Advances in Uniportal Video-Assisted Thoracoscopic Surgery: Pushing the Envelope.
Uniportal video-assisted thoracic surgery (VATS) represents a radical change in the approach to lung resection compared with conventional VATS. Because the placement of the surgical instruments and the camera is done through the same incision, uniportal VATS can pose a challenge for both the surgeon and the assistant. Recent industry improvements have made single-port VATS easier to learn. We can expect more developments of subcostal or embryonic natural orifice translumenal endoscopic surgery access, improvements in 3D image systems, single-port robotics, and wireless cameras. The advances in digital technology may facilitate the adoption of the uniportal VATS technique.
Minimally Invasive Thoracic Surgery Unit (UCTMI), Department of Thoracic Surgery, Coruña University Hospital, Xubias 84, Coruña 15006, Spain; Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, 507, Road Zhengmin, Shanghai 200433, China. Electronic address: diego.gonzalez.rivas@sergas.es.
Diego
D
Gonzalez-Rivas
Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, 507, Road Zhengmin, Shanghai 200433, China.
Yang
Y
Yang
Division of Cardiothoracic Surgery, The Chinese University of Hong Kong, Prince of Wales Hospital, 30-32 Ngan Shing Street, Shatin, NT, Hong Kong, China.
Calvin
C
Ng
D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D011013:Pneumonectomy / Q000379:methods*; D012371:Robotics; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods*
3D camera; NOTES; New technology; Nonintubated lung resection; Uniportal; Uniportal sleeve