
authors.lastname: Jiang
keywords: Sleeve lobectomy; bronchoplasty; carinal resection; double sleeve; uniportal video-assisted thoracoscopic surgery (VATS); vascular reconstruction